Intimate Partner Violence

(IPV)

Notifiable or Reportable Disease

• Following a certain satutory and regulatory requirment
• Reports of births and communicable disease and abuse are examples of what the health-care employees need to know

Births and death

• recording of deaths and births are important
• if not properly completed in some states result in criminal penalty
• refuse to accept if not completed in black ink or if there are any blank spots 

Births

• A certificate used to prove age, parentage,and citizenship
• Adults need this to vote, obtain a driver's license, marriage license, a passport, veterans benefits, welfare aid and social benefits

• A stillbirth or fetal death that has not reached 20 wks of gestation may require neither a certificate

• Special stillborn forms are used to file death or birth certificates if considered live birth and death certificate is completed

• Non hospital birth all persons involved is responsible for intiating birth certificate
• parents should verify process is complete according to state regulations
• places are the public health or vital statistics department

Death Certificates

• MDs and DO sign certificate giving the cause of death
• County health office and coroner assume responsibility
• report to coroner occuring within 24 hours
• nonattendance by a physician during 3 days before death.

• Death of an individual outside the hospital
• Hospice nurse calls the physician and completes a pronoucement form
• top 2/3 death certificates completed by funeral home
• 1/3 completed by physician
• In some states a physician is forbidden to sign a certain death certficate, due to criminal activity.

• death from an undetermined cause,accident or an occupational, or environmental hazard.
• once death occurs death certificate is issued, consultation with next of kin, then released to a mortician.

• Many states require death certificates filed within 24-72 hours
• copy of death certificate is necessary in obtaining access to insurance policy, bank account, safe deposit boxes, disperal of estates,tax base info IRS, SSI, and veteran benefits

Notifiable Disease

• Notifiable or Reportable disease concerns the public welfare and is potentially pathological condition that may be transmitted directly or indirectly from one individual to another

• Identify in a timely way any disease or conditions.
• report occurrences
• area of communities that require special public
• health response in the change of disease
• assess and evalute control prevention interventions
• In 1961Control Prevention Control (CDC) assumed responsibility for collection and publication of data concerning notifiable disease

• Reporting to CDC is voluntary/mandated
• World health Orgnizations International Health Regulations work with the states reporting internationally quarantinable disease
• list is 30 or more

Ma's telephone health dept. and furnishes the following

• disease
• name,address,age,and occupation of person suspected disease
• date of onset disease
• name of person reporting
• paperwork complete at time the disease is detected health department determined the source of infection and transmission

Childhood and Adolescent Vaccinations

• Vaccine discovery started with Edward Jenner
• 1790 developed a vaccine for smallpox
• childhood killers-smallpox,measles,diphtheria,and pertussis
• CDC publishes a schedule each year listing age of administer
• before immunizations are given parents recieve a Vaccine Information Statement (VIS) given before each vaccination whether it's first or third series
• (AAP) American Academy of Pediatrics
• (AAFP) American Academy of Family Physicians

Once administered record the following info

• Type of vaccine
• date of the vaccine's administration
• dose
• route
• site
• manufacturer and ot number of vaccine
• date on the VIS and date given
• vaccine administrator's initials

• adverse reactions supply shortages and litigation
• 1986 congress passed national childhood vaccine injury act (NCVIA) about supply safety,liability.
• national vaccine injry compensation program to compensate those injured by vaccine on a no fault basis

Qualification for compensation occurs

• by showing that an injury found on vaccine injury table
• by proving vaccine cause condition
• by proving that the vaccine aggravated a preexisting condition

Vaccine adverse event reporting system(VAERS)

• jointly by CDC and US Food and Drug Administration
• immunization requirement to admit into school(mandatory)
• local broad of health will alert clinics
• healthcare professional must understand the rules,regulations,and schedules for vaccines.

