Knowing when Referrals are Necessary

timer Asked: Feb 8th, 2019
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Question Description

This week’s discussion will focus on the sick child and when it is necessary to refer. Please give an example from your clinical rotation of a child who was referred on to another health care provider. Include in your discussion the concept of “scope of practice” as defined in the location where you work. Follow-up after referral is a responsibility of the nurse practitioner and requires collaboration with other health care professionals as well as current knowledge of the problem being addressed. Not addressing follow-up can be a legal and malpractice issue. Also, address the reasons for the referral and its timeliness. For example, is this urgent? Emergency? Non-emergent? Why?

Tutor Answer

School: Carnegie Mellon University

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Running head: REFERRALS

Knowing when Referrals are Necessary
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Knowing when Referrals are Necessary

According to the World Health Organization, referral care is essential in the
management of sick children, and the primary healthcare provider should be highly trained so
that they are able to recognize the need to refer those children that have severe conditions,
which need urgent hospital management (Publisher, 2019). Generally, these circumstances
are considered to be medical emergencies at that level, and therefore warrant quick referrals.
From my clinical rotation, there have been a number of children that have been referred to
different hospitals. One such case involved a child with congenital heart disease, and the
primary healthcare provider recognized the need for referral to congenital heart surgeons and
pediatric cardiac care specialists, who would be able to handle the issue better because of
their areas of specialization. Consequently, the healthcare provider was able to administer the
pre-referral treatment needed in order to reduce the delay in initiating the required treatment
that may result from long waits for the referral process to take place. The child’s parents also
received counseling and advice on the need to refer the child to a different hospital and why
any cultural barriers to this issue should be avoided, as required (Gilpin & Hancock, 2015).
The scope of practice generally specifies the privileges and activities that a healthcare
professional is allowed to undertake as dictated by the law, depending on specific criteria
such as training, education, and experience (National Council of State Boards of Nursing, &
National Council of State Boards of Nursing, 2009). At my workplace, the concept of “scope
of practice” is dictated by the need to promote better dissemination of healthcare by
competent providers, improving the overall access to healthcare especially among
disadvantaged populations and finally, recognizing the scopes of care that sometimes overlap
among these professionals, and promoting teamwork and good communication channel to
deal with the aforementioned. As such, it is simply defined by the organization as the
allowable activities that a healthcare professional is allowable by the law to perform in care

dissemination. The aim is not to advance professional self-interests of healthcare
professionals but rather, to ensure patient safety through competency in all areas, and
consequently recognizing the need for referrals whenever possible.
The importance of follow-up afte...

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