how to tell a patient you are issuing a mandatory report

by Anastacio Greenfelder 4 min read

How Should Physicians Make Decisions about Mandatory …

19 hours ago  · The best practice is to confront the nurse first and inform her that an incident report will be filed with the nursing supervisor. The nurse supervisor, after gathering relevant data about the incident, and consulting with the nurse, will then judge whether it is an isolated and unintended mistake or a repeated pattern of substandard practice. >> Go To The Portal

Do you have to tell patients if a mandatory report is sent?

However, federal law requires that the healthcare provider tell the patient if a mandatory report is going to be sent out, so that the patient understands and can prepare for local law enforcement to engage with them.

What is mandated reporting in psychiatry?

Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Mandated reporting refers to the legal obligation to report abuse. Mandated reporters are individuals or agencies that are legally required to make these reports.

What are the laws for nurses and mandatory reporting?

Nurses and Mandatory Reporting Laws. Federal and state laws require that certain individuals, particularly those who work in health care, with the elderly, with children, and other vulnerable populations, have an affirmative duty to report to a specified state agency when violence occurs against those populations. Nurses are listed in most,...

What is the goal of mandatory reporting?

Although the goal of mandatory reporting is to protect the public and ensure prompt resolution of the breakdown, adversarial relationships between nurses, organizations, and boards of nursing and the public may make early detection, local reporting, remediation, and system redesign slower and more contested.


What is a mandatory reporting in medical terms?

The obligatory reporting of a particular condition to local or state health authorities, as required for communicable disease and substance abuse.

What considerations does the nurse need to keep in mind when making a mandatory report?

Provides that the report is made confidentially so that the mandated reporter's identity is not made public....Some guidelines to consider include:Watch, look and listen to your patient. ... Assess the patient constantly for any signs of physical abuse, mental anguish, fear, financial abuse or unusual behavior;More items...

What is the requirement for healthcare professionals who suspect or observe abuse?

If a nurse suspects abuse or neglect, they should first report it to a physician, nurse practitioner, or physician assistant. Notifying a supervisor may also be required, depending on the workplace. If the victim is with a suspected abuser, the exam should take place without that person in the room.

Which of the following are mandated reporters?

Those required by law to file are considered mandated reporters. These professionals can include health care providers, mental health providers, crisis counselors, school personnel, social workers, day care providers and law enforcement personnel among others.

What is mandatory reporting in nursing?

Mandatory reporting is a term used to describe the legislative requirement imposed on selected classes of people to report suspected cases of child abuse and neglect, elder abuse and 'notifiable conduct' by another practitioner to government authorities.

What is the importance of mandatory reporting?

As a public policy, mandatory reporting aims to protect children from child abuse and neglect. Mathews and Bross (2008) argue that a society without a mandatory reporting system will be far less able to protect children and assist families, as many cases of child abuse and neglect will remain hidden.

What are ethical and legal requirements for mandatory reporting?

Mandatory reporting legislation provides legal protection to mandatory reporters who make a report, in good faith, about child sexual abuse. If reporters are complying with their obligation to make a mandatory report, they will not incur any civil or criminal liability by making the report.

What role does mandatory reporting important play in healthcare?

The mandatory reporting obligations are designed to protect the public by ensuring that the Australian Health Practitioner Regulation Agency (AHPRA) and other regulatory agencies are aware of conduct that can place the public at risk and take any necessary action to address the risk.

What is the nurse's role in reporting the suspected abuse?

For nurses being a mandated reporter means that it is a nurse's responsibility to report any suspicions of child or adult abuse or neglect. If the story just doesn't fit, the nurse needs to be suspicious. If the child or adult suggest they have been abused, the nurse needs to report.

What is a mandatory reporter quizlet?

What is a mandated reporter? A person who is required to make a report of suspected child abuse.

What should a mandated reporter do before reporting any allegations of abuse neglect quizlet?

A mandated reporter should have clear and sufficient evidence before reporting any allegations of abuse or maltreatment/neglect. Any health care employee may take a child into protective custody. if a child discloses sexual abuse, be sure to interview the child thoroughly to obtain a detailed affidavit for court.

