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Chapter 47 - Physical plant for emergency psychiatric care

from Section 6. - Administration of psychiatric care

Published online by Cambridge University Press:  05 April 2013

Leslie S. Zun
Affiliation:
Department of Emergency Medicine, Mt Sinai Hospital, Chicago
Lara G. Chepenik
Affiliation:
Yale University School of Medicine
Mary Nan S. Mallory
Affiliation:
University of Louisville, School of Medicine
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Summary

Emergency departments (EDs) are often crowded, noisy, and chaotic places with limited privacy. Significant safety risks exist when treating psychiatric patients in the ED. When designing space to care for psychiatric patients in the ED, it is essential to consider all building products and materials to ensure a safe environment. The specific design recommendations to consider are: floors, walls, ceiling, electrical, heating, ventilation and air conditioning (HVAC), water, sealants, windows, bathrooms, doors, furniture and decoration, communication systems and telephones, signage, fire alarms and sprinklers, noise reduction, and infection control. As self-injurious behaviors and violence in the ED remain a growing public health concern, the need to prevent and manage these concerns is apparent, but often limited by space. The physical construct of a properly designed emergency psychiatry service will accommodate the necessary environmental modifications allowing for a multidisciplinary staff to safely perform assessments in a timely and efficient manner.
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Publisher: Cambridge University Press
Print publication year: 2013

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