Behavioral Health Issues Clinical Pathway — Emergency Department
Behavioral Health Issues Clinical Pathway — Emergency Department
EDECU Daily Care
RN Handoff Report (between shifts)
- Name, MRN
- Reason for admission
- Medical history
- Inpatient Psychiatric evaluation complete (Y/N)
- 201/302 signed, location of document
- Home medications
- Agitation Plan
- 1:1 assignment and breaks
- Guardian information
- Bed search updates
RN daily care
- Bedside nurse will complete Behavioral Health Shift Assessment including safety observation every hour and psychosocial assessment every shift
- Completes room and bathroom checklist for potential safety hazard before child’s arrival
- Patient and room check each shift
- Vital signs every 8 hours, when awake
- Check I/Os
- Check weight twice weekly
EDECU Team, Social Work, and Psychiatry Round Daily
During rounds:
- EDECU attending: Signs “transport to inpatient psych facility form” during rounds
- EDECU APP
- Assures that daily medications have been reconciled and ordered
- Notify PCP (and special immunology if they follow the child) of the child‘s status and need for meds
Patient Schedule, Rules and Expectations Reviewed with Child, Family, and 1:1
- Child life implements a daily schedule for children
- Activities in the daily schedule may include:
- Team rounds
- CLS group activities
- Health education
- Homework/learning time
- Physical activity
- Music therapy
- Hospital bingo
- Yoga/stretching
- Home medications given
- Psych tech role
- Remains with the child at all times
- Ensures “All About Me” card is filled out by child and family and is displayed on door
- Facilitates activities and encourages the child to follow the schedule outlined by Child Life
- Ensures room safety and checks items parents bring into the room