This scenario is professionally challenging because it requires the telehealth nurse to navigate the complexities of cross-border healthcare delivery while adhering to the specific advanced practice standards unique to telehealth nursing, which often involve evolving technological capabilities and patient safety considerations. The nurse must balance the patient’s immediate need for care with the legal and ethical obligations of practicing within a regulated framework. Careful judgment is required to ensure patient safety, maintain professional accountability, and comply with all applicable regulations. The best professional approach involves the telehealth nurse immediately verifying their licensure and the patient’s location to determine the applicable regulatory jurisdiction for providing care. This proactive step ensures that the nurse is practicing within the legal scope of their licensure and adhering to the specific telehealth regulations of the patient’s state or country. This aligns with the core principles of professional nursing practice, which mandate practicing within one’s scope and adhering to jurisdictional laws. For telehealth, this is paramount as the nurse is not physically present with the patient, necessitating a clear understanding of the legal boundaries of their practice. Regulatory bodies and professional organizations emphasize the importance of knowing and complying with the laws of the jurisdiction where the patient is located. An incorrect approach would be to proceed with providing care without confirming licensure and patient location, assuming their existing license is sufficient. This fails to acknowledge the fundamental requirement of practicing within a legally recognized scope, which is determined by the patient’s location. This could lead to practicing without a license in the patient’s jurisdiction, violating professional standards and potentially exposing the nurse to disciplinary action and legal repercussions. Another incorrect approach would be to rely solely on the patient’s self-report of their location without independent verification, especially if the patient appears disoriented or their reported location seems inconsistent with their symptoms or stated needs. While patient self-reporting is a starting point, telehealth nurses have a professional responsibility to ensure the accuracy of critical information that dictates their legal and ethical obligations. Failure to verify could result in providing care in a jurisdiction where the nurse is not licensed, leading to the same regulatory and ethical breaches as the first incorrect approach. A third incorrect approach would be to delay care until all potential jurisdictional issues are resolved through administrative channels, even if the patient’s condition appears to require immediate attention. While regulatory compliance is crucial, professional nursing ethics also dictate the provision of timely care to prevent harm. In such situations, the nurse should prioritize stabilizing the patient within their current legal scope of practice (e.g., providing general advice that doesn’t constitute medical diagnosis or treatment in a foreign jurisdiction) while simultaneously initiating the process to confirm jurisdiction and obtain necessary permissions or temporary licensure if required and feasible. The professional reasoning process should involve a rapid assessment of the patient’s immediate needs, a clear understanding of the nurse’s current legal standing based on known patient location, and a proactive approach to resolving jurisdictional ambiguities in a manner that prioritizes patient safety and regulatory compliance.

This scenario is professionally challenging because it requires the nurse to balance immediate patient needs with the complexities of cross-border healthcare regulations and data privacy. The nurse must act swiftly to ensure patient safety while simultaneously adhering to legal and ethical obligations regarding patient information and the scope of practice across different jurisdictions. Careful judgment is required to avoid legal repercussions and maintain patient trust. The best approach involves immediately assessing the patient’s acute condition and providing necessary interventions within the scope of their licensure and the established telehealth protocols. Simultaneously, the nurse must initiate the process of formally transferring care by contacting the patient’s local physician or healthcare provider in their country of residence. This ensures continuity of care and compliance with jurisdictional healthcare laws. The nurse should document all actions taken and communications made. This approach is correct because it prioritizes patient safety through immediate care while respecting the legal and ethical boundaries of telehealth practice by ensuring that ongoing care is managed by a provider licensed and situated within the patient’s jurisdiction. This aligns with principles of patient-centered care and regulatory compliance, preventing unauthorized practice and ensuring appropriate oversight. An incorrect approach would be to continue providing extensive, ongoing medical advice and treatment without formally engaging the patient’s local healthcare system. This could constitute practicing medicine without a license in the patient’s jurisdiction, violating telehealth regulations and potentially exposing both the nurse and the telehealth platform to legal penalties. It also risks fragmented care and miscommunication between healthcare providers. Another incorrect approach would be to solely rely on the patient’s self-reported symptoms and provide generic advice without attempting to connect them with local resources or initiating a formal transfer of care. While seemingly helpful in the short term, this fails to address the underlying need for regulated, jurisdictionally compliant healthcare and could lead to delayed or inappropriate treatment if the patient’s condition is more serious than initially perceived. A further incorrect approach would be to immediately disconnect the call and instruct the patient to seek local care without providing any immediate, stabilizing assistance or guidance on how to access that local care. While the intention might be to avoid jurisdictional issues, this neglects the immediate duty of care to a patient in distress and could be considered abandonment, especially if the patient is unable to easily access local services. Professionals should employ a decision-making framework that prioritizes patient safety, followed by adherence to legal and ethical guidelines. This involves a rapid assessment of the situation, immediate stabilization if necessary, and then a systematic approach to ensure continuity of care within the appropriate legal and regulatory framework. This includes understanding the limitations of one’s licensure and the specific regulations governing telehealth across borders, and having clear protocols for patient handoffs and referrals.

