Targeting a. Copyright 2010 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.
|
|
- Mary Montgomery
- 5 years ago
- Views:
Transcription
1 Targeting a Abuse is a global health problem. Because the nurse is often the first person the victim sees after the incident, you re in a unique position to recognize, treat, and advocate for patients who ve experienced abuse. We help you understand your professional responsibilities when caring for these patients. By Vicky P. Kent, PhD, RN, CNE Clinical Associate Professor Towson University Towson, Md. Elizabeth P. Crusse, MA, MS, RN Clinical Assistant Professor Towson University Towson, Md. The authors have disclosed that they have no significant relationships with or financial interest in any commercial companies that pertain to this educational activity. 22 Nursing made Incredibly Easy! July/August
2 abuse 2.3 ANCC CONTACT HOURS Abuse is the mistreatment of one human being by another. When we talk about family violence, we can mean any mistreatment between two or more members of a family, including, but not limited to, parent to child, adult child to elderly parent, sibling to sibling, or intimate partner to intimate partner. Domestic violence is a broad term used to describe child abuse, elder abuse, and abuse of women and men. Abuse isn t the accidental causing of injury; it s an intentional hurting of another person that can manifest itself in many ways, including physical, sexual, and emotional abuse. As a nurse, it s your responsibility to learn how to identify the signs and symptoms of abuse and to take action to help the abused patient. Prevalence of abuse Abuse is present in all cultures, in every social class, and in all ethnic groups. One in three women worldwide is a victim of domestic abuse at some time in her life. Violence against women by their partners often increases during pregnancy. Women with disabilities are also at an increased risk for abuse. Although abuse is often thought of as men using power over women, men may also be victims of abuse. Individuals in same-sex relationships experience abuse at the hands of their partners at about the same rate as heterosexual couples. More than 15 million children are exposed to domestic violence nationally, and approximately 1 million additional children experience some type of abuse from family July/August 2010 Nursing made Incredibly Easy! 23
3 A closer look at sexual assault Sexual assault occurs every 6 minutes in the United States. Men, women, and children may be victims. The definition of rape is forced sexual acts, especially if these acts involve vaginal or anal penetration. Perpetrators and victims may be either male or female. Rape trauma syndrome is the emotional reaction to a sexual assault and may consist of shock, sleep disturbances, nightmares, flashbacks, anxiety, anger, mood swings, and depression. It s important and helpful for survivors to discuss the experience and obtain professional counseling. Rape crisis centers offer support and education and help people who ve been sexually assaulted through the subsequent police investigation and courtroom experience. Screening for abuse, rape, and violence should be part of routine assessment because patients often don t report or seek treatment for assault. Often, the assailant is a partner or date. The manner in which the patient is received and treated in the ED is important to his or her future psychological well-being. Crisis intervention should begin when the patient enters the healthcare facility. Most hospitals have a written protocol that addresses the patient s physical and emotional needs, as well as collection of forensic evidence. In many states, the emergency nurse has the opportunity to become trained as a sexual assault nurse examiner. Preparing for this role requires specific training in forensic evidence collection, history taking, documentation, and ways to approach the patient and family. Sexual assault nurse examiners, ED staff, and gynecologists perform the painstaking collection of forensic evidence that s needed for criminal prosecution. Oral, anal, and genital tissues are examined for evidence of trauma, semen, or infection. Saliva, hair, and fingernail evidence is also collected. Cultures are obtained for sexually transmitted diseases, and postexposure prophylaxis is provided. Emergency contraception is explained and provided if requested and appropriate. Emotional counseling is provided, and follow-up treatment visits are arranged. Source: Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth s Textbook of Medical-Surgical Nursing. 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008: , members. Elderly people are also victims of abuse. There are 2 million or more cases of elder abuse in the United States alone each year. Unfortunately, these data represent only a snapshot of the bigger picture because not all cases of abuse are reported. This is especially the case in same-sex relationships in which victims are less likely to report the abuse than victims in heterosexual relationships. A person s level of education, age, financial status, and religious or other institutional affiliations don t preclude the chance that abuse may take place. It s a myth to believe that abuse is limited to a certain region, a particular social class, a socioeconomic or educational level, or a specific ethnicity. In other words, where there are humans, there may be abuse. Sometimes you may not recognize abuse because of your own customs, biases, or values. Nurses are human, too! For instance, you may have trouble distinguishing between appropriate parental disciplining of a misbehaving child and parental action that crosses the line between acceptable and nonacceptable adult supervision and caretaking. It s important for you to recognize indications of abuse when a patient presents with symptoms of mistreatment by family members, acquaintances, or other caregivers. Let s take a closer look. Types of abuse If abuse is physical, the patient may present with current or past injury to the skeletal structure or internal organs, as well as visible external signs of damage to parts of the body such as bruising and abrasions. Physical abuse can cause chronic pain and debilitation and may affect the patient s immediate and future ability to perform activities of daily living. Abuse can also be sexual, in which there s inappropriate and/or aggressive contact with the victim s or perpet rator s genitalia or other private areas. Rape is one type of sexual abuse; however, sexual abuse isn t limited to vaginal or anal penetration (see A closer look at sexual assault). In addition to physical pain, sexual abuse can cause the patient tremendous anxiety and fear, and can even develop later into a situation in which the patient imitates the perpetrator s aggressive behavior and abuses someone else. Battering involves repeated physical or sexual assault in a context of coercive control and, more broadly, emotional degradation, threats, and intimidation. Emotional abuse includes belittling, name calling, verbal attacks, and other aggressive demoralizing behavior, which can injure the patient psychologically and lead to long-term 24 Nursing made Incredibly Easy! July/August
