• Patient with confirmed acute appendicitis, cholecystitis, perirectal abscess or other similar complaint that is likely to need an operation and be discharged after the operation without further inpatient care.

• Surgical Consultation initiated in main ED

• Does not need procedural sedation for a bedside procedure (this has to happen in main ED)

• Stable vital signs

• Pain controlled in the main ED

• At baseline level of function, will not need rehab consult after surgery

• Diagnosis unclear

• Likely to need procedural sedation for bedside procedure

• Patient likely to need inpatient post-op care

• Sepsis, end organ dysfunction (AMS, AKI etc)

• History of heart failure, cirrhosis, advanced CKD/renal failure, poorly controlled diabetes, pulmonary hypertension or other significant co-morbidity.

• Uncomplicated Surgical Management Accomplished

• Normal Post-Op Vital Signs

• Pain Controlled

• Tolerating PO

• At Baseline Mobility Status

Discharge instructions: Surgical team will take responsibility for Post-Op Discharge instructions, Pain Management and Follow-up Appointments.   Any other follow up plans including PCP visits etc will be handled by CDU provider.

• Complications encountered during surgery

• Abnormal Post-Op Vitals

• Pain not controlled Post-Op

• Unable to take PO

• Unable to ambulate