Patients at ED front door needing Psychiatric Assessment

Slides:



Advertisements
Similar presentations
Quality Improvement Project to Develop a Telephone Protocol to Triage Vaginitis Complaints in Adult Non-pregnant Patients Ann Evensen, MD UW Health Monona.
Advertisements

Meditech 6.0 Upgrade ED TRAINING SESSION 1 1.
5S CLÍNICA MÉDICA (MH) 306 A. 5S CLÍNICA MÉDICA (MH) 306 B.
The MHEC is located at 105 Mayo Place, Lufkin
KY Jail Mental Health Crisis Network KY’s New Service Delivery System Council of State Governments Southern Regional Meeting July 31, 2006 Rita Ruggles,
5/24/20151 Fitting the Pieces Together Utilizing a Hospitalist in the ED to Reduce Admissions Presented by: Patty Williamson, CFO Isidoros Vardaros, M.D.
Major Emergency Response Libby McGugan Consultant in Emergency Medicine.
Surge Capacity Plan EMERGENCY DEPARTMENT.  Surge capacity strategies will be implemented when volume exceeds staffing and/or treatment space POLICY:
EMERGENCY PSYCHIATRY - MEDICAL COMPETENCY THE PSYCHIATRIC CONSULTATION.
BOARDING SOLUTIONS INCREASE PROFITS BY ENDING ER GRIDLOCK © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS Emergency Medicine Summit 5/4/2011.
The Mental Capacity Act 2005
Safe Transitions Of Care STOC 2011 MHA Pilot- 4Q 2010 Transition responsibility belongs to the sending clinician/organization, until the receiving practitioners.
Regulatory Training Emergency Medical Treatment and Active Labor Act (EMTALA)
The Community Programme Better Together 4 th December 2013 Comprehensive Geriatric Assessment in Nottinghamshire.
PHV Patients in the ED The processes of transferring patients to and from the ED and Vanderbilt’s Psychiatric Hospital (PHV) can be very confusing. This.
Students F1  Review admissions  Clerk patients  Make clinical management plans  Review acutely ill patients in the ward  Attend alert calls.
OVERDOSE SOLUTIONS 2013 SAFE LANDING AN ACOPC INITIATIVE Tami Slain, RN.
Influencing Demand – Altering Preload for Canterbury EDs Dr Greg Hamilton Planning and Funding.
Ojaghi Haghighi M.D. Why Discharge Note? Medico-legal risk Patient comprehension about the diagnosis & performed measures Patient adherence to medical.
THE NATIONAL PATIENT EXPERIENCE SURVEY REQUEST FROM LEAD CANCER NURSES TO PUT THE NATIONAL CANCER PATIENT EXPERIENCE SURVEY RESULTS AND ACTIONS ON THE.
Sick Leave Clearance Procedure in Occupational Medicine Unit YU Kwai Chun Nursing Officer Labour Department.
National Patient Safety Goals 2008 T he University of Toledo Medical Center Toledo, Ohio.
Elderly Frailty Project in Teesside
Oxleas Police Custody Liaison Scheme Suzanne Ahlers & Marie Barker Oxleas Forensic Community Psychiatric Nurse (FCPN)
March 9, 2015 Best Practice Themes Franklin County Task Force on the Psychiatric and Emergency System (PCES)
ED Stream Workshop Acute MOC – Manning August 2013 ED Stream Workshop 1.
CAMHS Emergency care pathway Alison Hemphill Acting Clinical Lead Nurse, CAMHS Urgent & Unplanned Care Dr Nina Champaneri Consultant Child & Adolescent.
London’s Mental Health Crisis Care Summit Workshop B: in the Emergency Department 25 th February 2016 Kia, Oval Dr Sean Cross and Dr Alex Thomson.
+ Adult Mental Health Audit in YG Dr. Sarah Edwards Dr. Rhiannon Lewis Dr. Helen Salter BCU Audit Symposium.
ED Simulator Based Training – Scenario Guide SetScenario (Start) Scenario (Progression) Equipment Adult 31yr old male is brought to Resus by paramedics.
Helen Lingham – Chief Operating Officer Gill Adamson – Director of Nursing and Operations.
Psychiatric Crisis Services at Milwaukee County BHD Presented by Emily Kenney, Crisis Services Coordinator.
The Royal College of Emergency Medicine Mental Health in the ED Clinical Audit National findings The Royal College of Emergency Medicine Clinical.
Suicide Prevention Pathway
STH Clinical Ethics Group
Premier Medical EMR ORDERING EMR ORDERING ULTRASOUND EMR ORDERING.
Learning Session 2 October 31st, 2016
IS YOUR PATIENT ADMINISTERING THEIR OWN INSULIN (OR OTHER MEDICINE) ??
Code Stroke Code Stroke: Medical Directive (PCS-MD-25) ETA: 13 minutes.
S136 Pathway Scenario: Intoxication pathway
The role of Intensive Home Treatment for Maternal Mental Illness
Services & Trusts Integrating To improve Care in self-Harm
EMERGENCY DEPARTMENT ASSESSMENTS FOR INVOLUNTARY ADMISSION TO AN APPROVED CENTRE, AFTER IMPLEMENTATION OF MENTAL HEALTH ACT.
Jail Triage.
New York State Collaborative Care Medicaid Program
Crisis and Home Treatment
Psychiatric Emergency Services
Fitness for Duty and Return to Work Exams
Using Concordat and UEC Vanguard status to drive the change
RED for patients: at risk of admission in 24 hours
Healthcare for Children SIPOC
Safety Sitter Education
Understanding Our Delayed Discharge Problem
PROFILE OF CURRENT STROKE REHAB SERVICE & ISSUES.
Live From MDS New Developments in Parkinson's Disease Psychosis
Breast cancer pathway update – Primary care pathways event
SAR Conference Presentation
New Tool to Help Prevent Readmissions Modified LACE Tool
Right place, right time Working to improve hospital discharge and prevent admissions in South Tyneside South Tyneside Patient Reference Group August 2016.
Forsyth County Daymark Recovery Services
Restrictive interventions in the Emergency Department
Alcohol Care Pathway As part of medical assessment, complete AUDIT-C
Operational site management principles
Rev. 12/5/17 Pre-discussion with EMS and Law Enforcement
Operational site management principles
Workshop On Call Imaging.
Enhanced Crisis Resolution and Home Treatment
Frail Older Persons Intervention and Therapy Team (FITT)
Chapter 2 The Person’s Rights.
Enhanced Crisis Resolution and Home Treatment
Presentation transcript:

Patients at ED front door needing Psychiatric Assessment Does patient have a medical need? Including: Intoxication Overdose / self harm Physical symptoms First presentation of Psychosis Decide if patient is fit for psychiatric assessment . After 2200 only refer patients if fit for assessment and unlikely to stay in for observation or treatment. Patients at ED front door needing Psychiatric Assessment Consider First Response (FR). Call 111, option 2 if not High Risk on MH triage. Suitable for FR: Put in quiet room with ED mobile phone. Handover to nurse in charge of area. FR to feed back to ED Call 01480 416040 if pt has hung up. if pt has If High Risk or patient declines Medical Need No Medical Need Call Liaison Psychiatry: 0700 – 2200 on 157 733 and refer on epic. After 2200 bleep Duty Nursing Officer at Fulbourn via switchboard. Managed by FR: Document and code as discharge to FR on epic. Complete MH triage including capacity assessment. FR requests ED to manage pt.