Purple Book

  1. Telepsychiatry for ED/CL – Patients are to be seen in person as of March 2022. However, discuss with the ED psych attending on a case by case basis if there is a specific reason you would like to conduct a video visit via Zoom. Tip sheet here (https://careconnect.uclahealth.org/workfiles/secure/training-resources/Tipsheets/ORD-In patient-Teleconsult-via-Zoom-Workflow-for-Providers-TS.pdf)


2.              Emergency Psychiatry Consultations Workflow: See page 128 for workflow


  1. Escalating decision making about medical appropriateness: If there is disagreement about medical appropriateness of admission from RRED to RNPH that cannot be resolved at the level of the primary clinicians, See page 129 for flowchart


  1. PPE in RRED: Must wear surgical mask but following is optional. Consultants are recommended to wear protective eyewear in RRED, in addition to the standard surgical mask. You may utilize your own faceshield, issued by the Health System. Eyewear is also available and shall be stored in a grey bin in the metal cabinet in RRED psychiatry workroom. After use, wash the eyewear with soap and water, and dry, before returning to the DO NOT REMOVE from the workroom, except for RRED consults only. Please preserve PPE.


  1. Evaluation of Patients Under Investigation (PUI’s) or COVID+ patients: If a consult is requested for a lab-positive COVID patient, or a PUI, the consultant should first be in touch with the primary nurse and team regarding appropriate PPE Only essential staff should enter the patient room. If the consultation can be completed via telehealth, this is preferred. If it is necessary to enter the patient’s room, don PPE level 1 according to HS protocols:


  1. Donning and Doffing COVID 19 Level 1 PPE Video – https://vimeo.com/401663016/040bfd3727
  2. COVID- 19 Doffing Level 1 PPE with Safety Glasses: https://uclahealth.policystat.com/policy/7943735/latest/,
  • The Emerging Infectious Diseases (EID) physician consultant (pager 89295) is available 24/7 to provide expert input if there is any uncertainty about appropriate consultant garb in a specific


  1. General Reminders: For all tele-psychiatry activities, we rely on our colleagues from other disciplines to facilitate the Please continue to convey appreciation


for their time and teamwork, and whenever necessary be prepared to revert to an

in-person / on-site workflow if the situation requires it. This includes but is not limited to: patient refuses tele-psychiatry, staff unable to assist (e.g. ipad, med consents, hold advisement, etc…), a reasonable request from staff to see the patient in-person.