Re: Go find your patient Originally Posted by PhoenixTech
I don't think that a suicidal gesture is as simple as misbehaving.
IMO, it's the healthcare provider's responsibility because that's what they do, provide healthcare....and because it's a
child.
How about this:
a parent realizes momentarily through his/her own psychotic or drugged up haze that their child needs help. They get it together enough so that they bring the child to the ED but are unable to hold on enough to ensure treatment. For whatever reason they leave. Does the child then not get treatment because the 'responsible' adult left? And if the child being a child leaves...........
What about the parent that drops off a newborn that they don't want? Isn't there some type of law that allows abandonment with no questions asked as long as the child/baby is taken to a safe place? Isn't a hospital considered a safe place? What if the child was abandoned? Isn't abandonment some sort of abuse, and don't you call in the authorities if a child is suspected of being abused?
I don't mean to say that you should chase after patients who don't answer or that you should have necessarily spent an inordinate amount of time looking for this child. What I
am saying is that with a c/c such as he had, yes, it would have been appropiate to spend a little more time not only looking but also informing someone else,
anyone else of the situation.
All I can see is "
suicidal gesture".

A registered nurse would be hard pressed to defend themselves if:
1) a patient (or child) presented to the ED asking for "help"
2) the registered nurse failed to assess or monitor the patient/situation
3) the registered nurse failed to take "prudent" action to place this patient in a "safe" environment
As a result of the above 3 conditions, you would have clear cut NEGLIGENCE.
****The words "prudent" and "safe" can be interpreted/implemented many ways. One example maybe to notify security or the charge nurse, another example may be to quickly stick your head outside and peek. The "safe" environment could be any controlled setting [triage room, treatment room etc]****
There's many different ways to look at this, however, I guarantee you, a failure to at least attempt to do something, especially for a minor/pediatric patient (REGARDLESS of where/what the parent's are/are not doing) is a HUGE professional, personal and institutional liability. If anything happened to that kid, I'd love to be the lawyer bringing the lawsuit....'cha ching!
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