Behavioral Health Issues Clinical Pathway — Emergency Department

Prolonged EDECU Stays

  • Admission guidelines from the EDECU to inpatient unit:
    • Increasing aggression requiring arms-length observation
    • Escalation of care with frequent need for manual hold and IM medications
    • Violent restraints required
    • Child elopement occurred
    • Prolonged stay
  • Child not eligible for EDECU pilot
  • No IP psychiatry bed on site after 7 days in the EDECU
  • Process:
    • EDECU Team reviews child's diagnosis, current state
  • PEM Attending, Psychiatry Attending, Social Work, APP, RN, Psych Tech confer
  • Psychiatry attending recommends which children will benefit from transfer
  • Communication with NOL
    • EDECU APP enters bed request