1. 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 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 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.