4 consequences that diminish quality of life. If a person s self-esteem and sense of self-worth have been destroyed, it may be difficult for that person to function. The patient may lose hope in the future and resort to unhealthy behaviors, such as drug abuse, crime, and abusing others, in an attempt to gain control. Neglect and deprivation are also types of abuse. Whether the perpetrator withholds financial resources, education, food, clothes, shelter, or medical attention, neglect can cause irrevocable injuries, with serious consequences to the patient s physical and emotional well-being. Without basic necessities, the victim s capacity to thrive is disrupted. This situation may lead to chronic suffering or even death. Identifying abuse A standard set forth by The Joint Commission requires that healthcare institutions have in place criteria to identify, assess, and provide appropriate treatment for victims of abuse, neglect, or deprivation (see The victim s rights and the nurse s legal obligations). Professional nursing and medical organizations, such as the American Nurses Association; the Association of Women s Health, Obstetric, and Neonatal Nurses; the American Medical Association; and Physicians for a Violence-Free Society, support universal screening of all patients for abuse as a prime opportunity to solve this problem. When a patient presents with an unlikely or repeated injury, is in a state of constant vigilance to prevent injury, or has difficulty with or age-inappropriate behaviors concerning sexual parts of the body, you should question the nature and source of the injury and take a proactive role to help the patient. See Assessing for abuse, maltreatment, and neglect for questions you can ask. The most common physical injuries of abuse are unexplained bruises, lacerations, abrasions, head injuries, and fractures. Be alert for the red flags of abuse: patterned injuries, such as from a belt buckle, or cigarette burns multiple injuries in various stages of healing unexplained injuries or those that don t fit the patient s account of how they happened injuries in hidden areas extreme bruising and/or abrasions on the buttocks, shoulders, or genitalia. To assess for child abuse, look for injuries and behaviors inconsistent with the patient s developmental age and stage. Listen for contradictions between the patient s and caregivers stories. Observe the patient s emotional and mental state. Is the patient unduly afraid or submissive when the caregiver is present? There are few signs and symptoms specifically diagnostic of battering. You may see an injury that doesn t fit the account of how it happened. For example, a bruise on the upper arm may be explained as the result of walking into a door and dismissed as inconsequential. Manifestations of abuse may involve suicide attempts, drug and alcohol abuse, frequent ED visits, vague pelvic pain, somatic complaints, Injuries and behaviors inconsistent with a child s age and stage may indicate child abuse. The victim s rights and the nurse s legal obligations As a nurse, you commit to the idea of nonmalfeasance of not doing wrong. In addition to your ethical and moral responsibility, you have a legal obligation to report abuse, especially mistreatment of children and other vulnerable groups. Federal and state laws require healthcare professionals to report suspected abuse of children, the elderly, and physically or mentally compromised individuals. However, laws that require the reporting of intimate partner abuse vary from state to state. The Child Abuse Prevention and Treatment Act of 1974 gives support to states on issues related to prevention and treatment of child abuse and neglect. This law has been amended several times; it was most recently reauthorized under The Keeping of Children and Families Safe Act of The federal Violence Against Women Act, originally signed into law in 1994 and amended in 1996, establishes domestic violence as a national crime. These federal laws define child abuse and neglect, intimate partner violence, perpetrator penalties, and victims rights. It s important to familiarize yourself with the reporting laws in your state and the procedures set forth by your institution for reporting abuse. July/August 2010 Nursing made Incredibly Easy! 25
5 Abuse can happen to men and women, young and old. and depression. Besides physical injuries, patients may present with anxiety, insomnia, or gastrointestinal symptoms related to stress. Individuals in abusive situations often report that they don t feel well, possibly due to the stress of fear and the anticipation of impending abuse. However, there may be no obvious signs and symptoms. Signs of neglect and deprivation are subtle and may be difficult to detect. The most common clinical manifestations of neglect are malnutrition and dehydration. Excessive thirst or hunger in the absence of medical disease indicates possible deprivation. Inappropriate clothing for extreme weather conditions and disheveled appearance are clues to neglect, as is an elderly patient brought to the hospital in soiled clothing or with bedsores. If a dependent Assessing for abuse, maltreatment, and neglect The following questions may be helpful when assessing a patient for abuse, maltreatment, or neglect: I noticed that you have a number of bruises. Can you tell me how they happened? Has anyone hurt you? You seem frightened. Has anyone ever hurt you? Have you been hit, slapped, kicked, pushed, shoved, or otherwise physically hurt by someone within the last year? Sometimes patients tell me that they ve been hurt by someone at home or at work. Could this be happening to you? Are you afraid of anyone at home or work, or of anyone with whom you come in contact? Has anyone forced you to engage in sexual activities within the last year? Has anyone prevented you from seeing friends or other people whom you wish to see? Have you signed any papers that you didn t understand or didn t wish to sign? Has anyone forced you to sign papers against your will? Has anyone failed to help you to take care of yourself when you needed help? Has anyone prevented you from using an assistive device (such as a wheelchair or walker) within the last year? Has anyone you depend on refused to help you take your medicine, bathe, groom, or eat within the last year? Source: Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth s Textbook of Medical-Surgical Nursing. 