Mandatory Reporting

Question 1

Which types of diseases must be reported?

Answer 1

Infectious diseases
Resistant bacteria
Any unusual (often only more then 1) occurrence of a disease or unusual disease
Severe immunization reaction

Question 2

Which forms of abuse must you report?

Answer 2

child abuse

elder abuse

Question 3

Do you have to report certain injuries?

Answer 3

NRS § 629.041 requires every health care provider who treats an injury which appears to have been inflicted non-accidentally by means of a firearm or knife to promptly report the injury to an appropriate law enforcement agency.
Does this include other non-accidental injuries?
NRS § 629.045 requires health care providers to report to the appropriate local fire department the treatment of persons with second or third degree burns consisting of five percent or more of the body area, burns of the upper respiratory tract and any other burns that may result in death.

Question 4

What do you have to report if a patient is having seizures?

Answer 4

driving restriction

for seizures, LOC disorders, poor sight

Question 5

T/F You need absolute proof to report, otherwise you will be prosecuted.

Answer 5

False. Don’t need proof. Can’t be prosecuted or sued.

Question 6

If a patient does NOT sign the DMV form for driving, then what do you do?

Answer 6

send it anyway, you must.

Question 7

Is sexual assault reportable?

Answer 7

yes

along with knife wounds that are non-accidental

Question 8

20 year old young women and she is weeping in your waiting room. You decide to see her.
The women is scared to go home to her boyfriend because she lost her job and she knows he will punish her. You note old and new bruises on her arms (under her long sleeve shirt) and see that there is a recent record of a CXR with a broken rib. You note a long scar on her back when listening to her lungs.

Answer 8

not mandatory reporting b/c not a minor
if a knife wound, may be able to report
get her to a shelter & connect her with resources
get permission to report

Question 9

During your pediatrics rotation you see a 4 year old girl with a rash. She appears quite ill with a high fever and very reddened conjunctiva. She is alert but not very energetic.
You discover that her immunizations have not been done.
Diagnosis?

Answer 9

report a suspected case of measles to Washoe County Health Dept.
they will do contact tracing
Order Igs to diagnose. Or do PCR for measles antigen that is faster.

Question 10

T/F Criminal punishment if doctor doesn’t report measles.

Answer 10

False.

But death rate 2/1,000

Question 11

Man with seizures. Issues?

Answer 11

Driving!! non-stable seizures.