- Safety for you, staff and the patient is priority on initial evaluation
- Decide whether psychosis is new in onset
- Decide whether it is related to a medical illness or psych related using; head to toe physical exam, vital signs, age > 40, mental status and standard orientation questioning
- Some patients with known diagnosis of schizophrenia are appropriate for discharge and outpatient follow up
- If patient is deemed unsafe, even if they are not homicidal/suicidal, then psychiatry consultation should be obtained