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008:2550. patient with adequate resources and a designated care provider shows evidence of inattention to hygiene, nutrition, or known medical needs (such as unfilled prescriptions or missed appointments with healthcare providers), you should suspect neglect. How can you help? In a clinical setting, your most important role is to provide a safe environment for your patient; treat your patient s injuries; and observe, listen, and document the facts. Treatment focuses on the consequences of the abuse and preventing further injury. If the patient is in immediate danger, separate the patient from the perpetrator whenever possible. If abuse is the result of stress experienced by a caregiver who s no longer able to cope with the burden of the role, respite services may be necessary. Remember, documentation is important. What information does the patient provide? Getting the story requires separating the patient from the perpetrator. Ask the caregiver to leave the room. Tell the caregiver that privacy is necessary to ensure the patient gets the best care possible and that the caregiver can return after the exam is complete. Keep in mind, however, that most patients won t readily identify their abuser. Documentation includes noting the time and place of injury, direct quotes in quotation marks of the patient s version of what happened, a body map detailing the location and type of all injuries, and all other pertinent facts. Don t draw conclusions about the situation, summarize the patient s story, or use legal or otherwise neutral official language that might shed doubt on the truth of the patient s statements. Just observe, listen, and document what the patient says. If you approach getting the facts about the patient s injury as gathering evidence, your notes may later help authorities have a clearer idea of the truth. It s the pieces of information you record, not any assumptions you make, that could later help the patient in legal proceedings. Make sure your handwriting is legible 26 Nursing made Incredibly Easy! July/August
6 or use a computer to document so that the information is clear. After you ve assessed the harm done, provided appropriate care, ensured patient safety, and documented your findings, your next important job is to refer your patient to the appropriate authorities and/or agencies. Even if you aren t sure but suspect that your patient is a victim of abuse, report your suspicions. You won t be penalized and you may save your patient s life. Don t insist that your patient leave the abuser. Help your patient develop a safety plan that s appropriate and makes sense. Keep in mind that competent adults are free to accept or refuse the help offered to them. Some patients insist on remaining in the abusive environment. The wishes of patients who are competent and not cognitively impaired should be respected; however, all possible alternatives and available resources should be explored. This means not falling prey to blaming the victim but instead providing your patient with appropriate resources. Community services are available to assist families in breaking the cycle of violence. Encourage treatment for all family members. Organizations such as The National Domestic Violence Hotline and Family Violence Prevention Fund recognize that abuse is a family problem. These organizations provide education, crisis intervention, and referral services to support individuals, families, and communities to identify strategies to prevent abuse, build leadership, and develop self-sustaining programs of nonviolence. Additional resources are only a phone call away. These include hotlines such as: National Domestic Violence Hotline: SAFE (7233); TTY: ChildHelp USA National Child Abuse Hotline: A-CHILD ( ); TDD: A-CHILD ( ) National Youth Crisis Hotline: HOPE (4673) Elder Abuse Hotline: Parent Hotline: Trained volunteers and professionals staff these national hotlines to assist callers with emergency counseling and provide information about resources in their communities. Support includes crisis intervention and referrals to local services and shelters for victims of abuse. Most hotlines also provide information about nonemergency services and help victims report abuse. Ensuring that your patient is aware of these resources is one way you can help break the cycle of abuse. Your role is essential As a nurse, you play an essential role in screening for abuse by being on the lookout for the red flags of physical, sexual, or emotional abuse, as well as injuries sustained from deprivation or neglect. It isn t only your ethical and moral duty, but also your legal obligation to report abuse when you encounter a patient who has experienced this kind of injury. The best approach when caring for a victim of abuse is to establish a trusting relationship; treat all immediate injuries; and record a clear, factual account of the case, including any patient narrative that explains the time, place, and nature of the conflict and participants in the conflict. After screening and documenting, it s just as important to refer your patient to the proper authorities and agencies where further help will be available. By being alert to this major global health problem, you can offer intervention for a problem that might otherwise go undetected. Learn more about it American Psychological Association. Elder abuse and neglect: in search of solutions. aging/resources/guides/elder-abuse.aspx. Chan YC, Lam GLT, Cheng HCH. Community capacity building as a strategy of family violence prevention in a problem stricken community: a theoretical formulation. J Family Violence. 2009; 24(8): Child Welfare Information Gateway. About CAPTA: a memory jogger Use the acronym SEE to help you remember what to do when you suspect that abuse may be the reason for a patient s injuries: Screening. Screen for abuse by listening to the patient and looking carefully at all injuries. Evidence gathering. Record the where, when, and who of the injury without making assumptions. Effort: Make the effort to report your findings to the proper authorities and to direct the patient to the appropriate agencies. July/August 2010 Nursing made Incredibly Easy! 27
7 legislative history. factsheets/about.cfm. Isaac NE, Enos VP. Documenting domestic violence: how health care providers can help victims. gov/txtfiles1/nij/ txt. Moylan CA, Herrenkohl TI, Sousa C, Tajima EA, Herrenkohl RC, Russo MJ. The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. J Family Violence. 2010;25(1): Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth s Textbook of Medical-Surgical Nursing. 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008: , Tingberg B, Bredlöv B, Ygge BM. Nurses experience in clinical encounters with children experiencing abuse and their parents. J Clin Nurs. 2008;17(20): World Health Organization. WHO Multi-country study on women s health and domestic violence against women. study/summary_report/chapter1/en/index1.html. Want more CE? You got it! On the web These online resources may be helpful to your patients and their families: Family Violence Prevention Fund: KidsHealth.org: National Association of Social Workers: National Center on Elder Abuse: National Domestic Violence Hotline: Stop Violence Against Women: For more than 9 additional continuing-education articles related to physical assessment topics, go to Nursingcenter.com/CE. Earn CE credit online: Go to and receive a certificate within minutes. TEST INSTRUCTIONS To take the test online, go to our secure Web site at CE/nmie. On the print form, record your answers in the test answer section of the CE enrollment form on page 54. Each question has only one correct answer. You may make copies of these forms. Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results.there is no minimum passing grade. Registration deadline is August 31, INSTRUCTIONS Targeting abuse DISCOUNTS and CUSTOMER SERVICE Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail and deduct $0.95 from the price of each test. We also offer CE accounts for hospitals and other health care facilities on nursingcenter. com. Call for details. PROVIDER ACCREDITATION Lippincott Williams & Wilkins, publisher of Nursing made Incredibly Easy!, will award 2.3 contact hours for this continuing nursing education activity. Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP for 2.3 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. Your certificate is valid in all states. The ANCC s accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product. 28 Nursing made Incredibly Easy! July/August
