- Manage and assist patients that present at high risk of self-harm or causing harm to others, including highly agitated and/or aggressive patients
- Follow an integrated, multidisciplinary and holistic care approach achieved by collaboration between emergency medicine and nursing, mental health staff, and AOD and ACE clinicians in the ED setting
- Provide a low stimuli environment with increased privacy to facilitate appropriate clinical and therapeutic interventions for patients
- Facilitate appropriate and timely admission to inpatient services or referral to community-based services
- Work in accordance with the Chief Psychiatrist’s guideline – Restrictive interventions in designated mental health services
- As a Low Risk COVID-19 zone, High Risk patients need to be de-isolated (e.g. via RAPID swab in a BAR) before they can be admitted to a BAU cubicle
Behaviour Assessment Room (BAR)
- Assessment & stabilisation of patients with Behaviours of Concern (BOC)
- Where clinically indicated, application of physical, mechanical and/or chemical restraint
- Nursing & medical assessment
- Assessment & early treatment for patients in the wait room
- Management of an (un)differentiated patient presenting to ED in behavioural and/or mental health crisis
- Coordinating the management of complex patients, including organising appropriate referral
- Search of a patient
- Streaming to most appropriate clinical area
- Where appropriate, initial patient triage; use of ATS (Australasian Triage Scale)
- Medical, psychiatric and AOD intervention for identified patient care needs, including:
- Patient-centred nursing care, including appropriate patient engagement.
- Mental health/AOD/ACE team assessment and – where clinically indicated – brief, focused therapeutic interventions based on evidence-based and trauma-informed practice.
- Verbal de-escalation and management of BOC
- Where clinically indicated, continuation of physical, mechanical and/or chemical restraint
- Pharmacotherapy and review and/or commencement of medications by ED medicine.
- Psycho-social support, such as goal-setting.
- Patient, family and carer-targeted harm-reduction and education-based intervention.
- Patient-centred and recovery-focused treatment planning, discharge planning and best pathway referral.
BAU Interview Room
- May be used for patients who are medically stable and have a BOC score ≤ 1, for BAU bed-admitted activity or for patients requiring further assessment to determine best pathway.
Contact the Nursing Team Lead or EMH for assessment to help determine the best pathway