report suspected abuse of a patient

by Dillon Windler 7 min read

You suspect a patient is being abused. What should you do?

18 hours ago  · A complete head-to-toe examination should take place, looking for physical signs of abuse. A chaperone or witness should be present if possible as well. Thorough documentation and description of exam findings, as well as patient statements, non-verbal behavior, and behavior/statements of the suspected abuser should also be included. >> Go To The Portal


There are a few ways to report suspected or known patient abuse. The first method is to contact the New York State Protective Services for Adults at 1-800-342-3009 and report the details of the suspected abuse. The Vulnerable Persons Central Register Hotline is also available 24/7 for calls as well.

If a nurse suspects abuse or neglect, they should first report it to a physician, nurse practitioner, or physician assistant. Notifying a supervisor may also be required, depending on the workplace. If the victim is with a suspected abuser, the exam should take place without that person in the room.

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How to deal with verbally abusive patients?

These agreements normally outline:

  • Inappropriate patient behaviors
  • The impact these behaviors have on nurses, doctors and other staff
  • How the behavior can impact healthcare delivery
  • Consequences delivered if behavior continues When explained that this behavior agreement is a tool to help both patient and staff, rather than a punitive measure, patients can respond surprisingly well. ...

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What are the different types of patient abuse?

open wounds, cuts, punctures, untreated injuries in various stages of healing. broken eyeglasses/frames, or any physical signs of being punished or restrained. laboratory findings of either an overdose or under dose medications. individual's report being hit, slapped, kicked, or mistreated.

How should nurses report abuse?

  • Abuse inflicted which causes harm or substantial risk of harm to the child’s health or welfare, including sexual abuse
  • Neglect, including malnutrition
  • Physical dependence upon an addictive drug at birth
  • Being a sexually exploited child
  • Being a human trafficking victim

How to report a nursing home for neglect and abuse?

Where To Report Nursing Home Abuse

  • Local Authorities. The most important — and fastest — way to report nursing home abuse is to call 911. ...
  • Eldercare Locator. ...
  • National Center on Elder Abuse (NCEA) Established in 1988, the NCEA connects seniors to resources that can help them if abuse occurs. ...
  • Doctors and Medical Experts. ...
  • Long-Term Care Ombudsman. ...
  • Confidential Reporting. ...

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What is the nurse's role in reporting the suspected abuse?

For nurses being a mandated reporter means that it is a nurse's responsibility to report any suspicions of child or adult abuse or neglect. If the story just doesn't fit, the nurse needs to be suspicious. If the child or adult suggest they have been abused, the nurse needs to report.

What action should you take if you suspect a person has been abused?

If you think a child might be being abused but they haven't said anything to you, there are things you can do which can help.Talk to the child. Most children who're being abused find it very difficult to talk about. ... Keep a diary. ... Talk to their teacher or health visitor. ... Speak to other people. ... Talk to us.

What should you do if you witness abuse or neglect of a patient?

Discuss any suspicion of abuse sensitively with the patient, whether or not reporting is legally mandated, and direct the patient to appropriate community resources. Report suspected violence and abuse in keeping with applicable requirements.

How do you ask a patient if they are being abused?

How to AskDifferent patients may respond better to different approaches.Make sure to ask in a private environment and do not use family or friends as interpreters.See ethics and privacy section before you start discussion.Patients highly value compassion and the quality of being non-judgemental.

What are the 7 steps to follow if you suspect abuse has occurred?

Seven Steps to Protecting ChildrenStep 1 – Learn the Facts. Understand the Risks. ... Step 2—Minimize opportunity. ... Step 3—Talk about it. ... Step 4—Stay alert. ... Step 5—Make a plan. ... Step 6—Act on suspicions. ... Step 7—Get involved.

How do you report safeguarding concern?

1. Need help reporting a safeguarding concern about someone in your organisation? In an emergency, call the Police. If someone is at immediate risk of harm call 999 and request the Police.

How do you report abuse in health and social care?

How to report suspected adult abuse (members of the public) Contact the First Response Team (adult social services): Telephone: 020 8489 1400. Email: firstresponseteam@haringey.gov.uk.

What is mandatory reporting in nursing?

Mandatory reporting is a term used to describe the legislative requirement imposed on selected classes of people to report suspected cases of child abuse and neglect, elder abuse and 'notifiable conduct' by another practitioner to government authorities.

What are some basic rules for nurses to follow when assessing for violence?

Explanation: Nurses assessing for violence should perform assessment and screening only when the client is alone in a safe, private environment. The nurse needs to establish rapport and connection by showing interest in the client and by listening. The nurse also needs to demonstrate compassion, not judgment.

When caring for a patient with suspected abuse or neglect your first priority should be to?

If a nurse suspects abuse or neglect, they should first report it to a physician, nurse practitioner, or physician assistant. Notifying a supervisor may also be required, depending on the workplace.

Should you ask someone if they are being abused?