Who is the first person you should report allegations of abuse and neglect to?

Allegations of crimes should be reported to the most appropriate law enforcement agency, especially if an immediate response is critical. IF THERE IS IMMEDIATE DANGER or A MEDICAL EMERGENCY, CALL 911 and then inform your supervisor.

Why can't the public see the entire story in HIPPA cases?

The public never sees the entire story in these cases. This makes it easier for healthcare providers and law enforcement to be wrongfully maligned. Because of HIPPA confidentiality laws , the naturopathic physician that saw this child can’t share all of the medical details that made her make this decision.

Is medical neglect a real issue?

At the same time, medical neglect is a real child safety issue which can lead to tragic outcomes if appropriate action isn’t taken. We must have an investigative process in place when we are concerned that children might be in potentially deadly situations – and we do. That’s why we have mandatory reporting and DCS.

Is it okay to minimize the severity of a child's illness?

Mentally minimizing the severity of your child’s illness is actually a form of self-preservation. This is the same reason that it’s not advised that medical providers take care of family members – your judgement can be clouded when it comes to caring for the people you love.

Mandatory Reporting

How could a nurse as dangerous as Charles Cullen work in 10 hospitals in 16 years—where he says he killed up to 40 patients—and not get caught?” (Under the radar: Secrecy protects bad nurses and doctors. [December 22, 2003], The Record, L-6).


This chapter focuses on illegal and irresponsible activities that fall outside the boundaries of professional practice.

How long do you have to file a report?

Mandatory reports must be filed within 30 days after the occurrence happens. However, reports must be made immediately if there are reasonable grounds to believe that: 1 the professional will c ontinue to sexually abuse the patient or other patients; or 2 the incompetence or the incapacity of the professional is likely to expose patients to harm or injury, and there is urgent need for intervention.

What do facility operators report?

Facility operators must report if: They believe a patient may have been or is being sexually abused by an occupational therapist or other regulated health care professional. They have reason to believe that a regulated health care professional is incompetent or incapacitated.

Why is occupational therapy suspended?

An occupational therapist (or other regulated health care professional) has had their privileges or practice revoked or restricted, or has been suspended or terminated for reasons of professional misconduct, incompetence or incapacity.

What are the types of injuries that can be reported to law enforcement in California?

In California, the mandatory reporting law requires that health care providers send in a report to local law enforcement if they know or reasonably suspect that their patient has been injured as a result of abuse -- listed injuries can include firearm injuries, incest, battery, stabbing, rape, spousal abuse, or torture.

Do all health care providers have to report domestic violence?

So are all health care providers subject to the mandatory reporting requirement? In some states no, and in other states, yes. If you're a health care provider or work with health care providers, be aware of your state's particular mandatory reporting laws. In Pennsylvania, for example, mandatory reporting of domestic violence requirements apply ...

Is domestic violence reporting mandatory?

In all but three states, there are mandatory reporting of domestic violence requirements. While the laws vary somewhat from state-to-state, the core elements are generally the same. So what does mandatory reporting actually look like in practice?

Does Pennsylvania require reporting of domestic violence?

In Pennsylvania, for example, mandatory reporting of domestic violence requirements apply to both health care providers and managers of a health care facility, but there are well-defined exceptions to mandatory reporting. For example, health care providers or managers in Pennsylvania don't have to report suspected domestic violence if the victim:

Who Is a Mandated Reporter?

Since laws vary by state, there are some jurisdictional differences about who is required to make these reports. Typically, this includes the following individuals:

What Are Mandated Reporters Required to Report?

Although states vary on the specifics, mandated reporters exist to ensure safety by reporting suspected abuse. The local department of human services (sometimes called Child Protective Services or Department of Social Services) investigates the report and determines whether intervention is necessary.

What Other Things Might Be Reported?

Sometimes, information might not fall under mandated reporting, but an individual might still disclose it for safety or legal reasons.