Health Care Response to Domestic Violence
Health Care Response to Domestic Violence Domestic Violence Nurses, Physicians and clinicians who care for abuse victims must Recognize domestic violence as a major health care problem Understand the power
More informationEthical and Legal Issues
8 2 Ethical and Legal Issues 1. Define important words in this chapter 2. Define the terms law, ethics, and etiquette 3. Discuss examples of ethical and professional behavior 4. Describe a nursing assistant
More informationDocumenting and Reporting
Duty: Communicate Client Information to Authorized Persons Task : E.01 Report abuse of client E.02 Report client s unusual behavior E.03 Complete incident report E.05 Respond to authorized persons request
More informationDomestic Violence Assessment and Screening:
Domestic Violence Assessment and Screening: Patricia Janssen, PhD, UBC School of Population and Public Health Director, MPH program, Co-lead Maternal Child Health Theme Scientist, Child and Family Research
More informationRule definitions OAR (d) OAR (a)
Rule definitions OAR 411-020-002 (d) OAR 411-020-002 (a) Statute Definitions ORS 124.050 (b) ORS 124.050 (c) ORS 163.200-205 Application Neglect and Abandonment Neglect means the failure (whether intentional,
More informationAdult Protection 101. Introduction. Introduction (continued) Categorical Vulnerable Adult
Introduction Adult Protection 101 Jennifer Kirchen, LSW and Deb Siebenaler Aging & Adult Services Minnesota Department of Human Services In 1980, the MN legislature passed MS 626.557, which declared the
More informationWorkplace Violence. Workplace Violence. Workplace Violence. Abuse Definitions. Abuse Definitions. Abuse Definitions 9/28/2012. What is Abuse?
Recently workplace violence has gained recognition as a distinct category of violent crime that requires specific responses from employers, law enforcement and the community according to the Department
More informationAppendix A: Requirements and Best Practices for Reportable Incidents
Appendix A: Requirements and Best Practices for Reportable Incidents Reporting Incidents The table below shows what events must and must not be reported to achieve compliance with 55 Pa.Code 2600.16(c).
More informationThe purpose of this policy is to establish guidelines for reporting, examination, interview and documentation of suspected Domestic Violence.
Name of Policy: Policy Number: 3364-100-45-21 Department: Hospital Administration Approving Officer: Chief Executive Officer - UTMC Chief of Staff Responsible Agent: u. f,. 1 ^fc Chief Medical Officer
More informationNHS Greater Glasgow and Clyde Emergency Department. Gender Based Violence Policy. February 2015
NHS Greater Glasgow and Clyde Emergency Department Gender Based Violence Policy February 2015 Lead Manager: Head of Nursing Responsible Director: Director of ECMS Approved by: ECMS Clinical Governance
More informationSequel Youth and Family Services POLICY AND PROCEDURE. Domain: Administration and Leadership
Sequel Youth and Family Services POLICY AND PROCEDURE Subject: PREA Domain: Administration and Leadership Objective: To establish a process where Sequel Youth and Family Services employees have zero tolerance
More informationSuburban Cook County Area Hospital DV Protocol (2010)
Suburban Cook County Area Hospital DV Protocol (2010) This policy is currently in use at a suburban Cook County hospital. Permission to reprint this document has been approved by the hospital s leadership
More informationElder mistreatment and dementia
Elder mistreatment and dementia Thomas Price, MD Assistant Professor of Medicine, Emory University SOM Director, Taskforce Against the Mistreatment of Elders Chief of Medicine, Wesley Woods Objectives
More informationMandatory Reporting Requirements: The Elderly Oklahoma
Mandatory Reporting Requirements: The Elderly Oklahoma Question Who is required to report? When is a report required and where does it go? What definitions are important to know? Answer Any person. Persons
More information2
1 2 3 4 5 6 7 Abuse in care facilities is a problem occurring around the world, with negative effects. Elderly, disabled, and cognitively impaired residents are the most vulnerable. It is the duty of direct
More informationthe SANE/SAFE Evidentiary Examination?
Documentation: What should be documented as a part of the SANE/SAFE Evidentiary Examination? Prior to the development of SANE programs in the mid 1970 s the paperwork in the evidentiary exam kits was developed
More informationFOSTER STUDENT SUCCESS
THE CARE TEAM OUR MISSION Create solutions for healthier communities by assisting in protecting the health, safety, and welfare of the students and members of the UNT Health Science Center community. FOSTER
More informationCampus and Workplace Violence Prevention. Policy and Program
Campus and Workplace Violence Prevention Policy and Program SECTION I - Policy THE UNIVERSITY AT ALBANY is committed to providing a safe learning and work environment for the University s community. The
More information2nd Edition New Jersey Department of Law & Public Safety Division of Criminal Justice December 2004
2nd Edition New Jersey Department of Law & Public Safety Division of Criminal Justice December 2004 INTRODUCTION Sexual assault crimes have a tremendous impact on victims and their families. The emotional
More informationSafeguarding Vulnerable Adults Policy
POLICY & PROCEDURES PROTECTION OF VULNERABLE ADULTS This policy was written in conjunction with the Multi-Agency Safeguarding of Vulnerable Adults in Lincolnshire Policy STATEMENT The welfare of all vulnerable
More informationNational Patient Safety Goals
III. PATIENT SAFETY National Patient Safety Goals The National Patient Safety Goals for Hospital, Laboratory and Home Health Programs have been developed to improve patient safety. Ask your Volunteer Office
More informationAdult Abuse, Neglect and Exploitation. What you need to know
Adult Abuse, Neglect and Exploitation What you need to know Let Me Introduce you to Andy O Andy is an older gentleman who was incredibly successful in his chosen career. O Andy made a lot of money. O When
More informationSafeguarding Vulnerable Adults Policy and Procedures
155-159 Freeman Street, Grimsby, North East Lincolnshire, DN32 7AR Tel: 01472 240440 Safeguarding Vulnerable Adults Policy and Procedures The CPO Media policy adheres to the multi-agency policy, procedures
More informationElder Abuse in the US; Current Developments
Elder Abuse in the US; Current Developments and Trends Daniel J. Sheridan, PhD, RN, FNE-A, FAAN Associate Professor, Johns Hopkins University School of Nursing Visiting Scholar, Flinders University School
More informationWELCOME. Payment will be expected at the time of service. Please remember our 24 hour cancellation notice.
