Emergency Department Clinical Pathway for the Evaluation/Treatment of
Females < 18 yrs with Behavioral Health Concerns and Pregnancy
- ASQ
- Initiate 1:1 Safety Observation as indicated
- Urine HCG
- VS, assess for Complications of Pregnancy
-
Concern for Labor or Complications of Pregnancy
- OB Code Blue, as indicated
- Attending MSE
- HUP PEC ≥ 16 wks
- HUP ED < 16 wks
- Interfacility Transfer: CHOP PHL Emergency Department (ED) to Outside ED
-
History and Physical
- Sexual assault concerns, initiate SART
- Assess Dates Based on LMP
-
Laboratory Studies
- Urine HCG, UDS
- Administer Behavioral Health Screen
- Confidentiality and Consent
- Social Work/Psychiatry Consultation
-
Pregnancy Counseling
- Completed by SW after HCG confirmation
Stable for Discharge
Admission for Behavioral Health Stabilization
- Resources for Outpatient OB Care
- Social Work Follow-up, BH Care Plan
- Determine gestational age
- Maternal-Fetal Medicine (MFM) Consult
Gestational Age < 22 wks
Gestational Age ≥ 22 wks
- MFM, ED, Pysch, SW
- Huddle to Determine Admit Location
- (EDECU, Adolescent Medicine, MBU)
Transfer to HUP PEC
- MFM-PEC Conversation
- Psychiatry and Social Work recommendations and care plan
- CHOP Psych Attending to HUP Psych Attending discussion
- Interfacility Transfer: CHOP PHL Emergency Department (ED) to Outside ED
Inpatient Care
- Psychiatric, SW Care Plan
- Safety Observation
- Review agitation plan with Psychiatry
- Complications of Pregnancy, OB Code Blue
- Continued MFM Consultation
- Discharge planning
Posted: June 2024
Editors: Clinical Pathways Team
Editors: Clinical Pathways Team
Evidence