Notifiable or Reportable injury

• Identified when concern that public welfare and reporting is required to the proper authority
• rape,stabbing,abuse,etc
• reported if not considered a misdeamnor

Abuse

• abuse serious stressor
• remaining calm and non judgemental

Child abuse

• mandatory reporters are required to report neglect or child abuse
• Individuals making report are protected from civil and criminal liability

Report may be made oral,written,or both

• name,address,child & parent nature and extent
• evidence of previous incident of abuse or neglect
• helpful info establishing cause of child injuries crime commited,inform law enforcement

Definitions of child abuse

• Neglect-Faiure to provide for basic care,including food,clothing,shelter,or medical attention
• Physical injury-Burns,severe bruising,lacerations,fractures,injuries to internal organs,or serious bodily injury
• Mental injury-harm to a child's wellbeing that damages his or her psychological or intellectual development injury not obvious
• Sexual abuse-rape molestation,incest,prostitution,or sexual exploitation
• Sexually explicit conduct-actual or stimuated sexual intercourse with child
• Child molestation-Oral-gential contact or viewing and fondling of gentials
• Sexual exploitation-child pornography,child prostitution, or sexual explicit use of child's image in electronic media
• Incest-sexual relations between children or parents or siblings in the same family;may be recognized

IPV

• Refers to actual or threatened physical,sexual,or pyschological harm to another individual
• Teen date violence is also placed in that category
• The term survivor rather than victim is used because survivor is believed to be more appropriate and empowering term

Four types of IPV

• physical violence is the intent to do harm or cause disability,injury,death.
• sexual violence is forcing another to commit a sex act against his or her will (date rape)
• threats of physical or sexua violence occurs when gestures,words,or weapons are used to cause harm,injury,disability,or death.
• psychological or emotional violence refers to trauma that includes humiliation,control,and any acts embarrass or diminish a partner,denying access to monetary funds
• stalking

Rape

• A crime of violence,is forced sexual intercourse or penetration by boildy parts or objects

4 phrases for survivors of rape

• Disorganization phase of fear,shock,denial,feeling of loss of control
• Denial-phase when the survivor outwardly appears normal, but inwardly has suppressed the incident
• Reorganization-phase when the survior is no longer in denial,but often become depressed;may need to talk about rape
• Recovery-survivors realize they are not to blame for rape

Elder abuse

• intentional or unintentional harm
• abusers may be caretakers,family members,partners,doctors,etc
• may occur anywhere but found more in home,nursing home,and other institutions
• types of abuse may be physical,financial,emotional/psychological,sexual abuse and neglect

states may protect the reporter of suspected elder abuse from civil and criminal liability

risk factors-advanced age,female gender,dependence on a caregiver,social isolation,behavior problems,increased physical and mental impairment

Evidence

• employees and providers need to be knowledgeable abouth the methods of proper collection and preservation of evidence
• source of evidence is documentation
• may be in the form of x-rays,photographs,clothing and lab samples of foreign objects
• Having one personnel handle it prevents it from becoming inadmissible because it cannot br properly traced or verified.

Good samartian Laws

• laws or acts protecting from liability those who choose to aid others who are injured or ill.
• legal doctrine meant to encourage physicians and health-care professionals to render emergency first-aid treatment to accident victims without liability for neglience.
• in some states does not exist apply to an clinic,hospital,or office where client /physician exist.
• states that the person administering the aid cannot benefit financially or recieve any awards.
• no one has the legal obligation to render first aid in a life threatening situation
• these statutes attempt to protect the health-care professionals who give first aid and acts in good faith and without gross neglience 

Mutiple choice

1. an individual who is required by law to report child abuse

2. child abuse includes which of following

3.all of following are phases that a rape survivor may experience except

4.The list of notifiable disease comes from

5.Death certificates are

Answers

1.d. only a medical reporter and mandatory reporter

2.e. all of the above(physical injury,sexual exploitation,psychological harm,neglect

3.c. neglect

4.e. the CDC and hospitals and medical providers

5.e. all of the above mandated,signed,required,filed

True/false

1.T most elder abuse occurs in home

2.F The majority of Good Samartian statutes protect only MD's

3.F IPV stands for intimate Patient Violence

4.Tstalking is a form of IPV

5.F Medical assistants are rarey involved in any reporting process