WELCOME Those of us at Crossroads Counseling want to thank you for choosing to work with us and we want to make your time with us as productive as possible. In order to expedite the intake process, please
More informationPatient Rights and Responsibilities
Developed / Edited By: UNION HOSPITAL Reviewed By: Approved By: Policy Number: AG-245 Elkton, Maryland Effective Date: 11/2009 Hospital Policies and Procedures Patient Rights and Responsibilities Departments
More informationMandatory Reporting Requirements: The Elderly Rhode Island
Mandatory Reporting Requirements: The Elderly Rhode Island Question Who is required to report? When is a report required and where does it go? Answer Any person. Any physician, medical intern, registered
More information3/1/2017. FINANCIAL EXPLOITATION March Prepared for the San Antonio Estate Planners Council
FINANCIAL EXPLOITATION March 07 Prepared for the San Antonio Estate Planners Council 3 Objectives Describe Adult Protective Services (APS) and the definition of financial exploitation Understand the legislative
More informationAnaheim Police Department Anaheim PD Policy Manual
Policy 326 Anaheim Police Department 326.1 PURPOSE AND SCOPE The purpose of this policy is to provide guidelines for the investigation and reporting of suspected abuse of certain adults who may be more
More informationSafe Church Policy Safe Church, Safe Guarding Individuals
Safe Church Policy Safe Church, Safe Guarding Individuals Contents 1. Policy Statement 2 2. Policy Aims 2 3. Vulnerable People 2 4. Safe Leaders 3 5. Safe Programs 5 6. Policy Review 5 7. Helpful Definitions
More informationSAFETY/SELF PRESERVATION
SAFETY/SELF PRESERVATION About this Domain (Safety/Self Preservation) Assessment Domains The purpose of this domain is to assess the person's ability in identifying and responding to potential or existing
More informationThe Sir Arthur Conan Doyle Centre
The Sir Arthur Conan Doyle Centre 25 Palmerston Place Edinburgh EH12 5AP. Tel: 0131 625 0700 Safeguarding Adults Policy Created on 08/12/16 1 Safeguarding Adults Policy Statement This policy will enable
More informationNIMRS Incident Reporting Changes Effective June 30 th 2013
NIMRS Incident ing Changes Effective June 30 th 2013 The Justice Center for the Protection of People with Special Needs (Justice Center) becomes operational on June 30, 2013, resulting in changes OMH Part
More informationThe following are clues for recognizing signs of physical elder abuse. It is not intended to be exhaustive.
Updated 4/30/17 Recognizing and Reporting Elder Abuse FACT SHEET CANHR is a private, nonprofit 501(c)(3) organization dedicated to improving the quality of care and the quality of life for long term care
More informationSANZIE HEALTHCARE SERVICES COMPETENCY TESTING
The competency exams from SANZIE HEALTHCARE SERVICES play a key role in our talent management program as they are used to measure and ensure that our personnel are knowledgeable and competent to perform
More informationReminders for you as you come in for your first appointment
Reminders for you as you come in for your first appointment * Please complete this paperwork and bring it to your first appointment If you are unable to complete this paperwork prior to your appointment,
More informationTraining Bulletin: When to Conduct an Exam or Interview Why Are We Prodding Victims to Keep Them Awake?
We often receive questions from health care providers, law enforcement officers, and victim advocates about when they should conduct an exam or detailed interview with a victim of a sexual assault. In
More informationSexual Offense Prevention Policy (SOPP)
Policy Number: 04.015 Policy Title: Sexual Offense Prevention Policy (SOPP) Policy Type: Student Handbook Governing Body: Community Council and Senior Leadership Team Date of Current Revision or Creation:
More informationThis policy should be read in conjunction with all related policies and procedures. See the separate list in the Policies and Procedures file.
Safeguarding Adults Policy and Procedure Related policies and procedures This policy should be read in conjunction with all related policies and procedures. See the separate list in the Policies and Procedures
More informationOptima EAP Clinical Assessment Form
Optima EAP Clinical Assessment Form Complete the Clinical Assessment during first EAP session with an Optima Client. The completed Assessment is to be filed in the client s record. Client Name Session
More informationFor Reporting Abuse: Call the COMMON ENTRY POINT at
3195 Neil Armstrong Blvd. Eagan, MN 55121 651-686-0405 204 Mississippi Ave. Red Wing, MN 55066 651-388-7108 224 Main Street Zumbrota, MN 55992 507-732-7888 1202 Beaudry Blvd Hudson, WI 54016 715-410-4216
More informationWelcome to LifeWorks NW.
