Abuse & Neglect

Question 1

Suspicion of:

Maltreatment
Abuse
Neglect
Trafficking

Answer 1

Mandatory Reporting!

• Document Concerns
• Assess & stabilize potential Life Threats
• Inform appropriate Authorities

Question 2

Assessment

Answer 2

Primary Assessment:
- I.D. Potential Life Threats
- Refer to Trauma Algorithm

Secondary Assessment:
- Assess physical issues, document any statements made spontaneously by patient
- Avoid extensive investigation of the specifics of abuse

Question 3

Mandatory Reporting

Answer 3

Contact PD & Either:
- Arizona Department of Child Safety 1-888-767-2445
- Adult Protective Services Central Intake Unit 1-877-767-2385

Inform Hospital Staff that proper Authorities have been contacted & will be involved

Question 4

TX/Transport

Answer 4

Refer to indicated AG or BLS Transport Threshold AG

Transport to appropriate Facility

Question 5

Scenarios that call for a high index of
suspicion for abuse in children

Answer 5

• Brief Resolved Unexplained Event
  (BRUE)
• Any bruising on a patient <4 months
• Any bruising on the torso, ears, neck
  on a patient <4 years