Psychiatrist, Emergency Room (CPEP)

Overview

The Psychiatrist, in the Psychiatric Emergency Room (CPEP), is responsible for providing diagnostic assessment and crisis intervention for patients brought from the community by Emergency Medical Service and referred from various community mental health services. The Psychiatrist must assess the issue of danger to self or others and the need for inpatient hospitalization for psychiatrically ill and substance abusing patients. The Psychiatrist will also provide part time clinic assessments and evaluations to clinic patients.

Responsibilities

• The psychiatrist provides diagnostic assessments for each patient through a psychiatric interview.
• The diagnostic assessment includes but is not limited to an assessment of risk of hurting self or others.
• The psychiatrist, with the input of the other E.R, staff including the RN and Substance Abuse Counselor. determines the required level and type of care for this patient.
• The psychiatrist may determine that the patient requires inpatient care and will complete a 39 MHL (One Physician Ce1tification) which allows the inpatient hospitalization against the will of the patient.
• The psychiatrist evaluates psychiatric, substance abuse, and medical issues.
• The Psychiatrist may request medical consultation from the physicians of the General ER and will collaborate with those physicians in determining the safest and appropriate disposition whether inpatient psychiatry, detoxification, or inpatient medical/surgical The psychiatrist documents the findings in the medical record, obtains consent, and provides initial orders for inpatient psychiatric care and detoxification, If the patient does not require inpatient care the psychiatrist will provide an aftercare referral recommendation if appropriate.
• The psychiatric coverage is available 24 hours per day.
• The psychiatrist assigned to the Psychiatric ER is responsible to provide emergency psychiatric services for the acute psychiatric inpatient service and substance abuse inpatient services evenings, nights, and The psychiatrist in the ER serves as the administrative presence for the Department of Psychiatry during other than business The psychiatrist has telephone back up from the Chairman Psychiatry, the V.P.
• Behavioral Health and the Chairman/ Sr.
• VP Medical Affairs.
• The psychiatrist will provide psychiatric assessment and referral recommendations for children under the age of 18 who are seeking mental health services, Though the children are provided with services in the Pediatric ER, the Psychiatrist provides consultation and assists with obtaining the required inpatient mental health services at other facilities in the The psychiatrist will participate with other MD in Psychiatrists meetings, hospital committees as assigned and will collaborate with physicians in medical surgical areas of the hospital in the management of psychiatric patients.