Welcome to LifeWorks NW. Everyone needs help at times, and we are glad to be here to provide support for you. We would like your time with us to be the best possible. Asking for help with an addiction
More informationSAFEGUARDING ADULTS Policy & Procedure
SAFEGUARDING ADULTS Policy & Procedure Date Version Draft / Final Distribution Comment 06/2007 1.0 Final Distributed 03/2010 2.0 Final Distributed 11/2011 3.0 Final Distributed 07/2016 4.0 Final Distributed
More informationCHAPTER 411 DIVISION 20 ADULT PROTECTIVE SERVICES -- GENERAL
CHAPTER 411 DIVISION 20 ADULT PROTECTIVE SERVICES -- GENERAL 411-020-0000 Purpose and Scope of Program (Amended 11/15/1994) (1) The Seniors and People with Disabilities Division (SDSD) has responsibility
More informationThresholds for initiating Adult Safeguarding Referrals or Care Concerns
September 2012 Thresholds for initiating Adult Safeguarding Referrals or Care Concerns Establishing whether or not abuse of a vulnerable adult has taken place is not always straightforward. In some cases,
More informationLily M. Gutmann, Ph.D., CYT Licensed Psychologist 4405 East West Highway #512 Bethesda, MD (301)
Lily M. Gutmann, Ph.D., CYT Licensed Psychologist 4405 East West Highway #512 Bethesda, MD 20814 (301) 996-0165 www.littlefallscounseling.com PRACTICE POLICIES AND CONSENT TO TREATMENT WELCOME Welcome
More informationCITY OF LOS ANGELES DEPARTMENT OF AGING POLICIES AND PROCEDURES RELATED TO MANDATED ELDER ABUSE REPORTER
Page1_of 8 POLICIES AND PROCEDURES RELATED TO MANDATED ELDER ABUSE REPORTER POLICY The California Welfare & Institutions Code Section 15630 requires that certain employees must report suspected abuse of
More informationGUIDE TO. Medi-Cal Mental Health Services
GUIDE TO Medi-Cal Mental Health Services If you are having an emergency, please call 9-1-1 or visit the nearest hospital emergency room. If you would like additional information to help you decide if this
More informationPerson to Contact in Case of Emergency. THE COUNSELING PLACE YOUTH INTAKE FORM Yearly Family Income:
Person to Contact in Case of Emergency Name Relationship Best Contact Number Alt. Number Office Use Only Intake Date Reason for referral Counselor Who Can Pick Up Client (if Minor) THE COUNSELING PLACE
More informationCounseling Disclosure Statement
Mary Peters, MA, LMHC, PS, Inc. State Of Washington Licensed Counselor, LC00046555 NPI 1568570612 EIN 80-0357363 631 5 th Street, Suite 201 Mukilteo, WA 98275 Counseling Disclosure Statement Thank you
More informationDepartment of Defense INSTRUCTION
Department of Defense INSTRUCTION NUMBER 6400.07 November 25, 2013 Incorporating Change 1, April 3, 2017 SUBJECT: Standards for Victim Assistance Services in the Military Community References: See Enclosure
More informationADULT LONG-TERM CARE SERVICES
ADULT LONG-TERM CARE SERVICES Long-term care is a broad range of supportive medical, personal, and social services needed by people who are unable to meet their basic living needs for an extended period
More informationASCA Regulatory Training Series Course Descriptions
This course will help you: Improve drug safety in your ambulatory surgery center (ASC) Comply with accreditation standards related to drug safety Learn the common causes of drug errors Learn methods Improve
More informationViolence In The Workplace
Violence In The Workplace Preventing and Responding to Violence in The Medical Practice Workplace Presented by Tom Loughrey Economedix, LLC From The National Institute of Occupational Safety and Health
More informationChild and Family Development and Support Services
Child and Services DEFINITION Child and Services address the needs of the family as a whole and are based in the homes, neighbourhoods, and communities of families who need help promoting positive development,
More informationMagellan Behavioral Health of Pennsylvania, Inc. Incident Reporting Form Provider Instructions and Definitions
Member s County of Residence: Magellan Behavioral Health of Pennsylvania, Inc. Incident Reporting Form Provider Instructions and Definitions Bucks County Cambria County Delaware County Lehigh County Montgomery
More informationTHE COUNSELING PLACE ADULT INTAKE FORM Yearly Family Income:
Person to Contact in Case of Emergency Name Relationship Best Contact Number Alternative Contact Number Office Use Only Intake Date Reason for referral Counselor THE COUNSELING PLACE ADULT INTAKE FORM
More informationPosition Number(s) Community Division/Region(s) Inuvik
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Child, Youth and Family Counsellor Position Number(s) Community Division/Region(s) 47-90057 Inuvik Inuvik
More informationCHILDREN S ADVOCACY CENTER, INC. CRAWFORD COUNTY PROTOCOL OF SERVICES
CHILDREN S ADVOCACY CENTER, INC. CRAWFORD COUNTY PROTOCOL OF SERVICES I. OVERVIEW A. INTRODUCTION This Protocol of Services for the Children s Advocacy Center, Inc. (CAC) was developed as a cooperative
More informationFAMILY VIOLENCE POLICY Page 1 of 5 Reviewed: May 2017
