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Abuse / Neglect

This policy applies to: Patients whosewho chiefare complaintsuspected isof itching,being rashvictims of abuse or allergicneglect. reaction.

Exclusion Criteria: None

Recognize

  • Injuries or burns in a pattern suggestive of intentional infliction.
  • Injuries in various stages of healing or injuries scattered over multiple areas of the body.
  • Patient, parent, or caregiver responding in an inappropriate manner to the situation.
  • Malnutrition of extreme lack of cleanliness of the patient or environment.
  • Infants: bulging of fontanels and altered mental status.

Evaluate

Administer Treatment

  • Stabilize and treat injuries according to the appropriate protocol.
  • Discourage patient from washing if sexual abuse is suspected.
  • Document:
    • All statements made by the patient, parent or caregiver.
    • Any abnormal behavior on the part of the patient, parent or caregiver.
    • The condition of the environment. 
    • Time and name of contact when reported to Adult Protective Services.
  • Report all suspected cases of abuse / neglect to protective services. Do not initiate report in front of the patient, parent or caregiver. 

Consider Differentials

Transport
    Considerations

  • Not

    Information

    applicable

    • Other Populations

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    References

    Protocols
    Medications
    Procedures

    Resources


    Adult Protective Services phone: 1-800-252-5400

    Adult Protective Services reporting website.

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