------- Forwarded message follows -------
From: [log in to unmask]
Date sent: Mon, 15 May 2000 15:16:54 EDT
Subject: Pediatric psychiatric pt in the ER
To: [log in to unmask], [log in to unmask]
Hello. I am an admin supervisor of a 400+bed level 2 hosp on the
southcoast of Mass. We seem to have had an influx of pedi psych cases
in our busy ER (70,000+ visists per yr). We've had children age 5-14
waiting 24-36 hrs for a pedi psych in-pt bed at another facility. We
have an adult locked psych unit but are not licensed for under 16 yrs
old. These kids have created an unique problem for our ER staff. We
need to keep them safe but we are not set up to hold pts for days to
await placement. You can imagine a holiday weekend waiting for a
pedi psych bed to open. What a nightmare. We are being told by the
Crisis Center and Pysch Triage that there are so few pedi/adol beds
in our area.
Are other parts of the country seeing the same influx?? How are they
handling it in their ER's. Do you have any suggestions??? These kids
present with violent behaviors, suicidal plans with serious attempts.
Unlike their adult counterparts, they don't have alcohol or
polysubstance related attempts. These kids seem to have straight
forward psychiatric problems. Thanks for any input.
Jan DeValles, RN, CEN, BA 1 Hedge ST Fairhaven, Ma 02719 Admin
Supervisor Southcoast Hosp Groups 101 Page St New Bedford, Ma 02740 -
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------ End of forwarded message -------
Isabelle Melese-d'Hospital, Ph.D.
Emergency Medical Services for Children National Resource Center
111 Michigan Ave., N.W.
Washington, D.C. 20010-2970
phone: (301) 650-8059 fax: (301) 650-8045
email: [log in to unmask] website: www.ems-c.org
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