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Brooke Harbor Health System

PMHNP Clinical Learning Environment

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Clinical setting · BH-ED

Emergency Department & Psychiatric Emergency Services

Rapid assessment of medical stability, suicide or violence risk, intoxication, withdrawal, acute psychiatric symptoms, decisional capacity, supports, and safe disposition.

Care setting overview

Emergency Department & Psychiatric Emergency Services

BH-ED

Rapid assessment of medical stability, suicide or violence risk, intoxication, withdrawal, acute psychiatric symptoms, decisional capacity, supports, and safe disposition.

Care model
Emergency and crisis care
Typical pace
Rapid, focused, and disposition-oriented
Population
Patients with acute behavioral change, safety concerns, intoxication or withdrawal, severe symptoms, or inability to maintain safety

Common presentations

  • Suicidal thoughts, self-harm, aggression, or severe agitation
  • Acute psychosis, mania, intoxication, or withdrawal
  • Trauma reactions, panic, medication toxicity, and abrupt behavioral change

PMHNP priorities

  • Stabilize immediate threats and identify medical emergencies
  • Gather collateral when history is incomplete or reliability is limited
  • Select the least restrictive safe disposition

Care team

Emergency clinicians, PMHNPs, psychiatrists, nurses, social workers, security, toxicology, medical consultants, and crisis services

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