Question for all of you seasoned psych nurses. I recently started a position on an adult unit and at this facility nurses are to perform evaluations on ED patients who are on a psych hold. For Example, if someone comes into the ED voicing or displaying any psychiatric s/s, the Dr will order a PET(psych eval). One of the nurses form the unit will come to the ER and ask the pt and series of questions to determine if they warrant inpatient admission, outpatient tx, or d/c home. The eval form is 9 pages long and also includes a section where the nurse has to fill in each axis of the DSM-IV. I was of the understanding that only a physcian or ANP could complete the DSM. Now let me say that I don't have a lot of psych experience, I've done a year of geri-psych in MO and I currently live in GA. Where I came from nurses didn't do these type of evaluations of patients. We had intake coordinators and/or doctors to perform the initial assessments on our ED patients. My preceptor let it slip that this is normally 6 months of training to do PETS, but I only have 3 days to get it. I just feel uncomfortable with this process, having the responsibility to determine pts fate makes me nervous. Do any of you all perform these type of evaluations in your facilities? Thank you in advance for the advice.