x74340
For patients without medical complaints, medically screen patients at Triage or Ambulance Triage.  If medically cleared, provider should call x4340 and speak to Psychiatry MD who should approve patient being sent over to the Psych ED
If patient is placed into an ED bed and needs emergent psychiatry, order Consult to Psychiatry and call x4340 to speak to Psychiatry MD.
Oliveview Community Mental Health Urgent Care Center
operated by LA County Dept of Mental Health
located down the street, 14659 Oliveview Drive
818-485-0888
hours M-F 8am-7pm, Sat 9am-5:30pm, closed Sundays and holidays
Crisis stabilization 24/7 - can place patients on 5150
Able to see patients with outside health plans (OOP)
No, we cannot use the Calif law 1799 that allows non-LPS designated facilities/hospitals to place psychiatric patients on an 8-24 hour hold until the patient can be evaluate by a psychiatric team that must come from the outside.
LPS stands for Lanterman-Petris-Short Act which allows psychiatric patients to be placed on involuntary holds for 72 hours, etc (e.g. 5150)
LPS designated facilities are allowed to receive 5150 patients by EMS, police and accept transfers;  LPS designated facilities have psychiatric providers on-site<unk> , Harbor, LAC+USC, Northridge, Glendale Memorial, and others are LPS designated and therefore CANNOT use 1799 to hold patients before psych places them on a hold
UCLA NPI is a LPS designated facility also
UCLA RR is technically NOT an LPS designated facility and therefore CAN use the 1779 law to hold patients until psychiatry comes to see them.
What we can do at<unk> :
1. If patients are brought in by police, if possible, insist that the police write the hold if the patient said to police "I want to kill myself", police found pt standing with noose around his neck, etc.   Officers are often resistent to writing the 5150s and we need to insist more often that they do.   Blank 5150's are at the charge nurse chair/desk in the forms rack on the left.
2.  place 1:1 sitters on patients
3.  If patient will cooperate, have patient change into a gown. If patient bolts out the door, much easier to spot them wearing a gown.  Don't fight the patient on this issue though.  Please avoid agitating the patient.
4.  Call psych early
5.  Check in with patient often to update them on the wait for psych
6.  Feed patients
7.  Use Xyprexa earlier to decrease chance of patient escalating
8.  If you are worried a patient may bolt and psych has not seen the patient yet, you can call psych back and state you have a "psych emergency" and you need them "stat".  There is an agreement between the departments that psych will come immediately if we say it's an emergency assuming they are not already dealing with an emergency on their end.  Please use this judiciously.   We don't want the "boy who cried wolf" problem.
9.  If the patient does leave and you felt the is concern enough for the patient to be on a 5150, call the Sheriff. If you believe the patient was likely to be put on a 5150 hold, make sure the Sheriffs know this.  They are not allowed to just bring the patient back just because we say so.  They will go look for the patient, engage the patient, and if the patient says or does something that is concerning for SI/HI/gravely disabled, then the Sheriffs can bring them back.  More often than not the patient is brought back.  The Sheriff is very good about engaging these patients well.
1. If patients are brought in by police, if possible, insist that the police write the hold if the patient said to police "I want to kill myself", police found pt standing with noose around his neck, etc.   Officers are often resistent to writing the 5150s and we need to insist more often that they do.   Blank 5150's are at the charge nurse chair/desk in the forms rack on the left.
2.  place 1:1 sitters on patients
3.  If patient will cooperate, have patient change into a gown. If patient bolts out the door, much easier to spot them wearing a gown.  Don't fight the patient on this issue though.  Please avoid agitating the patient.
4.  Call psych early
5.  Check in with patient often to update them on the wait for psych
6.  Feed patients
7.  Use Xyprexa earlier to decrease chance of patient escalating
8.  If you are worried a patient may bolt and psych has not seen the patient yet, you can call psych back and state you have a "psych emergency" and you need them "stat".  There is an agreement between the departments that psych will come immediately if we say it's an emergency assuming they are not already dealing with an emergency on their end.  Please use this judiciously.   We don't want the "boy who cried wolf" problem.
9.  If the patient does leave and you felt the is concern enough for the patient to be on a 5150, call the Sheriff. If you believe the patient was likely to be put on a 5150 hold, make sure the Sheriffs know this.  They are not allowed to just bring the patient back just because we say so.  They will go look for the patient, engage the patient, and if the patient says or does something that is concerning for SI/HI/gravely disabled, then the Sheriffs can bring them back.  More often than not the patient is brought back.  The Sheriff is very good about engaging these patients well.
OVMC:ED
RRMC:ED
SCVMC:ED
SCVMC:EXC
SCVMC:Main
MHH-TMC
Tdap
Harbor Macros: AMA