This document outlines protocols for admission of patients from the emergency room to the nephrology department. It provides guidelines for workup of patients in the ER by nephrologists, including history, vital signs, imaging, labs, and life-saving measures. Cases that should be admitted to nephrology include those requiring emergency hemodialysis, severe uremic manifestations, volume overload, or access failure. Acute kidney injury patients meeting RIFLE criteria for risk, injury, or failure should also be admitted for water/electrolyte management and follow up to assess need for hemodialysis.