Policies, Procedures & Guidelines
Emergency Management & Response:
Clinical & Operational Practice:
Roles & Responsibilities
Nursing:
Medical:
EMH
- Consultant Psychiatrist (working across ED)
- Mental Health Registrar (working across ED)
Tools
- Handover sticker
- Cleaning audit
- DOS Huddles: 0000, 0400, 0830. 1200, 1600, 1900
- Nurse initiated pathology/radiology reference card
- Foundations of Emergency Department Mental Health Care Staff Training Package (WeLearn Course)
- Distraction and Calming Pack
- Foundations of Emergency Department Mental Health Care Staff Training Package
- Distraction and Calming pack
- Headphones and entertainment options
- Interstitial blinds
What’s Different?
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- New dedicated spaces for MHAOD patients
- Streaming process
- Lockdown process
- Paths of travel
- Bedside emergency roll down equipment
- Roller doors at bed heads for medical services panel
- First responder trolley with defibrillator
- Visitor access and intercoms
- Staff Base door release buttons
- Staff base control for beverage bay roller door and boiling water unit
- Medical emergency response for admitted patients
- ED PA second channel
- Swipe access medication safes
- Monitored medication fridge
- Patient lounge and beverage bay
- Bedside music and patient variable lighting
- Door Top Alarms (DTA) and anti-ligature design features
- Bathroom occupancy sensors
- Interstitial blinds
- Anti-barricade features (e.g. door release keys)
Communications
Telecommunication
- Emergency lockdown pagers
- DECT Phone – ED Registrar
- DECT phones for NIC, MH Nurse Navigator and ED Consultants /Registrar & Clerk
- Pagers for PSA’s
- Pagers – PSA, PCN
- Mobile – Paediatric Consultant/Registrar
- Landline phone
- Landlines for clerical staff and all other staff
- Fax
- ED PA
Screens
- EJB
- EDIS Handover Screens
- EDIS information screen
- ED Status
Other
- CCTV
- Intercoms
- Bedside emergency checklists
- Department cleaning schedule
- Fixed duress/portable duress
- Nurse call & emergency call
- BAU medical rounds
- EMR
- EDIS
- Huddles and handover
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Beds: 3 Adult TAR, 1 Paediatric TAR, 2 BAR, 1 BAU Interview Room, 3 AV Offload Cubicles, 1 Digital Imaging Suite
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Entry criteria: Triage – no criteria, BOC - 16-64 years (or by exception)
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Length of stay: < 120 minutes, BOC < 1 hour
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Clinical Care: ATS, Assessment, First Aid Streaming, Clerking, BOC – brief assessment and intervention of behaviours of concern
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Beds: 12 AM/PM - (0800 to 2300), 1 Ultrasound Suite, 1 - Digital Imaging Suite, 2 – Treatment/Plaster Rooms
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Entry criteria: > 18 years (or by exception)
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Length of stay: < 4 hours
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Clinical Care: To provide care to patients with simple injury or illness.
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Beds: 24 Adult Cubicles (24/7)
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Entry criteria: > 18 years (or by exception)
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Length of stay: < 4 hours
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Clinical Care: To provide care to adult patients who are acutely unwell, potentially unstable and complex. Fast Track provides care to patients with simple injury or illness.
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Beds: 4
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Entry criteria: Any patient requiring 1:1 care
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Length of stay : < 4 hours
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Clinical Care: Critically unwell. Require airway, respiratory, circulation support
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Beds: 9 Acute Cubicles (24/7) – 4 Fast Track (0800 to 2300)
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Entry criteria: < =16 years (or by exception)
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Length of stay: < 4 hours
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Clinical Care: Paediatric patients not requiring 1:1 resuscitation care
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Beds: 24 Beds. 1 Class N Negative Pressure Room
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Entry criteria: > 18 years (or by exception)
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Length of stay : 4 – 24 hours
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Clinical Care: Defined management plan and patient meets clinical pathways criteria
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Beds: 6 Beds - 4 Interview Rooms
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Entry criteria: > 18 years (or by exception)
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Length of stay : 4 – 24 hours
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Clinical Care: Extended assessment and clinical management for patient with high prevalence, low acuity MHAOD presentations
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Beds: 4 Beds - 2 Behavioural Assessment Rooms (BARs) – 1 Interview Room
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Entry criteria: > 18 years (or by exception), and BOC > 1
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Length of stay : 4 – 24 hours
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Clinical Care: Management, assessment and intervention of patient with acute behavioural presentations
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