Discussion 3

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.
Reply 1

The purpose of mandated reporting is to identify suspected abused and neglected children as soon as possible to be protected from further harm. According to VDSS (2021), Virginia law for mandated reporter states that anyone can report suspected child abuse or neglect. Under Virginia law, certain professionals are required to report child abuse when acting in a professional capacity. But if you are identified in the Code of Virginia as a mandated reporter or you have received training in recognizing and reporting suspected child abuse and neglect, you are required by law to immediately notify your concerns to the local department of social services or the Child Abuse and Neglect Hotline.

The steps in reporting a mandated reported issue are; when you suspect that a child is being abused or neglected, you should immediately report your concerns to the local department of social services in your community. When making a report, it helps if provided as much information as possible; mentioning the victim’s name, age, sex, type of abuse, and address can also include your contact information, which will aid in carrying out an investigation. Reports can also be made to the Child Abuse and Neglect Hotline (1-800-552-7096), seven days a week, 24 hours a day. Section 63.2-1512 of the Code of Virginia protects a person who either makes a CPS report or participates in a court hearing that results from a CPS report from criminal and civil liability unless proven that the person acted with malicious intent.

A couple brought their seven-year-old boy with multiple injuries on the back, and visible scars on thighs come to ER. On assessment patient appeared to quiet and terrified; parents refused whole-body skin check and had doubtful answers about the occurrence of injury. The assigned Nurse identified it as child abuse and reported it to the provider and head nurse. Then management team in ER reported the abuse to the child abuse hotline. The child was taken for further assessment and parents for questioning for possible child abuse.

Reference

Virginia Department of Social Services (2021), A Guide For Mandated Reporters In Recognizing And Reporting Child Abuse And Neglect. Retrieved from

https://www.dss.virginia.gov/files/division/dfs/mandated_reporters/cps/resources_guidance/032-02-0280-03-eng-07-19.pdf

Reply 2

3 postsRe: Topic 1 DQ 3

The Texas Board of Nursing (BON) advocates for a position statement developed and implemented by NCSBN that nurses ought to embrace an awareness of potential consequences for disclosing confidential patient information on social media. The NCSBN also incorporates a policy for nurses to manage professional boundaries, ethics, and compliance with state and federal law when engaging in social media platforms. The obligation to protect patient privacy and confidentiality extends to all environments, including the health facility and social media platform. For example, in Texas, when a nurse is accused of breaching and disclosing a patient’s privacy, any nurse within the department must report the matter to Texas BON. 

The breaching of trust involving identifying patients by names on social media platforms attracts the board action immediately. The 22 Tex. Admin. Code 5 217.11(1) (E), (K) on BON regulation laws in Texas provides a legal system platform on which the state board can pursue individual nurse contribution to disclosure of patients’ information without owner consent. In code 15.29 of Texas BON, the standards statements provision address professional boundaries, including social media use by nurses. The guidance from definitive statements prevents boundary professional violation, as depicted in provisions of 22 Tex. Admin Code 5 217.11(1) (E), (J). This Admin policy requires evidence tabling for communication on patients’ issues in a reproachful manner. Failure for nurses’ colleagues or individuals to share mistrust breach incidents by other nurses with Texas BON can result in disciplinary action for cover-up and firing of the incident’s perpetrators. 

Social media platforms have saturated various industries, including nursing, where nurses can connect to personal and professional lives. The significant facilitated conversations include sharing ideas with colleagues on health care advancement measures and best current practices in healthcare. Incidents of nurses’ harmful use of social media platforms have been on the rise through breaking patient confidentiality and privacy (Casella et al., 2014). The profound impact of break-in confidentiality leads to a breach of trust leading to a long-term rift between nurses and patients.

(Permalink: https://www.bon.texas.gov/practice_bon_position_statements.a

Please answer the following prompt(s) in your initial post (you will not be able to see the posts of your classmates until you make your initial post).  Discussion board posts are individual-level assignments.  Please do not discuss with your group members or anyone else within/outside of your section.     

(a) Identify one concept that was not clear to you from chapters 1 through 6.  Elaborate why the concept was not clear in 50-100 words (i.e., minimum 50 words and maximum 100 words).

(b) Identify one concept from chapters 1 through 6 that you are most likely to use in your career.  Elaborate how you will use it in your career in 50-100 words (i.e., minimum 50 words and maximum 100 words).

 Cases Studies 3 & 4 – Primary Care A 47-year-old male patient (A) presents to your office c/o painful and bleeding defecation that started a couple of days ago. Pt also states that he noticed some intermittent pruritus on his back. Pt comes accompanied by his male husband of 45 years old (B), who states that he had noticed a painless “blister” on his genital area, but he is not quite sure when it appeared. Patient A: with no past or family relevant history and NKA Patient B: PMH of seasonal allergic rhinitis and NKS. No other family or relevant history. On complete physical examination: On Patient A: a visible anal fissure in the inferior region of the sphincter was noted. It is also noticed disseminated papules in the trunk and macules on palms and soles.  Patient B: A visible ulceration in the genital area noted and patient denies pain on palpation. No adenopathy noted or reported by patient (B).  Since patients are a marital couple, you proceed with serological testing for each patient (A &B) because you suspect a sexually transmitted disease. Both patients deny having or being treating in the past for STD’s Lab Results: Patient A: Leukocytosis – Treponema (Positive) – Non-Treponema (Positive) – HIV (Negative) – Hepatitis (Negative) Patient B: Treponema (Positive) – Non-treponema (Negative) – HIV (negative) – Hepatitis (Negative) ——————— Do not include the above section in your paper. ONLY THE QUESTIONS BELOW——- Please answer the following questions in APA format and include in-text references. 1) What serological lab works would you order to obtain the above results? (Be specific with the lab names) 2) What is the diagnosis for Patient A? 3) What is the diagnosis for Patient B? 4) What would it be the differential diagnosis for patient A and patient B? 5) How are you going to treat Patient A? (Be specific and include the time of treatment) 6) How are you going to treat Patient B? (Be specific and include the time of treatment) 7) What would be the possible cause of this infection if both patients did not have any sexual encounter outside their relationship in the last year? 

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.
2. Describe the organization’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide,

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Word limit 500 words.  Support your answers with the literature and provide citations and references in APA format.  Reply to at least two other student posts with a reflection of their response.