- Patient transferred from ERC generally cannot leave AMA (due to grave disability)
- IVF should be given no faster than 50 ml/hr
- Treat BGL < 60 by any means necessary
- Patients should all be considered fall risk due to generalized weakness
- Do not disclose body weight to patients

Protocol for transfer from ERC

Rapid cooling protocol for heat stroke patients

Hypothermia Guidelines

Protocol: how to place and remove holds
-if a patient is voluntary, do not write M1
- if a patient is no longer voluntary and meets criteria for a hold, write and M1 and discuss M2 with patient.
 

- If a patient is on an EC and does not meet M1 criteria, they should be discharged to CARES
- If a patient is on an EC, does not meet M1 criteria, has capacity and tries to leave despite verbal de-escalation attempts, they are NOT detainable. Let charge RN know.

MAT initiation protocol

This applies to patients who are already enrolled in an outpatient methadone clinic (have received OP dose in last 30d; can be verified by PES Charge RN)

Give methadone dose if:
- Patient is pregnant, OR
- Patient is in the ER for evaluation of a separate medical complaint and this will prevent them from receiving their outpatient methadone dose

• If they have received their outpatient dose within the last 3 days, call PES to verify their dose
  prior to administration

• If they have not received their outpatient dose in the last 3 days, call TOD and ask to be connected to a methadone provider to discuss whether dose adjustment is needed

Do NOT give methadone dose if:
- Patient is not pregnant, missed their outpatient clinic dose, and is presenting solely for this reason

- Treatment on Demand

MEDICAL CLEARANCE CRITERIA

See Trauma guidelines