A Screening Tool for Addressing Psychiatric Needs of the Pediatric Patient in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162993
Type:
Presentation
Title:
A Screening Tool for Addressing Psychiatric Needs of the Pediatric Patient in the Emergency Department
Abstract:
A Screening Tool for Addressing Psychiatric Needs of the Pediatric Patient in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2005
Author:McCalman, Christine, RN, MSN, CPNP, CEN
P.I. Institution Name:Huntsville Hospital for Women and Children
Contact Address:101 Silvey Road, Huntsville, AL, 35801, USA
Contact Telephone:(256) 265-7673
Clinical Topic: Nationally, hospitals have reported an increase in the volume of pediatric psychiatric cases presenting to the emergency department (ED). Currently, a patient who comes to this facility's pediatric emergency department in need of psychiatric care is coded as a priority and medically screened by a physician. After all medical testing is complete, a psychiatric screener is called to evaluate the patient for service needs and/or placement. Delays in patient care for the pediatric patient may result from the psychiatric screener?s additional responsibility for adult patients in the emergency department. In addition, inpatient placement for pediatric psychiatric cases is not available at this facility, which may cause further delays while the psychiatric screener makes arrangements for transport to an accepting facility based on availability and, often, insurance carrier. To address delays in patient care for pediatric psychiatric patients, a triage-screening tool was developed to assist in rapid determination of urgency for psychiatric assistance. The purpose of the screening tool is to allow ED nurses to provide the psychiatric screener with information regarding the patient in advance so that early action can occur to facilitate timely care. This tool was adapted from Gail A. Edelsohn's Child and Adolescent Triage Questionnaire. It allows the nurse to take the views of the patient and parent into consideration when defining the urgency of the crisis. The screening tool is comprised of 20 questions that cover history with the mental-health system, current drug use, patient concerns, school behavior, and reason for the current ED visit. Implementation: A pilot test of the screening tool began January 2005. The tool was administered randomly to patients presenting to the emergency department with psychiatric or emotional problems. All participants were capable of filling out a form and understanding the questions. A nurse practitioner explained and reviewed the tool with the patients. The answers were coded for urgency categorization based on Edelsohn's method for classification. Outcomes: To date, the screening tool has been conducted with 10 patients. Four of the children received a psychiatric evaluation and were dispositioned within two hours of triage. Preliminary results indicate that children who require services, such as mental-health referral or scheduled outpatient screening, may experience more efficient and effective care following the use of the screening tool. Recommendations: This screening tool is relevant for the nurse caring for pediatric patients in the emergency department. Preliminary results indicate that this tool is a quick and easy method for obtaining information, classifying urgency, and assisting the psychiatric screener in determining disposition. Utilizing this screening tool may lead to improved timeliness and quality of care for the pediatric psychiatric patient in the emergency department. Further research is needed to evaluate the tool's effectiveness fully.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Screening Tool for Addressing Psychiatric Needs of the Pediatric Patient in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162993-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Screening Tool for Addressing Psychiatric Needs of the Pediatric Patient in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McCalman, Christine, RN, MSN, CPNP, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Huntsville Hospital for Women and Children</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">101 Silvey Road, Huntsville, AL, 35801, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(256) 265-7673</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Chris095@hhsys.org</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Nationally, hospitals have reported an increase in the volume of pediatric psychiatric cases presenting to the emergency department (ED). Currently, a patient who comes to this facility's pediatric emergency department in need of psychiatric care is coded as a priority and medically screened by a physician. After all medical testing is complete, a psychiatric screener is called to evaluate the patient for service needs and/or placement. Delays in patient care for the pediatric patient may result from the psychiatric screener?s additional responsibility for adult patients in the emergency department. In addition, inpatient placement for pediatric psychiatric cases is not available at this facility, which may cause further delays while the psychiatric screener makes arrangements for transport to an accepting facility based on availability and, often, insurance carrier. To address delays in patient care for pediatric psychiatric patients, a triage-screening tool was developed to assist in rapid determination of urgency for psychiatric assistance. The purpose of the screening tool is to allow ED nurses to provide the psychiatric screener with information regarding the patient in advance so that early action can occur to facilitate timely care. This tool was adapted from Gail A. Edelsohn's Child and Adolescent Triage Questionnaire. It allows the nurse to take the views of the patient and parent into consideration when defining the urgency of the crisis. The screening tool is comprised of 20 questions that cover history with the mental-health system, current drug use, patient concerns, school behavior, and reason for the current ED visit. Implementation: A pilot test of the screening tool began January 2005. The tool was administered randomly to patients presenting to the emergency department with psychiatric or emotional problems. All participants were capable of filling out a form and understanding the questions. A nurse practitioner explained and reviewed the tool with the patients. The answers were coded for urgency categorization based on Edelsohn's method for classification. Outcomes: To date, the screening tool has been conducted with 10 patients. Four of the children received a psychiatric evaluation and were dispositioned within two hours of triage. Preliminary results indicate that children who require services, such as mental-health referral or scheduled outpatient screening, may experience more efficient and effective care following the use of the screening tool. Recommendations: This screening tool is relevant for the nurse caring for pediatric patients in the emergency department. Preliminary results indicate that this tool is a quick and easy method for obtaining information, classifying urgency, and assisting the psychiatric screener in determining disposition. Utilizing this screening tool may lead to improved timeliness and quality of care for the pediatric psychiatric patient in the emergency department. Further research is needed to evaluate the tool's effectiveness fully.</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:42Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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