HBS Co-Follow Agreement for Surgical Patients

HBS consultants should co-follow these patients until they are medically stable post op.  Sign off AFTER mutual discussion with surgery.

  • FRAIL scale > 5
  • Severe Dementia /Alzheimer’s/Parkinsons
  • Active COPD exacerbation
  • Active PNA
  • New O2 Sat < 90%
  • CHF EF < 30% with decompensation
  • ESRD on PD/HD
  • AKI (increase in Cr >0.3mg/dl or >1.5x from baseline)
  • HTN (poorly controlled)
  • DM2 HbA1c > 10, DKA        
  • Anticoagulation if requires Heparin or Argatroban bridging
  • Uncontrolled arrhythmia, or new afib/flutter (HR not controlled)
  • MI within 3 mo, CABG or PCI within 1 year
  • Cirrhosis, decompensated as evidenced by ascites, increased LFTs /synthetic dysfunction (elevated INR, albumin < 2)
  • Active withdrawal from alcohol or illicit drugs