Acute Psychiatric and Addiction Related Presentations

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ME 3.7.1.1(a)

Principles of assessment and management of psychiatric presentations in the ED, including: Triage, initial assessment and de-escalation

ME 3.7.1.1(b)

Principles of assessment and management of psychiatric presentations in the ED, including: Appropriate psychiatric assessment area

ME 3.7.1.1(c)

Principles of assessment and management of psychiatric presentations in the ED, including: Role of hospital and community based mental health clinicians and services

ME 3.7.1.2

Acute mental health services available in the ED.

ME 3.7.1.3

Use of regional mental health legislation relevant to emergency medicine practice.

ME 3.7.1.4

Impact of historical and socio-economic factors, including the effects of colonisation, that increase the risk of addiction and involvement with the mental health and justice system.

ME 3.7.1.5(a)

Undertake a mental state examination and risk assessment for the following, and communicate findings to the team: Self-harm

ME 3.7.1.5(b)

Undertake a mental state examination and risk assessment for the following, and communicate findings to the team: Suicide

ME 3.7.1.5(c)

Undertake a mental state examination and risk assessment for the following, and communicate findings to the team: Violence

ME 3.7.1.5(d)

Undertake a mental state examination and risk assessment for the following, and communicate findings to the team: Unsafe discharge from ED against medical advice

ME 3.7.1.6

Undertake an assessment of cognitive function.

ME 3.7.2.1(a)

Psychiatric presentations in the ED, including: Deliberate self-harm

ME 3.7.2.1(b)

Psychiatric presentations in the ED, including: Depression

ME 3.7.2.1(c)

Psychiatric presentations in the ED, including: Anxiety disorders

ME 3.7.2.1(d)

Psychiatric presentations in the ED, including: Psychoses

ME 3.7.2.1(e)

Psychiatric presentations in the ED, including: Personality disorder

ME 3.7.2.1(f)

Psychiatric presentations in the ED, including: Pain disorder

ME 3.7.2.1(g)

Psychiatric presentations in the ED, including: Somatisation disorder

ME 3.7.2.1(h)

Psychiatric presentations in the ED, including: Munchausen's by proxy

ME 3.7.2.2

Principles of management of a behaviourally disturbed patient, including methods of physical and chemical restraint.

ME 3.7.2.3

Minimum standards of monitoring sedated behaviourally disturbed patients.

ME 3.7.2.4

The influence of organic brain syndromes on acute psychiatric illness presentations, treatment, and disposition.

ME 3.7.2.5

Issues surrounding alcohol and/or drug use in the workplace as they relate to workplace occupational health and safety legislation.

ME 3.7.2.6

Generate a differential diagnosis and plan of management for patients with acute psychiatric and behavioural illness.

ME 3.7.2.7

Verbally de-escalate the culturally diverse patient in a culturally safe manner.

ME 3.7.2.8

Safely sedate the acute behaviourally disturbed patient and initiate appropriate monitoring.

ME 3.7.2.9

Recognise patients who would benefit from cultural support, including the needs of Aboriginal and Torres Strait Islander peoples and Māori, and refer to appropriate services.

ME 3.7.2.10(a)

Identify and coordinate the management of comorbid medical and psychiatric conditions, including: Substance misuse

ME 3.7.2.10(b)

Identify and coordinate the management of comorbid medical and psychiatric conditions, including: Self-harm and suicide risk

ME 3.7.2.10(c)

Identify and coordinate the management of comorbid medical and psychiatric conditions, including: Depression and anxiety

ME 3.7.2.10(d)

Identify and coordinate the management of comorbid medical and psychiatric conditions, including: Delirium/dementia

ME 3.7.2.11

Appropriately apply physical restraint to the behaviourally disturbed patient.

ME 3.7.2.12

Ensure medical investigations are undertaken before patients are transferred to inpatient psychiatric unit to reduce risk of adverse outcomes for patients with mental health presentations.

ME 3.7.2.13

Facilitate early intervention for psychosis from the ED to pre-empt crisis presentations.

ME 3.7.2.14

Identify risks of transporting a behaviourally disturbed patient and strategies to mitigate these.

ME 3.7.2.15

Apply processes related to involuntary treatment as per the mental health act in the relevant jurisdiction

ME 3.7.2.16

Integrate available mental health services.

ME 3.7.2.17

Apply the relevant regional mental health legislation, as appropriate.

ME 3.7.3.1

Lead a team to provide acute treatment for a behaviourally disturbed patient.

ME 3.7.3.2

Diagnose, manage and determine risks from acute withdrawal, intoxication and dependence.

ME 3.7.3.3

Appropriately package the behaviourally disturbed patient for urgent transport.