Page 1 of 5 Policy Applies to: All Mercy Hospital staff. Compliance by Credentialed Specialists or Allied Health Professionals, contractors, visitors and patients will be facilitated by Mercy Hospital
More informationSummary guide: Safeguarding Adults: Pan Lancashire and Cumbria Multi Agency Policy and Procedures. For partner agencies staff and volunteers
Summary guide: Safeguarding Adults: Pan Lancashire and Cumbria Multi Agency Policy and Procedures For partner agencies staff and volunteers 1 1. Introduction This Summary Guide is designed to provide straightforward
More informationJodi Bremer-Landau, PhD Licensed Psychologist
WELCOME TO MY PRACTICE Welcome! I recognize that it takes a lot of courage to seek services and I truly appreciate your interest in working together. I look forward to making progress with you as we journey
More informationNotice of Privacy Practices
Notice of Privacy Practices Effective September 23, 2013 TCHC.org An equal opportunity employer and provider. CLINICS Baxter Bertha Henning Ottertail Sebeka Verndale Wadena HOSPITAL Wadena 415 Jefferson
More informationPOLICY & PROCEDURE FOR THE PROTECTION OF VULNERABLE ADULTS (POVA) IN RELATION TO STUDENTS ATTENDING PRACTICE PLACEMENT
School of Health, Community and Education Studies Practice Placements POLICY & PROCEDURE FOR THE PROTECTION OF VULNERABLE ADULTS (POVA) IN RELATION TO STUDENTS ATTENDING PRACTICE PLACEMENT Everyone has
More informationHome & Community Based Services Waiver Member Handbook
Home & Community Based Services Waiver Member Handbook For Members Enrolled in the MyCare Ohio Home and Community Based Services Waiver H2531_160714_124129 Approved 1 WELCOME Welcome! This handbook was
More informationZERO TOLERANCE. Boundaries, Abuse, Neglect & Exploitation
ZERO TOLERANCE Boundaries, Abuse, Neglect & Exploitation 2016 DEFINITIONS ZERO TOLERANCE The policy and practice of not tolerating undesirable behavior. BOUNDARIES Rules which govern the relationship that
More informationCLACKAMAS COUNTY MULTI-DISCIPLINARY TEAM VULNERABLE ADULT ABUSE PROTOCOL
CLACKAMAS COUNTY MULTI-DISCIPLINARY TEAM VULNERABLE ADULT ABUSE PROTOCOL 1 TABLE OF CONTENTS Section Page I. Protocol Statement 5-6 A. Mission Statement 5 B. Purpose Statement 5 C. Composition of Multidisciplinary
More informationJulie Berger, MS, NCC, LPC HOLY FAMILY COUNSELING CENTER Peachtree Industrial Blvd. Suite 120, Duluth, GA INTAKE FORM
INTAKE FORM We welcome you to our faith-based practice. It is our goal to help you through the difficulties you are experiencing by addressing the whole person and family with dignity. Our goal as your
More informationPosition Number(s) Community Division/Region(s) Fort Simpson
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Mental Health/Addictions Counsellor Position Number(s) Community Division/Region(s) 37-11334 Fort Simpson
More informationNathan Swisher, PsyD, PLLC
Nathan Swisher, PsyD, PLLC www.swishercounseling.com 970.381.6093 Client Intake Packet 1. Disclosure and Consent to Treatment (pages 2-4) - This form outlines my education, registration, your rights in
More informationNOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. WHAT IS A NOTICE
More informationTrainingABC Patient Rights Made Simple Support Materials
TrainingABC 2017 Patient Rights Made Simple Support Materials Video Transcript The Patient Bill of Rights is a list of rights first developed in 1973 and then revised in 1992, by the American Hospital
More informationSchool Violence, Role of the School Nurse in Prevention
School Violence, Role of the School Nurse in Prevention INTRODUCTION Issue Brief Registered professional school nurses (hereinafter referred to as school nurses) advance safe school environments by promoting
More informationNOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Who Presents this
More informationSTANDARDS OF PRACTICE January 2005
*** See document entitled SART Standards of Practice on template.doc for page 1 instead of this page 1. Use this for pages 2-17. *** STANDARDS OF PRACTICE January 2005 Vision: Individuals who have been
More informationDepartment of Defense MANUAL
Department of Defense MANUAL NUMBER 6400.01, Volume 1 March 3, 2015 Incorporating Change 1, April 5, 2017 USD(P&R) SUBJECT: Family Advocacy Program (FAP): FAP Standards References: See Enclosure 1 1. PURPOSE
More informationNANDA-APPROVED NURSING DIAGNOSES Grand Total: 244 Diagnoses August 2017
NANDA-APPROVED NURSING DIAGNOSES 2018-2020 Grand Total: 244 Diagnoses August 2017 Indicates new diagnosis for 2018-2020--17 total Indicates revised diagnosis for 2018-2020--72 total (Retired Diagnoses
More informationCHAPTER 411 DIVISION 020 ADULT PROTECTIVE SERVICES GENERAL
CHAPTER 411 DIVISION 020 ADULT PROTECTIVE SERVICES GENERAL 411-020-0000 Purpose and Scope of Program (Amended 7/1/2005) (1) Responsibility: The Department of Human Services (DHS) Seniors and People with
More informationWHO SHALL REPORT SPECIAL INCIDENTS TO SAN DIEGO REGIONAL CENTER? HOW SHALL SPECIAL INCIDENTS BE REPORTED TO SAN DIEGO REGIONAL CENTER?
