Psychiatric Crash Cart Presentation - Sutter Medical Center

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Psychosis/SchizophreniaEmotions:• Can be very frightened, anxious• Emotionally withdrawn, suspicious, paranoid• May not be willing to share what they are feeling;affect may be blunted
Psychosis/SchizophreniaSpecific Strategies:• Approach slowly, using non-threatening body language• Don’t feed into delusions, but don’t directly contradict themeither e.g. “That sounds very frightening.”• Ask about voices, what they are saying, how the patientfeels about them (some are “friendly voices”)• Assess cognitive functioning to determine level ofdisorganization• If the patient is there due to safety issues, ask what would behelpful to them to feel safe in the ER• Low stimulus, medicate for agitation, consider medicaletiology if new symptoms• New onset? Plan for hospitalization and family education
Page 2 and 3: Objectives• Recognize the importa
Page 5: “What’s YOUR problem?”Common
Page 8 and 9: Borderline Personality DisorderEmot
Page 10 and 11: “Who needs sleep????”Bipolar Di
Page 12 and 13: Emotions:Bipolar Disorder• Euphor
Page 14 and 15: “I think that doctor is from the
Page 18 and 19: “I really think my kids would be
Page 20 and 21: DepressionEmotions:• Affect can b
Page 22 and 23: “I’m pretty sure I’m having a
Page 24 and 25: Anxiety/Anxiety DisordersEmotions:
Page 26 and 27: Assessing Suicidal RiskVariations i
Page 28 and 29: Assessing Suicidal RiskSpecific Str
Page 30 and 31: Special PopulationsAdolescents:•
Page 32 and 33: Special PopulationsSubstance Abuser
Page 34 and 35: The Therapeutic RelationshipEstabli
Page 36 and 37: The Therapeutic RelationshipAnd wha
Page 38: And finally…References: Gilbert,

Psychiatric Crash Cart Presentation - Sutter Medical Center

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