A Word From Verywell

The goal of mandated reporting is to ensure safety for vulnerable populations and prevent abuse. To learn more about your state's mandated reporting laws, check your government website. You can learn what circumstances require a report and which professionals and organizations are mandated reporters.

What is mandatory reporting?

In general, the term “mandatory reporting” can refer to any type of situation in which a person has a legal obligation to report an event or issue to authorities. One of the most common forms of this requirement is mandatory reporting laws in the US and other countries dealing with situations of abuse. These laws indicate that an adult, especially ...

Why do adults have to report abuse?

In certain situations, adults must report suspicions of abuse so that children can receive help. Mandated reporting may occur if there is suspicion an elderly person is being abused. Mandatory reporting might involve instances of domestic abuse.

Is mandatory reporting required for domestic violence?

In some states in the US this is extended to any adult who has a reasonable suspicion of abuse, or adults living with a child whom they believe to be the victim of abuse. Mandatory reporting might involve instances of domestic abuse. Mandatory reporting can also be extended beyond situations of abuse involving children.

Why do mandated reporters have to tell their family?

Mandated reporters can choose to tell the family that they have called the Hotline and the reasons for their decision. This disclosure may help maintain a relationship between the mandated reporter and the child‘s family, especially when there is on-going contact. By disclosing, you can maintain credibility and the trust of the family.

What is CPS recommendation?

CPS recommendations – CPS advises against telling the family IF: The report involves sexual abuse. The family’s knowledge of the report could impair the CPS investigation by limiting CPS’s ability to gather information from the child and/or family members. The family’s knowledge of the report would result in immediate danger ...

Does a supervisor have to disclose to the family?

Your supervisor may have additional concerns about disclosure: Your agency may have a specific policy that includes disclosure to the family as part of an ongoing helping relationship. Your agency may prohibit disclosure to the family.

Do you have to tell your family about a CPS report?

You are not required by law to tell the family that you have made a report to the Hotline. In fact, CPS is mandated by law to protect your confidentiality after you make a report.

What is considered a failure to provide necessary food, shelter, supervision?

Neglect typically includes the following categories: Physical: failure to provide necessary food, shelter, supervision. Medical: failure to provide necessary medical or mental health treatment or withholding medically indicated treatment from a child with life-threatening conditions. Educational: failure to educate a child or attend ...

Can mandated reporters save lives?

Mandated Reporters Can Save a Life. Understanding the definitions of child abuse and neglect and what a mandated reporter needs to report isn't easy. But mandated reporters have a special duty and unique opportunity to see the signs of child abuse or neglect early and to take action. Knowing what does a mandated reporter need to report could save ...



  • Since the beginnings of Western medicine in the days of Hippocrates, patient confidentiality has been an important ethical responsibility of the physician. In the Hippocratic Oath, considered by many to be the first known guidelines written for medical ethics, physicians vow that “What I ma…
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Disclosing Protected Health Information

  • In 1996, the federal government passed the Health Insurance Portability and Accountability Act (HIPAA) to standardize the expectations of patient confidentiality surrounding protected health information (PHI), which comprises any health care information that can be linked to a specific individual, such as diagnostic or treatment information . With this increased regulation came inc…
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Counseling Patients About Firearm Safety

  • Despite their importance in risk assessments, firearms can be a difficult and anxiety-provoking topic for physicians, particularly when they are not personally familiar or comfortable with guns. In such situations, physicians must consider how the firearm might affect their risk assessment. Depending on their personal experience with guns, physicians might have varying levels of conc…
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When Is Reporting Required?

  • Physicians also face the difficult task of deciding whether or not the situation constitutes enough of a risk to breach the patient’s confidentiality. In many cases, physicians might choose to tell the patient, as Dr. B did, that the information will be shared with another party. However, in situations in which this information might further agitate or anger the patient, physicians might decide not …
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  • Physicians might be faced with difficult legal and ethical decisions in cases in which patients appear at risk of violence or suicide, particularly when firearms are involved. Discussions about the risks of firearms should be approached collaboratively so as not to diminish patient rapport. Additionally, physicians should be cognizant of when they are required to report concerns for vio…
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