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NurseSavvy Cheat SheetProcedure

Child Abuse Recognition & Reporting

Child abuse recognition hinges on pattern recognition: injuries that don't match the child's developmental stage or the caregiver's stated mechanism. Nurses are mandatory reporters in all 50 states and report reasonable suspicion, not confirmed abuse. No proof, parental consent, or provider order is required. Investigation belongs to child protective services and law enforcement, not the nurse.

Suspicious findings vs. benign or developmental look-alikes. "Babies who can't cruise don't bruise" — any bruise in a non-mobile infant is suspicious.

Accidental vs. suspicious bruising

AccidentalSuspicious for abuse
LocationShins, knees, forehead (bony prominences)Torso, ears, neck, buttocks, genitalia
Child mobilityMobile/cruising childNon-mobile infant (any bruise)
Healing stagesSingle uniform stageMultiple stages = repeated injury
History matchConsistent, plausible mechanismInconsistent or changing story

Accidental

Location
Shins, knees, forehead (bony prominences)
Child mobility
Mobile/cruising child
Healing stages
Single uniform stage
History match
Consistent, plausible mechanism

Suspicious for abuse

Location
Torso, ears, neck, buttocks, genitalia
Child mobility
Non-mobile infant (any bruise)
Healing stages
Multiple stages = repeated injury
History match
Inconsistent or changing story

When you suspect abuse

  1. Recognizepattern inconsistent with history or development
  2. Protectkeep child in safe, supervised setting
  3. Report to CPSdirectly; suspicion, not proof
  4. Documentobjective findings + verbatim quotes
Do not confront or question the caregiver
may endanger child and compromise investigation
Do not need provider order or supervisor approval
Do not wait to gather proof
delay places child at continued risk
Avoid interpretive language in the chart
never write "the child was abused"
Report Nowescalate immediately
Reasonable suspicion of abuse
triggers the legal duty to report immediately
Failure to report
carries legal consequences for the nurse
Retinal hemorrhages in an infant
strongly associated with abusive head trauma (present in ~85% of AHT cases)
Subdural hematoma in an infant
abusive head trauma indicator
Multiple fractures in various healing stages
Child disclosure of abuse
e.g., "Daddy hits me with his belt"

Clinical Pearl

TEN-4: bruising on the Torso, Ears, or Neck in a child under 4 — or ANY bruise in an infant under 4 months — demands investigation. You report suspicion, not proof.

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