Mandatory referrals are required under various circumstances, including but not limited to: - Specialized Care Needs: When a patient's condition requires specialized expertise, such as cardiology, neurology, or oncology. - Emergency Situations: In cases where immediate medical intervention is necessary, such as severe trauma or acute myocardial infarction. - Mental Health: When a patient exhibits signs of severe mental health issues, such as suicidal ideation or psychosis. - Child and Elder Abuse: When there is suspicion or evidence of abuse, nurses are mandated to refer these cases to appropriate authorities. - Substance Abuse: Patients showing signs of substance abuse may need to be referred to addiction specialists.