Behavioral Health Issues Clinical Pathway — Emergency Department
Prolonged EDECU Stays
- Admission guidelines from the EDECU to inpatient unit:
- Increasing aggression requiring arms-length observation
- Escalation of care with frequent need for manual hold and IM medications
- Violent restraints required
- Child elopement occurred
- Prolonged stay
- Child not eligible for EDECU pilot
- No IP psychiatry bed on site after 7 days in the EDECU
- Process:
- EDECU Team reviews child's diagnosis, current state
- PEM Attending, Psychiatry Attending, Social Work, APP, RN, Psych Tech confer
- Psychiatry attending recommends which children will benefit from transfer
- Communication with NOL
- EDECU APP enters bed request