Walker Rosalyn M
Case Report Editor: Dr. Brian McKenna, School of Clinical Sciences, Auckland University of Technology,
J Forensic Nurs. 2017 Jul/Sep;13(3):143-146. doi: 10.1097/JFN.0000000000000159.
Nearly all states and provinces have laws mandating licensed healthcare professionals to report to law enforcement suspicions and allegations of the abuse of children, older adults, and disabled persons and all incidents of violence by a deadly weapon. However, a few states in the United States additionally mandate providers to report all injuries resultant from reported or suspected domestic/intimate partner violence. This can present a challenge to forensic nurses seeking to protect patient confidentiality and autonomy. This challenge becomes further compounded when a patient desiring to remain anonymous reports sexual assault by their partner, accompanied by bodily injury. This case report explores one such scenario that occurred in a rural Colorado Emergency Department, the issues this presents to forensic nurses, and possible responses.
几乎所有的州和省份都有法律规定，要求持牌医疗保健专业人员向执法部门报告对儿童、老年人和残疾人的虐待嫌疑与指控，以及所有使用致命武器的暴力事件。然而，美国有几个州还另外要求医疗服务提供者报告因已报告或疑似的家庭/亲密伴侣暴力导致的所有伤害。这可能给寻求保护患者隐私和自主权的法医护士带来挑战。当一名希望匿名的患者报告其伴侣实施的性侵犯并伴有身体伤害时，这一挑战会变得更加复杂。本病例报告探讨了在科罗拉多州农村急诊科发生的这样一种情况、它给法医护士带来的问题以及可能的应对措施。
