Behavioral Concerns, Child Undergoing EEG Monitoring Clinical Pathway — Inpatient and Outpatient Specialty Care

9S-NSU-EMU Plan of Care Communication

Admission to 9 South Neuroscience Unit/EMU is the preferred location for children with behavioral health concerns given presence of specialized nursing, child life specialists (CLS), ceiling cameras, and EEG technologists. Review with nursing leadership and physician/nursing flow leaders as indicated.

Communication Between RN, EEG Technologist, and CLS	EEG technologist contacts RN before seeing a child with an identified behavioral concern. RN informs EEG technologist of plan, including CLS plan of care and then works with EEG technologist to perform the procedure. Box in EMU treatment room contains: Chewy tubes, spiky balls, stress balls, fidget toys, I Spy books, stickers, noise-canceling headphones CLS has access to many developmentally appropriate play and distraction items.
EMU Interdisciplinary Team Communication	Team Rounds/Nursing Huddles Review/discuss CLS plan of care at nursing team huddles and team rounds to ensure consistent communication among team members, family, and child. Consultations Behavioral Health Integrated Program (BHIP) as indicated. Agitation Escalation Plan Team huddle regarding plan. Consider whether safety observation is needed. Review Medication Options. Review restraint indications: Non-violent Restraints, if needed to maintain a medically necessary device such as EEG head wrap. Violent Restraints if immediate threat to self or others. Review Application and Removal of Restraint Devices Procedure. Discontinue the EEG: In rare cases, the EEG may need to be discontinued to de-escalate the child and keep everyone safe.
Discharge Documentation	Inform family that the CLS plan of care is accessible in MyCHOP to utilize in the future if needed. If pre-medications were used, then include notes regarding effectiveness in the discharge summary and care coordination encounter to outpatient clinician to aid future care.

©2024 by Children's Hospital of Philadelphia, all rights reserved.
Use of this site is subject to the Terms of Use.

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.