Medical Records Each Individual/Entity in This Scenario A-Level Coursework

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Medical Records

Each individual/entity in this scenario has an agenda. Sandra: is a child under both State and Federal Law; her immediate concern is hiding her sexual abuse by her stepfather; however, hospital administration must be concerned with her best interests on three counts: first, because she is a patient; secondly, because she is a child; third, because she is an allegedly abused child. Mrs. Anderson: is both the patient's parent and a mid-level hospital administrator; her immediate concerns are obtaining and editing medical records to keep her family together on religious grounds; however, the patient's best interest, both as a patient and a child, conflict with Mrs. Anderson's concerns. The hospital: is bound by both Federal and State law; its immediate concerns are serving the bests interests of its patient, who is also a child, while honoring Mrs. Anderson's rights as a parent/representative of the minor patient. In this case, Sandra's best interests as a patient and minor who is allegedly sexually abused trump all other concerns.

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The Obligations Regarding Reporting Of The Alleged Abuse Under Federal And State Laws, Identifying Mandated Reporters And Their Legal Obligation.

Both Federal and State laws require report of the alleged abuse. Federally, the "Keeping Children and Families Save Act of 2003" (CAPTA) requires reporting because Sandra is under the age of 18 and has been molested, raped, or statutorily raped by her stepfather (Smith, 2009).

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CAPTA acts a leader and guidepost to California State law, which is more specific. California's "Child Abuse and Neglect Reporting Act," specifically in this instance, California Code §11165.7(21) makes the health care professionals who are treating Sandra "mandated reporters" who must report her sexual assault as defined by §11165.1(a) and (b) (California State Legislature, 2003). These health care professionals include the emergency room physician and/or licensed nurses who treated Sandra. Furthermore, I as an administrator may not impede them in reporting, though the hospital is allowed to have internal procedures to facilitate reporting and inform the administrators/supervisors, per California Code §11165.7(3)(i)(1) (California State Legislature, 2003). The sexual assault must be reported to the police department, sheriff's department or county probation department if it is designated by the county in which the hospital is located, per California Code §11166.05 (California State Legislature, 2003). This will also require a frank, confidential and supportive discussion with Sandra about the legal requirement to report the abuse and giving her several choices about discussing it with her mother with my help and/or reporting the abuse along with the hospital or doing nothing, in which case the hospital must report the alleged abuse to the….....

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