In this section
Acute behavioural disturbance: Acute Management includes pharmacological management.
Acute behavioural disturbance: assessment and verbal de-escalation
RCH Code grey procedure
See Acute behavioural disturbance: Acute Management Flowchart.
See Acute behavioural disturbance: acute management CPG
Explain the procedure to the parents/carers if possible
Document fully in the child's medical record and medication chart when appropriate:
Once the behavioural disturbance is controlled, some children will require transfer to a tertiary psychiatric centre. This can be facilitated following an assessment by local mental health clinicians.
Complications from chemical sedation - respiratory depression, hypotension, extrapyramidal reactions.
Child requiring care beyond the comfort level of the hospital.
If IM or IV medication is required the Code Grey team will provide assistance.
RCH intranet links
Code Grey Procedure
Code Black Procedure
Emergency Behavioural Assessment Room (EBAR)
Human Resources Employee Assistance Program (EAP)
Last Updated July 2017