Behavioral Health Issues Clinical Pathway — Emergency Department

Children Presenting to Triage with Primary BH Chief Complaint

Age < 18 yrs	Sign-in and triage as usual Contact BHC Leader, assign safety observer as indicated immediately
Age ≥ 18 yrs	Sign-in and triage as usual ED triage RN or PAC will notify SW to review history SW reviews with ED Attending APOD and PHL ED Psych Keep child in triage booth under staff observation or in waiting with 1:1 observer Post-review Disposition Admit to CHOP ED for further care if: Triage huddle identifies medical concern and < 19 yrs Currently followed by CHOP BH Team Presence of neurodevelopmental issues that may benefit from pediatric subspecialty For children not meeting criteria: PEM Attending completes MSE, stabilization as indicated RN completes triage assessment Call HUP, obtain accepting MD, provide hand-off CHOP staff will transport child Provide printed chart to HUP Consider need for security for transfer process
Interfacility Transfer- CHOP PHL Emergency Department (ED) to Outside ED Job Aid

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Behavioral Health Issues Clinical Pathway — Emergency Department

Children Presenting to Triage with Primary BH Chief Complaint

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Behavioral Health Issues — Triage: Primary BH Chief Complaint — Clinical Pathway: Emergency

Behavioral Health Issues Clinical Pathway — Emergency Department

Children Presenting to Triage with Primary BH Chief Complaint