Scenario Analysis: This scenario is professionally challenging because it requires the telehealth nurse to integrate complex pathophysiological understanding with immediate clinical decision-making in a remote setting, where direct physical examination is limited. The nurse must balance the patient’s reported symptoms with potential underlying disease processes, considering the limitations of telehealth and the urgency of the situation. Accurate assessment and timely intervention are critical to prevent adverse outcomes, and misinterpretation of symptoms could lead to delayed or inappropriate care. Correct Approach Analysis: The best professional approach involves a systematic process that begins with a thorough telehealth assessment, gathering detailed subjective and objective data. This includes exploring the onset, duration, character, and severity of symptoms, as well as reviewing the patient’s medical history, current medications, and any recent changes. Crucially, this approach then involves synthesizing this information with the nurse’s knowledge of relevant pathophysiology to formulate differential diagnoses. Based on these potential diagnoses and the acuity of the patient’s presentation, the nurse then determines the most appropriate next step, which may include further targeted questioning, advising specific self-care measures, recommending over-the-counter treatments with clear instructions, or escalating care by advising the patient to seek immediate in-person medical attention or arranging for emergency services. This method ensures that clinical decisions are grounded in a scientific understanding of disease processes and are tailored to the individual patient’s presentation and the limitations of the telehealth modality, aligning with professional nursing standards of practice that emphasize evidence-based care and patient safety. Incorrect Approaches Analysis: One incorrect approach involves immediately recommending a specific over-the-counter medication based solely on the patient’s initial description of symptoms without a comprehensive assessment or consideration of potential underlying conditions. This fails to acknowledge the possibility of more serious pathologies that could be masked by the initial symptoms or exacerbated by the suggested medication. It bypasses the critical step of pathophysiology-informed differential diagnosis, potentially leading to delayed diagnosis of a serious condition or adverse drug interactions. Another incorrect approach is to dismiss the patient’s symptoms as minor and advise them to wait and see if they improve without any further assessment or guidance. This approach neglects the nurse’s responsibility to assess for potential red flags and to provide appropriate advice based on a pathophysiological understanding of how symptoms can indicate evolving disease. It risks patient harm by failing to intervene when necessary, which is a violation of the ethical duty of beneficence and non-maleficence. A third incorrect approach is to immediately escalate care by advising the patient to go to the emergency department for symptoms that, upon a more thorough telehealth assessment informed by pathophysiology, might be manageable with less urgent interventions or home care. While erring on the side of caution is important, unnecessary escalation can lead to patient anxiety, increased healthcare costs, and strain on emergency resources. This approach may indicate a lack of confidence in the nurse’s ability to perform a nuanced pathophysiology-informed assessment via telehealth. Professional Reasoning: Professionals should employ a structured clinical reasoning process. This begins with data acquisition (subjective and objective), followed by data analysis and interpretation, where pathophysiology plays a central role in forming hypotheses about the patient’s condition. Next, the nurse identifies potential problems and prioritizes them based on acuity. Finally, the nurse plans and implements interventions, which may include patient education, self-care advice, medication recommendations (within scope), or referral for further evaluation, all while continuously evaluating the patient’s response.

