You work as a pediatric nurse. One

You work as a pediatric nurse. One of your patients is a 15-month-old female with a diagnosis of failure to thrive. According to the mother, the youngster appears emotional, cries frequently, and dislikes being carried. You’ve been caring for the baby for two days now, and she’s been smiling and laughing and holding out her arms to everyone. She’s had a good meal. Something about the child’s attitude to the mother’s partner irritates you. When he visits, the child appears to draw away from him. The mother is really young and appears immature, but she appears to care for the child. This is the child’s second hospitalization. You check the chart and notice that the youngster was admitted with the same diagnosis six weeks ago, despite the fact that you were not on duty at the time. The child’s father calls to inquire about her condition while you were at work today. He lives several hundred miles away and wants that the child be admitted to the hospital until the weekend (it is Wednesday) so that he may “check things out.” He informs you that he believes the child is being abused. He claims he is also concerned about his ex-wife’s four-year-old child from a previous marriage and is fighting to get custody of that child as well as his own. You know from what little the father spoke that the divorce was contentious and that the mother has sole custody. You have a lengthy conversation with the doctor. The 15-month-old boy and his mother are receiving services from the Families First program at their local Access Centre under the Public Health program. The physician claims that following the last hospitalization, he met with the public health nurse, who informed him that the four-year-old was happy and well, and that the 15-month-old infant appeared clean, albeit underweight. There was no evidence to support allegations of child abuse. The mother has been good about keeping doctor appointments and up to date on the children’s immunizations. The pediatrician then writes a discharge order. He claims that, while he, too, is anxious, continuous hospitalization is not warranted given the hospital’s demand for beds. She clings to you and refuses to go to the boyfriend when the mother and her boyfriend arrive to pick up the kid. She is likewise hesitant to visit her mother. You are exceedingly restless throughout the discharge. You’ve addressed it with your boss, who listens carefully and says, “it appears as if you have nothing concrete to act on, accusing people and subjecting them to a traumatic experience is something I would hesitate to do.” What would you have done in this situation?

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