WHO SHALL REPORT SPECIAL INCIDENTS TO SAN DIEGO REGIONAL CENTER? Any vendor or long-term care facility shall report the Special Incident as described below to the regional center. HOW SHALL SPECIAL INCIDENTS
More informationPediatric Psychology
Pediatric Psychology Welcome to Pediatric Psychology at CHOC Children's. Please read this information carefully and write down any questions that you might have, so that we can discuss them. PSYCHOLOGICAL
More informationSUBSTANCE EXPOSED NEWBORNS CPS ALTERNATIVE RESPONSE AND. Marlys Baker September, 2017
SUBSTANCE EXPOSED NEWBORNS AND CPS ALTERNATIVE RESPONSE Marlys Baker September, 2017 How did we get here? Three elements combined: Casey Family Programs (2014) Substance Exposed Newborn Task Force (2016)
More informationSafeguarding Adults Policy. General Policy GP12
Safeguarding Adults Policy General Policy GP12 Applies to: All staff in contact with patients Committee for Approval Quality and Governance Committee Date Ratified: July 2012 Review Date: October 2013
More informationFlorida Sexual Violence Program Standards Core Services 24-HOUR HOTLINE
24-HOUR HOTLINE A 24-hour, seven day a week telephone hotline operated by the agency to provide immediate telephone crisis intervention services, which are available and accessible to all primary and secondary
More informationPediatric Dental Specialists
Pediatric Dental Specialists Notice of Privacy Practices This Notice describes how your health information may be used and disclosed and how you can get access to this information. Please review it carefully.
More informationPolicy 3.19 Workplace Violence and Threat Assessment Team
Policy 3.19 Workplace Violence and Threat Assessment Team Purpose John Tyler is concerned about the safety, health and well-being of all of its students, faculty and staff. In adherence to Virginia Code
More informationBasic Information. Date: Patient s Name: Address:
1 Basic Information : Patient s Name: Address: Home Phone: Work Phone: Cell Phone: Email: Age: Birth : Marital Status: Occupation: Educational History: Name, Address and Phone of Child s School Counselor
More informationPOSITION STATEMENT. - desires to protect the public from students who are chemically impaired.
Page 1 of 18 POSITION STATEMENT The School of Pharmacy and Health Professions: - desires to protect the public from students who are chemically impaired. - recognizes that chemical impairment (including
More informationCHILD AND FAMILY DEVELOPMENT SERVICE STANDARDS. Caregiver Support Service Standards
CHILD AND FAMILY DEVELOPMENT SERVICE STANDARDS Caregiver Support Service Standards Effective Date: December 4, 2006 CONTENTS INTRODUCTION 1 GLOSSARY 5 Standard 1: Recruitment and Retention 10 Standard
More informationSCARF. Serving Children and Reaching Families, LLC. Client Handbook
SCARF Serving Children and Reaching Families, LLC Client Handbook Table of Content Who We Serve..... 3 Our Services..... 3 Our Service Philosophy........... 4 Our Mission Statement....... 4 Our Client
More informationI. POLICY: DEFINITIONS:
GEORGIA DEPARTMENT OF JUVENILE JUSTICE Applicability: { } All DJJ Staff { } Administration { } Community Services {x} Secure Facilities (RYDCs & YDCs) Transmittal # 12-04 Policy # 18.11 Related Standards
More informationMandatory Reporting Requirements: The Elderly California
Mandatory Reporting Requirements: The Elderly California Question Who is required to report? Last Updated:December 2016 Answer Any person who has assumed full or intermittent responsibility for the care
More informationMission: Providing excellent health care to American Indians. Vision: To be the national model for American Indian Health Care
Mission: Providing excellent health care to American Indians Vision: To be the national model for American Indian Health Care Core Values: Patient First, Quality, Integrity, Professionalism and Indian
More informationWAKE FOREST BAPTIST HEALTH NOTICE OF PRIVACY PRACTICES
WAKE FOREST BAPTIST HEALTH NOTICE OF PRIVACY PRACTICES Effective April 14, 2003 Revised February 17, 2010 Revised September 23, 2013 Revised July 1, 2016 This Notice of Privacy Practices applies to the
More informationSeptember 15, 2017 CFOP Chapter 9 COORDINATION WITH CHILD PROTECTION TEAM (CPT)
Chapter 9 COORDINATION WITH CHILD PROTECTION TEAM (CPT) 9-1. Purpose. The Children s Medical Services Program with the Department of Health is statutorily directed, per s. 39.303, F.S., to develop, maintain,
More informationSTANDARD OPERATING PROCEDURES FOR GBV SERVICES AT ONE STOP CENTRE
2013 STANDARD OPERATING PROCEDURES FOR GBV SERVICES AT ONE STOP CENTRE STANDARD OPERATING PROCEDURES FOR GBV SERVICES AT ONE STOP CENTRE Recognising the prevalence of sexual and gender based violence (SGBV)
More informationSample Notice of Privacy Practices 2 of 6 cda.org/practicesupport
Sample Notice of Privacy Practices 2 of 6 cda.org/practicesupport RUSSELL L. CURETON D.D.S. Notice of Privacy Practices This Notice describes how your health information may be used and disclosed and how
More informationEducation, Training and Licensure
Meredith M. Sargent, Ph.D. Licensed Clinical Psychologist 2950 Northup Way, Suite 204 Bellevue, Washington 98004 425.739.4772 (phone) 425.739.4778 (fax) msargentphd@gmail.com Welcome to my practice! I
More informationSafeguarding Adults Policy March 2015
Safeguarding Adults Policy 2015-16 March 2015 Document Control: Description Comment Title Document Number 1 Author Lindsay Ratapana Date Created March 2015 Date Last Amended Version 1 Approved By Quality
More informationGUIDE TO Medi-Cal Mental Health Services
GUIDE TO Medi-Cal Mental Health Services Important Telephone Numbers Emergency... 911 If you are having an emergency, please call 9-1-1 or visit the nearest hospital emergency room. Access Line (toll-free,
More informationREPORT OF THE COUNCIL ON ETHICAL AND JUDICIAL AFFAIRS *
REPORT OF THE COUNCIL ON ETHICAL AND JUDICIAL AFFAIRS * CEJA Report -I-0 Subject: Presented by: Referred to: Amendment to Opinion E-.0, "Physicians' Obligations in Preventing, Identifying, and Treating
More information