Scenario Analysis: This scenario is professionally challenging because it requires the telehealth nurse to navigate the complexities of cross-border healthcare regulations, patient privacy laws, and professional scope of practice while ensuring patient safety and continuity of care. The nurse must balance the immediate need for patient assessment with the legal and ethical obligations of practicing in a different jurisdiction. Correct Approach Analysis: The best professional practice involves immediately verifying the nurse’s licensure and the patient’s location to determine the applicable regulatory framework. This approach is correct because it prioritizes legal compliance and patient safety. Practicing telehealth across state or national borders without proper licensure in the patient’s jurisdiction is a violation of professional practice acts and can lead to disciplinary action, legal penalties, and compromised patient care. Understanding the patient’s location is paramount to identifying the governing laws and regulations for telehealth services, including data privacy (e.g., HIPAA in the US, GDPR in Europe), prescribing authority, and scope of practice limitations. Incorrect Approaches Analysis: Initiating a full telehealth assessment and providing medical advice without first confirming licensure in the patient’s jurisdiction is an ethical and regulatory failure. This bypasses the fundamental requirement of practicing within one’s authorized scope and jurisdiction, potentially exposing the nurse and the healthcare organization to legal ramifications and jeopardizing patient safety by providing care that may not be legally permissible or adequately supervised. Assuming licensure in the patient’s jurisdiction based on prior experience or a general understanding of telehealth practice is also a significant regulatory failure. Licensure is jurisdiction-specific, and assumptions can lead to practicing without authorization. This undermines the integrity of the licensing system and the protection it offers to the public. Contacting the patient’s primary care physician in their home country for guidance without first establishing the legal basis for the telehealth interaction is a partial but insufficient approach. While collaboration is important, it does not absolve the telehealth nurse of the responsibility to ensure they are legally permitted to provide care in the patient’s current location. The primary concern remains the nurse’s own legal standing and compliance with the patient’s local regulations. Professional Reasoning: Professionals should employ a risk-based decision-making framework. The first step is always to identify and understand the regulatory environment applicable to the patient’s location. This involves proactive verification of licensure and awareness of relevant laws and guidelines. If there is any doubt about jurisdiction or licensure, the nurse must pause and seek clarification or guidance before proceeding with patient care. Ethical considerations, such as beneficence and non-maleficence, are intrinsically linked to legal compliance; providing care outside of legal authorization can ultimately harm the patient.

Scenario Analysis: This scenario is professionally challenging because it requires a nurse to navigate the specific requirements for a specialized certification while potentially having experience that might seem relevant but doesn’t precisely align with the defined criteria. Misinterpreting eligibility can lead to wasted time, resources, and a delay in professional recognition. Careful judgment is required to ensure all prerequisites are met according to the established standards of the Critical Global Telehealth Nursing Board Certification. Correct Approach Analysis: The best approach involves a thorough review of the official documentation outlining the purpose and eligibility criteria for the Critical Global Telehealth Nursing Board Certification. This includes understanding the specific definitions of “critical care experience” and “telehealth practice” as stipulated by the certifying body. The nurse must then objectively assess their own professional background against these precise definitions, ensuring that their experience directly fulfills each requirement. This approach is correct because it adheres strictly to the established regulatory framework and guidelines set forth by the certification board, which is the sole authority on eligibility. This ensures a valid and recognized certification. Incorrect Approaches Analysis: Pursuing certification based on a general understanding of telehealth nursing without consulting the specific eligibility requirements of the Critical Global Telehealth Nursing Board Certification is an incorrect approach. This risks applying for a certification for which one is not qualified, leading to rejection and a misunderstanding of the board’s standards. Relying on anecdotal advice from colleagues about their experiences with other telehealth certifications, rather than the official documentation for the Critical Global Telehealth Nursing Board Certification, is also an incorrect approach. Different certifications have distinct criteria, and assuming equivalency can lead to significant errors in meeting the specific prerequisites. Submitting an application with the assumption that extensive critical care experience in a traditional setting will automatically qualify for telehealth critical care certification, without verifying if the board explicitly recognizes this as equivalent or requires specific telehealth critical care experience, is another incorrect approach. The board’s definition of relevant experience is paramount. Professional Reasoning: Professionals should approach specialized certifications by prioritizing official documentation from the certifying body. This involves a systematic process of identifying the stated purpose of the certification, meticulously reviewing all eligibility requirements, and then conducting an honest self-assessment of one’s qualifications against those specific criteria. When in doubt, direct communication with the certifying board for clarification is a crucial step in ensuring a compliant and successful application.

