Mental Health
The screening tool used to assess a patient that may be suicidal or homicidal.
What is the Columbia Suicide Severity Rating Scale
Call light, suction tubing, ambu bag and container, cardiac monitor cable, pulse ox cable, O2 tank, bedside table or mayo stand, O2 delivery devices, trash cans.
Name items that should be removed from a high risk suicidal patient's room.
No; EDH and EWWH have inpatient psychiatric units.
Are any of the Emory Hospitals psychiatric hospital?
Any clinician who is authorized under Georgia law to sign a form 1013.
Who can rescind a 1013?
A feeling of apprehension, tension, and uneasiness that can be divided into four levels: mild, moderate, severe, and panic.
What is anxiety?
The Emergency Department, Obstetric triage, Labor and Delivery areas, direct admission to the hospital.
When is suicide severity risk assessment performed?
Secures the patient's belongings and searches them for any contraband.
Who is security?
Grady, Dekalb Crisis Stabilization Center, GA Regional Hospital.
What are some examples of an ERF?
Medication used to treat agitation in patients with schizophrenia.
What is Geodon?
A state of sadness or hopelessness that affects one mentally and physically.
What is depression?
This risk level is suicidal ideation with method, without plan or intent, and/or suicidal behavior more than 3 months ago.
What is moderate risk?
Requires one dedicated staff member to observe one patient that can immediately intervene as necessary.
What is 1:1 observation?
No, according to the Ga DBHDD guidelines, the 1013 does not give the authority to hold a person involuntarily.
Can a patient be held involuntarily at an Emory Hospital?
Cardiac monitoring may be required for the patient who has been given large doses of this medication.
What is Haldol?
These patients need psychiatric follow up and probably will not go if they are able to get their medications in the ED.
Why don't we typically discharge patients with antidepressant prescriptions?
Immediately inform provider and charge nurse of risk level for assessment and determination of disposition and also provide for a safe environment for a patient with this risk level.
What is high risk?
Every 15 minutes.
How often is the high risk patient's activity observed and documented?
A state form used to initiate transportation to an ERF, where a patient will be evaluated on an involuntary basis for up to 48 hours.
What is a "1013"?
The nurse caring for the patient when a facility calls to accept a behavioral health patient.
Who is responsible for completing the bottom portion of the 1013 form?
Suicidal thoughts, threats, gestures, and/or attempts.
What actions are considered suicidal?
CBC, CMP, UA, Acetaminophen level, Blood alcohol level, Salicylate level, Covid swab, Beta HCG quantitative level, urine toxicology screen, 12 lead ECG.
What are the diagnostic tests in the triage psych protocol?
Psychological well-being, behavior, and general safety, Q 2hours.
What and how often must the high risk patient be assessed by the RN?
A designation per the Georgia Dept of Behavioral Health and Developmental Disabilities as a facility that accepts involuntary patients for initial assessment.
What is an Emergency Receiving Facility?
Original 1013, safe room, visitor restrictions, medical needs, behavior issues.
What information should be in a change of shift report for a behavioral health patient?
A grossly impaired sense of reality.
What is psychosis?