BCH Resources for Patients with Agitation

Behavioral Rapid Response (“BRR”): this is a type of “code” that you can call at any time from BCH. Call (or have someone else call) 5-5555 and ask for a Behavioral Rapid Response and provide them will a call back number. In response to this call, BRT, social work, and security will come to the bedside immediately. The psychiatry attending on call will call you back in less than five minutes.

Urgent psychiatry pages: if you need an emergent psych consult overnight, start by paging the “first call” person in the paging system. If you do not hear back within five minutes, page the “second call” and you can continue going down the list. Overnight, the first call provider can differ (social work vs psychologist vs psychiatrist), but as you go down the list, people will be more senior and you will get to a psychiatrist who can guide medication management.

BCH Agitation Pathway: this exists! It is under Policy Stat on the BCH homepage, which can take a lot of clicks to get to, so is also linked here.

BCH Agitation Order Set:  type in “Agitation” to Epic, and you will see an order set that guides you through ordering medications for emergent situations when you do not have an agitation plan in place and non-pharmacologic interventions have been unsuccessful.