Governance review demonstrates a critical need to enhance telehealth nursing practices concerning comprehensive assessment, diagnostics, and monitoring across the lifespan. This scenario is professionally challenging due to the inherent complexities of virtual patient encounters, the diverse developmental needs of patients from infancy to old age, and the imperative to adhere to evolving telehealth regulations and ethical standards. Ensuring patient safety, privacy, and equitable access to care while maintaining diagnostic accuracy and therapeutic effectiveness requires a nuanced and adaptable approach. The best professional practice involves a multi-modal assessment strategy that integrates synchronous and asynchronous data collection, leverages validated telehealth assessment tools, and incorporates patient/family education on self-monitoring techniques. This approach is correct because it aligns with the principles of patient-centered care, promotes active patient engagement, and maximizes the utility of telehealth technology for comprehensive data gathering. Regulatory frameworks for telehealth often emphasize the need for practitioners to establish a provider-patient relationship, conduct assessments that are appropriate for the modality, and ensure that care is delivered in a manner that meets established standards of practice. Ethically, this approach prioritizes obtaining sufficient information to make sound clinical judgments, respects patient autonomy by involving them in their care, and mitigates risks associated with remote care by empowering patients with knowledge. An incorrect approach would be to rely solely on synchronous video consultations without utilizing any asynchronous tools or patient-reported data. This fails to capture a complete clinical picture, as it misses valuable information that can be gathered through patient diaries, wearable device data, or pre-consultation questionnaires. This approach is ethically problematic as it may lead to incomplete assessments and potentially misdiagnoses, violating the duty to provide competent care. It also fails to leverage the full potential of telehealth to enhance patient monitoring and engagement. Another incorrect approach would be to delegate significant portions of the comprehensive assessment, including diagnostic interpretation, to unlicensed assistive personnel without direct, real-time supervision by a registered nurse. This is a significant regulatory failure, as it violates scope of practice laws and professional standards that mandate that licensed nurses are responsible for patient assessment and diagnostic interpretation. Ethically, this approach compromises patient safety by introducing a risk of error and misjudgment, and it undermines the accountability of the licensed professional. A further incorrect approach would be to assume that standard in-person assessment protocols can be directly replicated in a telehealth setting without adaptation. This overlooks the unique limitations and opportunities presented by virtual care. For instance, certain physical examination maneuvers may be difficult or impossible to perform remotely, requiring nurses to employ alternative methods or acknowledge limitations. Failing to adapt assessment strategies can lead to a superficial understanding of the patient’s condition, potentially missing critical signs and symptoms, which is both an ethical and professional failing. Professionals should employ a decision-making framework that begins with understanding the specific telehealth platform’s capabilities and limitations, followed by a thorough review of patient history and presenting concerns. The nurse should then determine the most appropriate combination of synchronous and asynchronous assessment methods to gather comprehensive data, considering the patient’s age, developmental stage, technological literacy, and access to resources. This framework emphasizes a dynamic and iterative process of data collection, analysis, and intervention, always prioritizing patient safety and adherence to regulatory and ethical guidelines.

Scenario Analysis: This scenario is professionally challenging because it requires a nurse to navigate the complex and often opaque policies surrounding board certification examinations, specifically concerning blueprint weighting, scoring, and retake policies. Misunderstanding or misapplying these policies can lead to significant professional setbacks, including wasted time and financial resources, and potentially impact a nurse’s ability to practice or advance in telehealth nursing. Careful judgment is required to ensure adherence to the certification body’s established guidelines. Correct Approach Analysis: The best professional practice involves proactively and thoroughly reviewing the official examination blueprint and the stated retake policy provided by the Critical Global Telehealth Nursing Board Certification. This approach is correct because it directly addresses the need for accurate information from the authoritative source. Adhering to the official documentation ensures that the nurse is making decisions based on the most current and accurate information regarding how the exam content is weighted, how scores are calculated, and the specific conditions and limitations for retaking the examination. This aligns with ethical principles of professional responsibility and integrity, ensuring that the nurse is prepared and compliant with the certification requirements. Incorrect Approaches Analysis: One incorrect approach involves relying solely on anecdotal information or advice from colleagues regarding exam weighting, scoring, and retake policies. This is professionally unacceptable because informal sources are prone to inaccuracies, outdated information, or personal biases, which can lead to a flawed understanding of the official requirements. Another incorrect approach is to assume that retake policies are standardized across all professional certifications and therefore do not require specific review. This is a critical ethical failure as it demonstrates a lack of due diligence and a disregard for the unique regulations of the Critical Global Telehealth Nursing Board Certification, potentially leading to non-compliance. Finally, an incorrect approach is to only seek clarification on retake policies after failing the examination. This is professionally unsound as it indicates a reactive rather than proactive approach to understanding critical examination requirements, potentially causing undue stress and impacting future attempts due to a lack of prior knowledge about the process. Professional Reasoning: Professionals should employ a systematic approach to understanding certification requirements. This involves identifying the official governing body for the certification, locating and meticulously reviewing all published documentation related to the examination (including blueprints, handbooks, and policy statements), and seeking direct clarification from the certification body for any ambiguities. This proactive and evidence-based approach ensures informed decision-making and adherence to established standards.

