University of California Consensus Statement on Concussion in Sport Article Synopsis

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Topic 1 DQ 3 Comment 1

Topic 1 DQ 3 Comment 1
***Please comment this***I live in New Jersey so the mandated reporter statute consists of any individual who has reasonable suspicion of child abuse or neglect is required by law to contact the NJ child abuse hotline (1877 NJ ABUSE), DCF’s Child Protection and Permanency (CP&P), or local authorities. Failure to do so the person will be convicted of a disorderly person charge. The report must contain names, addresses of the guardian/parent and child, child’s age (if known), description of the child injuries, neglect or abuse, any evidence of injuries and any information that will assist in the apprehension of the perpetrator.Anyone acting pursuant of the New Jersey statute section 3 of P.L.1971, c. 437 (C. 9:6-8.10) will have immunity from any criminal or civil liability even in respect of testimony given in court regarding report. If a person reports in good faith and is discriminated against or discharged from employment due to the report they are entitled to file a cause of action for compensation in the family section of the chancery division of the superior court in the county in which the discrimination occurred. If the court finds that there was discrimination the individual shall have reinstatement of employment, back pay and any legal relief as granted by the court.As a medical professional it is my duty to advocate for the patients under my care. In the case of children, if I suspect a case of neglect or abuse, the division of child protective services is immediately contacted and a report is filed. The incident is recorded by them and they come to the facility to question the guardians, parents or children. Furthermore, the local police is also contacted since the local authorities also need to be notified. When a child comes to the ER with severe injuries or signs or neglect the medical staff is obligated to call child protective services to begin an investigation.Child Neglect ScenarioGabriele is a 3 year old boy who is coming to the emergency room via helicopter unconscious due to being found at the bottom of the pool by his grandfather. The boy was resuscitated by the grandfather however never regained consciousness. The ER staff, immediately induced a coma on the boy and lowered his body temperature in order to stop any damage to the brain. The grandfather reports that he went to visit his daughter however he found the boy at the bottom of the pool when going through the yard. The Mother arrives along with the boy’s grandfather and reported that she was in the shower and though that she had locked all the doors. The mother of Gabriele is 19 years old. The nurse will immediately notify the division of child protective services to report a case of neglect.

Topic 1 DQ 3 Comment 2

Topic 1 DQ 3 Comment 2
***Comment This please**A mandated reporter is an individual who has regular contact with vulnerable people and are therefore legally required to ensure a report is made when abuse is observed or suspected.In the state of North Dakota, the mandated report situations are vulnerable adult and child abuse. The state requires certain healthcare professionals who provide healthcare or service to a vulnerable adult to report abuse, neglect and exploitation of vulnerable adults.Who can report ; Mental health professional, hospital personnel, nursing home personnel, nurse, podiatrist, social worker, physical therapist, coroner, addiction counselor, emergency medical personnel, caregiver, medical examiner, family therapist, law enforcement officer, congregate care personnel, counselor, chiropractor, dental hygienist, firefighter, any other person may report to the North Dakota Department of Human Services or to law enforcement .When to report; A mandated reporter must report in an official or professional capacity, he/she;Has knowledge that a vulnerable adult has been subjected to abuse or neglectObserves a vulnerable adult being subjected to conditions or circumstances that reasonably would result in abuse or neglect.What to include in the report;Name, age and address of alleged vulnerable adult.Name and address of the care giver if any.Nature and extent of alleged abuse or neglect or the condition and circumstances that would reasonable be expected to result in abuse or neglect.Any evidence of previous abuse or neglect.Any other information in the reporter’s opinion that may be important in establishing the cause of the alleged abuse or neglect and identity of person responsible.How to report;The mandated reporter must report suspected or observed abuse as soon as possible. If the reporter has reason to believe the vulnerable adult is in immediate danger, he/she should call law enforcement first before making a report to the aging services division.Reports can be made through;an online reporting systemcompletion and submission of a reporting formthrough a telephone call (calls are answered weekdays between 8am to 5pm CST, after work calls need the reporter to leave a message and contact number).Penalty for not reporting; Any person required to report and willingly decides not to do so is guilty and may be fined up to $1000.ScenarioAn elderly lady is brought to the ER by her daughter with history of fall sustaining injury to her right hip. She is unkempt, has dirty clothes on and obvious body odor. She is examined in the ER and after diagnostics, it is discovered she has a right hip joint fracture and low hemoglobin level. During the assessment, the daughter keeps interrupting when the elderly lady tries to answer questions. The explanation she gives of how the fall happened does not seem to be consistent with the injury. When offered a meal, the elderly lady eats it up real first, like she is really starving. The daughter does not leave opportunity for nurses/ doctors to be with her mother alone. Further examination reveals strange marks on her inner thighs, abdomen and inner arms. The elderly lady’s injuries, behavior, appearance and her daughter’s behavior seem to be consistent with suspected elder abuse.Action; according to the facility policy, first step is to treat the immediate danger, which in this case is the injuries and low hemoglobin. The director of nursing and social service designee is informed of this situation (if it’s at night, the nurse who witnesses this can report). The DON/social services designee then follow the ND process of reporting vulnerable adult abuse.

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