A patient self presents feeling down with thoughts of suicide. This patient is...
Voluntary
Who can complete an Emergency Examination Authority?
Police or Ambulance ofiicers
What is a Recommendation for Assessment (RA)?
Initiates a period of involuntary assessment under the Mental Health Act
A voluntary patient deemed not at risk absconds. What do we do?
Inform DON OC and notify CW Mental Health Service
Within hours (Mon-Fri 8-4:30pm), a voluntary patient presents. Who do you contact?
Mental Health Intake Clinician
How long can a patient remain under an EEA?
6hrs, can be extended by a Health Practitioner to 12hrs
How long can someone be detained under an RA?
Initially 24hrs. Can be extended to 72hrs for authorised MO and Psychiatrist
An at-risk voluntary patient absconds. What next?
Call QPS for immediate action to locate patient
Notify DON OC ASAP
Consider need for EEA/RA
Can a voluntary patient be placed under the Mental Health Act?
Yes, a voluntary patient can be made involuntary if they are deemed at risk to self or others, or mentally ill or mentally disordered
How can an EEA be "lifted" or removed?
Medical Officer completes C9 to end involuntary detention
What is a Treatment Authority (TA)?
Patient absconds while on EEA. What now?
DON OC
Complete Authority to Transport Absent Person form for QPS
Notify Psychiatrist
Follow Pathway 7 and call QPS in the order stated
Who decides if a voluntary patient is safe for discharge?
Consultant Psychiatrist
If a patient is transferred to another facility, do copies or originals of their EEA go with them?
Originals.
Take copies of the documents, and the copies go in your facilities manilla chart for that patient
How does a patient come off a RA?
Authorised MO completes Revocation of Recommendation for Assessment form (ends the period of involuntary detention)
Do we follow an absconded patient out of the hospital?
No. Take note of what they're wearing and what direction they go
A voluntary patient has been deemed unsafe for discharge but is not placed under the Mental Health Act. What happens now?
Pathway 5: Voluntary admission.
Review with MH team every weekday via telehealth, or face-to-face, and MDT every weekday
Escalate to Rockhampton Acute Care Team after hours
The patient is assessed and deemed mentally ill or disordered, what comes after the EEA?
Recommendation for Assessment- RA
A RA is commenced & RFDS Retrieval is required for a MHIPU admission, what needs to be done?
Treating MO contacts RSQ for coordination of transport arrangements
Nurse completes RFDS Transfer Guidelines for Disturbed Patients for RFDS to assess risk and provide appropriate flight crew
The patient is extremely aggressive and threatening to harm self and others, then absconds. Who do you call?
000 and DON OC