Scenario Analysis: This scenario is professionally challenging because the candidate is seeking to prepare for a certification exam that validates their competency in a rapidly evolving field. The effectiveness of their preparation directly impacts their ability to practice telehealth nursing safely and ethically. Misinformation or an inadequate timeline can lead to gaps in knowledge, potentially compromising patient care and violating professional standards. Careful judgment is required to discern reliable resources and allocate sufficient time for comprehensive learning. Correct Approach Analysis: The best professional practice involves a multi-faceted approach that prioritizes official certification body guidelines and reputable, evidence-based resources. This includes thoroughly reviewing the examination blueprint provided by the Critical Global Telehealth Nursing Board Certification, which outlines the specific domains and topics covered. Supplementing this with study materials recommended or endorsed by the board, such as official study guides or accredited online courses, ensures alignment with the expected knowledge base. Furthermore, dedicating a structured timeline that allows for in-depth understanding, practice questions, and review, rather than superficial cramming, is crucial for long-term retention and application. This approach directly addresses the need for accurate, relevant, and comprehensive preparation as mandated by professional certification standards, which aim to ensure public safety and quality of care. Incorrect Approaches Analysis: Relying solely on informal online forums and anecdotal advice from peers, without cross-referencing with official certification materials, presents a significant risk. These sources may contain outdated, inaccurate, or biased information, leading to a misunderstanding of critical telehealth nursing principles and regulatory requirements. Furthermore, a timeline that focuses only on the week leading up to the exam, without adequate time for learning and consolidation, is insufficient for mastering the breadth and depth of knowledge required for competent telehealth practice. This approach fails to meet the implicit ethical obligation to prepare thoroughly and competently. Another incorrect approach involves prioritizing a single, unverified study guide found through a general internet search over the official examination blueprint. While some third-party materials can be helpful, their content may not accurately reflect the scope and emphasis of the certification exam, potentially leading to wasted study time on irrelevant topics or overlooking crucial areas. This deviates from the principle of seeking authoritative guidance for professional credentialing. Professional Reasoning: Professionals preparing for certification should adopt a systematic and evidence-based approach. This involves identifying the authoritative source for exam content (the certification board), understanding the scope of practice and knowledge domains, and then selecting preparation resources that directly align with these requirements. A realistic timeline that allows for progressive learning, practice, and review is essential. Professionals should critically evaluate all information sources, prioritizing those with a proven track record of accuracy and relevance to the specific certification.

