Legal & Regulatory Frameworks: Nurse Recovery Facilitation & Safe Patient Discharge

Please use the links on paper, Answer question:

1) What can you do as a nurse to facilitate her recovery.

2) Where could each patient safely go after the hospital

Office of Justice Programs, Office for Victims of Crime:

https://www.ovcttac.gov/taskforceguide/eguide/1-understanding-human-trafficking/14-human-trafficking-laws/

https://www.ovcttac.gov/taskforceguide/eguide/1-understanding-human-trafficking/resources-1-understanding-human-trafficking/

Agencies involving in combatting trafficking:

https://www.ovcttac.gov/taskforceguide/eguide/general-resources/

Polaris project, epidemiology of trafficking:

https://polarisproject.org/2019-us-national-human-trafficking-hotline-statistics/

Diagnosing Trafficking victims:

https://www.ovcttac.gov/taskforceguide/eguide/1-understanding-human-trafficking/12-recognizing-the-crime/

Polaris project: Recognizing sex trafficking victims:

https://polarisproject.org/sex-trafficking/

Polaris project, recognizing labor trafficking victims:

https://polarisproject.org/labor-trafficking/

Identifying sexual & labor exploitation among sheltered youth expefriencing homelessness: comparison of screening methods:  

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388175/

Evaluation of a screening tool for child sex trafficking among patients with high-risk chief complaints in a pediatric ED:

https://onlinelibrary.wiley.com/doi/full/10.1111/acem.13497 

• STI epidemiology:  https://pubmed.ncbi.nlm.nih.gov/33492089/
• STI epidemiology:  https://pubmed.ncbi.nlm.nih.gov/33492101/
• NYS Drug Addiction Treatment:  https://oasas.ny.gov/treatment/types

ACOG:  Contraception Methods:

https://www.acog.org/womens-health/faqs/long-acting-reversible-contraception-iud-and-implant 

UpToDate on PTSD:

https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-adults-epidemiology-pathophysiology-clinical-manifestations-course-assessment-and-diagnosis?search=ptsd&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2

LAB TESTS

Pregnancy:  Blood test beta hCG test (can detect pregnancy earlier):

https://www.womenshealth.gov/a-z-topics/pregnancy-tests

NIH: About blood tests:

https://www.nhlbi.nih.gov/health-topics/blood-tests

Drug Testing:  non-synthetic opioids, benzodiazepines, cocaine, cannabis, amphetamines:

https://www.aafp.org/afp/2019/0101/p33.html

Alcohol:

https://www.samhsa.gov/sites/default/files/alcohol-use-facts-resources-fact-sheet.pdf

Alcohol Breathanalyzer BAC test:

https://www.cdc.gov/motorvehiclesafety/pdf/bac-a.pdf

Substance abuse urine tests: heroin, opiates, cocaine, PCP, MDMA,

https://www.govinfo.gov/content/pkg/FR-2017-01-23/pdf/2017-00979.pdf

HIV lab tests:  NATs (detects HIV RNA), antigen/antibody combination tests (detects HIV p24 antigen & HIV IgM & IgG antibodies), antibody tests (detects HIV IgM &/or IgG antibodies):

https://www.cdc.gov/hiv/basics/hiv-testing/test-types.html

https://www.cdc.gov/hiv/clinicians/screening/diagnostic-tests.html

Hepatitis B serologic test results interpretation:

https://www.cdc.gov/hepatitis/hbv/pdfs/SerologicChartv8.pdf

Tuberculosis (QuantiFERON-TB GOLD Plus test:)

https://www.cdc.gov/tb/

MEDICATIONS FOR POSSIBLE INFECTIONS

TB:  https://www.cdc.gov/tb/topic/treatment/tbdisease.html

TB Medication adherence: https://www.cdc.gov/tb/publications/pamphlets/tb_trtmnt.pdf

HIV:  

https://www.cdc.gov/hiv/basics/whatishiv.html  

• ID:  Keisha is a 15-year old African-American adolescent.
• AMBER ALERT:her mother & school principal had reported her missing.
• Police:  She was sold by a rival gang in constant conflict with her neighborhood, to a brothel selling sex to random men in a Westchester motel for the past 18 months. Police arrested everyone in the motel, while she was brought into the ER.
• VS: RR 30, T 99, HR 104, BP 105/90.
• PE highlights: disheveled, black bruise beneath left eye, yellow & blue bruises on dorsal right & left forearms, dilated pupils, shirt ripped.
• Psych highlights:  thought: logical; attention: hypervigilant; affect: labile; speech: quick, high volume; memory intact. Flashbacks, nightmares, insomnia, quick startle reaction.
• Labs: STD testing, UA, blood test, LFTs, NATs (detects HIV RNA), antigen/antibody combination tests (detects HIV p24 antigen & HIV IgM & IgG antibodies), antibody tests (detects HIV IgM &/or IgG antibodies).      
• Diagnoses: chlamydia infection, PTSD