Standardized Procedure for Psychiatric Emergency Worksheet

Nurse practitioners (NPs) provide high-quality, comprehensive care to clients in a variety of healthcare settings. Standardized procedures may be used to help guide care. Boards of Nursing, such as California https://www.rn.ca.gov/pdfs/regulations/npr-i-19.pdf
provide resources to ensure that NPs provide quality care while functioning within their scope of practice.

Select one of the conditions or disorders below and create a standardized procedure for treatment of a psychiatric emergency.

serotonin syndrome
neuroleptic malignant syndrome
agranulocytosis
lithium toxicity
Follow the guidelines below to complete the standardized procedure template

Include the following sections:

Application of Course Knowledge
1. Diagnosis
a. Identify the selected diagnosis.
b. Provide a basic description of the pathophysiology of the selected diagnosis.
c. Provide a summary of the incidence and prevalence of the selected diagnosis in the United States.

2. Assessment
a. Identify common subjective findings (symptoms) consistent with the selected diagnosis.
b. Identify pertinent physical examination components and the expected exam findings consistent with the selected diagnosis.
c. Identify your intended state of practice and whether physician collaboration/supervision is required, as it is in California. If collaboration is required, describe the circumstances that would require physician consultation.

3. Diagnostic tests
a. List diagnostic tests appropriate for the selected diagnosis.
b. List expected abnormal results consistent with the selected diagnosis.

4. Management: Present an evidence-based management plan for the selected diagnosis. * If a section is not applicable to your chosen diagnosis, you need to list the section and state that the section is not applicable.
a. Describe in detail recommended treatments for the selected diagnosis, including medical and psychiatric management strategies.
b. Identify first-line prescribed medications recommended for the selected disorder, if any.
c. Discuss expected changes to treatment after the client is stabilized.
d. Describe expected client follow-up. If the client called in with persistent or recurrent symptoms after initial
treatment, describe the appropriate next action.
e. Describe indications for referral.
f. Use current clinical practice guidelines or relevant scholarly resources appropriate for advanced practice as defined
by program to support the management plan.
Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

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