Scenario Analysis: This scenario presents a common challenge in telehealth nursing: balancing the need for efficient and comprehensive clinical documentation with the imperative of regulatory compliance and patient privacy. The rapid evolution of telehealth technology and the diverse regulatory landscape create a complex environment where nurses must make informed decisions about data management and security. The professional challenge lies in ensuring that all patient information is accurately captured, securely stored, and accessible only to authorized personnel, while also adhering to specific legal and ethical standards governing electronic health records and telehealth services. Failure to do so can lead to breaches of confidentiality, legal penalties, and erosion of patient trust. Correct Approach Analysis: The best approach involves utilizing a secure, encrypted telehealth platform that integrates directly with the electronic health record (EHR) system. This method ensures that all patient data, including video consultations, chat logs, and transmitted documents, are automatically captured and stored within a centralized, HIPAA-compliant system. Encryption protects data both in transit and at rest, mitigating the risk of unauthorized access. Direct integration minimizes manual data entry, reducing the likelihood of errors and omissions, and ensures that documentation is contemporaneous and complete, which is crucial for regulatory compliance and continuity of care. This approach aligns with the principles of data integrity, security, and privacy mandated by regulations such as HIPAA in the United States. Incorrect Approaches Analysis: Storing patient consultation recordings on a personal, unencrypted cloud storage service poses significant regulatory and ethical risks. This method violates HIPAA’s security rule, which mandates the protection of Protected Health Information (PHI) from unauthorized disclosure. Unencrypted storage makes the data vulnerable to cyberattacks and unauthorized access, leading to potential breaches of patient confidentiality. Using a separate, non-integrated note-taking application to transcribe key points from telehealth sessions and then manually uploading these notes to the EHR presents several issues. While it might seem efficient for capturing information, it introduces a delay between the patient encounter and the documentation, potentially leading to incomplete or inaccurate records. Furthermore, if the note-taking application is not adequately secured or is not part of a HIPAA-compliant workflow, it can create a secondary point of data vulnerability. The manual upload process also increases the risk of human error, such as misfiling or incomplete data transfer. Sharing patient consultation summaries via unsecured email to colleagues for review before final EHR entry is a severe breach of patient privacy and regulatory compliance. Email, especially when unencrypted, is not considered a secure method for transmitting PHI. This practice directly contravenes HIPAA’s requirements for safeguarding patient information and could result in substantial penalties and reputational damage. Professional Reasoning: Professionals should adopt a risk-based approach to telehealth documentation. This involves first identifying potential risks associated with data handling, storage, and transmission in a telehealth context. Next, they should evaluate available technologies and workflows against established regulatory requirements (e.g., HIPAA in the US) and ethical principles of patient confidentiality and data security. The decision-making process should prioritize solutions that offer robust encryption, secure storage, and seamless integration with existing EHR systems. When evaluating new telehealth platforms or workflows, nurses should ask: Does this system protect PHI at all stages? Is it compliant with all relevant regulations? Does it facilitate accurate and timely documentation? If any of these questions cannot be answered affirmatively, the approach should be reconsidered or modified to ensure compliance and patient safety.

This scenario presents a professional challenge due to the inherent complexities of telehealth, particularly when dealing with a patient in a different jurisdiction. The nurse must navigate not only the patient’s immediate clinical needs but also the legal and ethical implications of providing care across state lines, ensuring patient safety and adherence to professional standards. Careful judgment is required to balance immediate care with regulatory compliance. The approach that represents best professional practice involves a comprehensive risk assessment that prioritizes patient safety and regulatory adherence. This includes verifying the nurse’s licensure in the patient’s state, assessing the patient’s clinical stability for telehealth, and understanding the limitations of remote assessment. This approach is correct because it directly addresses the core requirements of providing safe and legally compliant telehealth nursing care. Professional nursing standards and state-specific telehealth laws mandate that nurses practice within their scope of licensure and adhere to the regulations of the jurisdiction where the patient is located. Failing to do so constitutes practicing without a license in that jurisdiction and violates ethical obligations to provide competent care. An incorrect approach would be to proceed with the telehealth consultation without first confirming licensure in the patient’s state. This is a significant regulatory failure, as it constitutes practicing nursing in a jurisdiction where the nurse is not licensed, which is illegal and unethical. It exposes both the nurse and the healthcare organization to legal penalties and jeopardizes patient safety by potentially providing care that does not meet the standards of that jurisdiction. Another incorrect approach would be to assume that a valid license in the nurse’s home state is sufficient for all telehealth consultations, regardless of the patient’s location. This demonstrates a lack of understanding of interstate telehealth regulations and the principle of practicing within the jurisdiction where the patient receives care. This oversight can lead to disciplinary action from nursing boards and a breach of professional responsibility. Finally, an incorrect approach would be to provide advice or treatment based solely on the patient’s self-reported symptoms without a thorough assessment of their clinical stability for telehealth and without confirming licensure. While immediate advice might seem helpful, it bypasses essential safety checks and regulatory requirements, potentially leading to inappropriate care or a failure to recognize the need for in-person evaluation, which is a critical ethical and professional failing. The professional reasoning process for similar situations should involve a systematic approach: 1. Identify the patient’s location and the applicable jurisdiction’s regulations. 2. Verify licensure status in the patient’s jurisdiction. 3. Assess the patient’s clinical condition and suitability for telehealth. 4. Determine the scope of practice and available resources within the telehealth framework. 5. Document all assessments, decisions, and communications thoroughly. 6. If licensure or clinical suitability is an issue, refer the patient to appropriate local resources or follow established protocols for inter-jurisdictional care.