Prescribing psychiatric medications for patients with liver impairment is a complex task, given the liver’s critical role in drug metabolism.

Most psychotropic medications can be used safely in patients with kidney disease, although you will need to adjust doses in some cases.

Admission notes are intended to provide a succinct summary of why the patient is hospitalized, their mental status, the diagnosis, and the initial treatment plan.

Progress notes should be succinct, readable notes that summarize your patient’s progress over the last 24 hours (or whatever interval your hospital requires)

Efficient Psychiatric Interviewing Techniques

Efficient Psychiatric Interviewing Techniques

Many psychiatric units require that you add suicide risk factors vs protective factors to your progress notes or treatment plans.

The MSE provides a structured way of observing and describing a patient’s current mental state. 

Occasionally, you’ll need to assess neurological function in a psychiatric inpatient beyond the standard physical exam.

In many hospitals, medical hospitalists conduct screening physicals for all admissions.