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Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting.
Registered nurses (RN) are among the health practitioners who must report known or observed instances of abuse to the appropriate authorities. Failure to report as required is also considered unprofessional conduct and can result in disciplinary actions against the RN’s license by the BRN.
In California, if a RN has observed or has knowledge of an incident that reasonably appears to be physical abuse (ex. abandonment, isolation, neglect, financial abuse), or is told by an elder or dependent adult that he or she has experienced behavior constituting physical abuse (ex. neglect, financial abuse, isolation, abandonment) shall report the known suspect instance of abuse by telephone immediately or as soon as practically possible, and by a written report sent within two working days (BRN, 2010). To report child abuse, a written report must be submitted on Department of Justice forms (available by request from your local child protective agencies), and the report must be made to the police or sheriff’s department. When it comes to elder and dependent adult abuse, California law requires each long-term health care facility, community care facility, or residential care facility for the elderly to provide training and continuing education to all staff in recognizing and reporting abuse (ADOC, 2015).
A few months ago, a young child was brought to the emergency room with a broken arm. Upon assessment, the nurse in charge of the patient noticed multiple bruises along his arms with various stages of healing when she rolled up his sleeve. When asking the child questions about how he got such an injury, the child remained quiet and looked at their parents with fear. The parents answered for their child stating he fell off a swing at the park with stoic faces. The nurse asked for their permission to do a full body assessment but was denied saying he just had a broken arm and needs a cast. When asking about the multiple bruises, the parents began to get defensive and argued with the nurse saying that it was none of her business and to just take care of his arm. To keep the parents from making a scene and leaving AMA, the nurse left and spoke to the charge nurse about her interaction with them and insisted on calling CPS and filing a report on child abuse.
Board of Registered Nurses (BRN) (2010, November). Abuse Reporting Requirements. State of California Department of Consumer Affairs. Retrieved from https://www.rn.ca.gov/pdfs/regulations/npr-i-23.pdf.
Affiliated Doctors of Orange County (ADOC) (2015, September 09). California Mandated Reporting Requirements. Affiliated Doctors of Orange County (ADOC). Retrieved from https://www.adoc.us/ADOC-en-us/assets/File/MandatedReportingRequirementsMRR_Mandated-Reporting-Requirement.pdf.
example #2 armando In California, mandated reporters are required by law to report any knowledge of an incident that reasonably appears to be physical abuse, abandonment, abduction, isolation, financial abuse, or neglect, or has been reported by an elder or dependent adult. If reported by telephone, a written report shall be sent, or an Internet report shall be made through the confidential Internet reporting tool established in Section 15658, within two working days. Failure to report the abuse of an elderly is punishable by not more than six months in the county jail or by a fine of not more than $1,000 or can be both. If abuse results in death or great bodily injury, the punishment can be up to one year in county jail or $5,000 or both.
A 68-year-old woman was being seen in the medical clinic for pneumococcal immunization, pt is with a caregiver as pt is in a wheelchair. The caregiver went to the restroom while the nurse is obtaining the patient’s vitals, the nurse notice several bruises on her shoulder, and back and several small lacerations on her chest. The nurse asks the patient about the bruises and lacerations. The woman replied I was going to the bathroom and fell so my caregiver got upset with me, and told me to be more careful, “she is just looking out for me.” The nurse now has an obligation to tell her charge nurse about the suspected abuse and both needs to call Adult Protective Services (APS) to report the incident. The APS will investigate the report and then provide crisis intervention and referrals. They will also need to cross-report to law enforcement for further investigation.
Adult Protective Services. (2022). Department of Social Services. Retrieved July 15, 2022, from https://www.cdss.ca.gov/inforesources/adult-protective-services
Liu, M. (2022, June 14). Elder abuse comes in many forms – appropriate Adult Protective Services referrals can help reduce mistreatment. The Conversation. https://theconversation.com/elder-abuse-comes-in-many-forms-appropriate-adult-protective-services-referrals-can-help-reduce-mistreatment-181569