Ask Without Asking So, now you're worried. You want to do the right thing and be there for your friend or loved one, but asking them if their partner is abusive isn't going to always be met with the most grateful of responses.

What is required of a nursing assistant if he suspects that a resident is being abused?

In a long-term care facility, any CNA who suspects abuse of a resident by either a family member or another professional caregiver should first report it to his or her supervisor.

Who is authorized to receive reports of child abuse?

In cases of suspected child abuse and neglect, elder abuse, or domestic violence and sexual assault the procedures are fairly straightforward: any municipal, county or state law enforcement agency is authorized to receive reports and initiate an investigation.

Is there a national system for reporting animal abuse?

Reporting animal cruelty, abuse and neglect is far more complicated. There are no national or statewide systems: contrary to popular opinion, local humane societies or SPCAs (societies for the prevention of cruelty to animals) are not branches or affiliates of national organizations.

Do veterinarians have to report animal abuse?

FOR VETERINARIANS: The majority of states now mandate or permit veterinarians to report suspected animal abuse with immunity from civil and/or criminal liability. The AVMA has collected basic information about reporting requirements by state and other resources. The AAHA has a position statement on reporting suspected animal abuse.

What should a nurse do when treating a patient?

Nurses should provide a calm, comforting environment and approach the patient with care and concern. A complete head-to-toe examination should take place, looking for physical signs of abuse. A chaperone or witness should be present if possible as well.

Should a nurse report abuse?

The nurse should notify law enforcement as soon as possible, while the victim is still in the care area. However, this depends on the victim and type of abuse. Adults who are alert and oriented and capable of their decision-making can choose not to report on their own and opt to leave. Depending on the state, nurses may be required ...

Do nurses have a responsibility to care for victims of abuse?

Employers are typically clear with outlining requirements for their workers, but nurses have a responsibility to know what to do in case they care for a victim of abuse.

Do nurses have to be able to connect victims of abuse?

While not required by law, nurses should also offer to connect victims of abuse to counseling services. Many times, victims fall into a cycle of abuse which is difficult to escape.

What happens when investigators find abuse or neglect?

If investigators find abuse or neglect, they arrange for services to help protect the victim. Law Enforcement . Local police, sheriffs, and prosecuting attorneys may investigate and prosecute abuse, particularly in cases involving sexual abuse or assault.

How long does it take for an APS to investigate an elder abuse case?

If APS decides the situation may violate state elder abuse laws, it assigns a caseworker to conduct an investigation (in cases of an emergency, usually within 24 hours). If the victim needs crisis intervention, services are available.

How to contact the National Center on Elder Abuse?

The State Resources section of the National Center on Elder Abuse website. The Eldercare Locator website or calling 800-677-1116. If you have been the victim of abuse, exploitation, or neglect, you are not alone. Many people care and can help. Please tell your doctor, a friend, or a family member you trust, or call the Eldercare Locator ...

What to do if someone is in danger?

To report a concern, contact the Adult Protective Services (APS) agency in the state where the older adult resides . Find the APS reporting number for each state by visiting:

How to find elder care?

Eldercare Locator. Visit the Eldercare Locator. (link is external) online or call 800-677-1116 to find resources for older adults in any U.S. community. Just one call or visit provides an instant connection to resources that enable older persons to live independently in their communities.

What are the interventions provided by APS?

Interventions provided by APS include, but are not limited to: Assistance arranging for medical, social, economic, legal, housing, law enforcement or other protective, emergency, or supportive services. It's important to remember that the older person has the right to refuse services offered by APS.

What is the mandated reporter?

Each one of us has a responsibility to keep older adults safe from harm. The laws in most states require helping professions in the front lines—such as doctors and home health providers—to report suspected abuse or neglect. These professionals are called mandated reporters. Under the laws of eight states, "any person" is required to report a suspicion of mistreatment.

What to do if you are in danger?

Call the police or 911 immediately if someone you know is in immediate, life-threatening danger. If you have been the victim of abuse, exploitation, or neglect, you are not alone. Many people care and can help.

How to contact Eldercare?

You can reach the Eldercare Locator by telephone at 1-800-677-1116. Specially trained operators will refer you to a local agency that can help.

Do you have to prove abuse?

You do not need to prove that abuse is occurring; it is up to the professionals to investigate the suspicions. When making the call, be ready to give the name, address, and contact information of the person you suspect is abused or neglected, and details about why you are concerned.

Who do you report abuse to in Massachusetts?

Massachusetts General Law, Chapter 19C, Section 10 requires that nurses who have reasonable cause to believe that a person with disabilities is abused must report the situation to the Disabled Persons Protection Commission (DPPC).

What happens if you don't report abuse?

If you fail to make oral and written reports required by this law to report witnessed or suspected abuse or neglect of a person with a disability, you will be subject to a fine up to $1,000.

What is the law on nursing home abuse?

Massachusetts General Law, Chapter 111, Section 72G requires that nurses who have reasonable cause to suspect patient or resident abuse, neglect, mistreatment, and/or misappropriation of their property must report the situation.

What is mandatory nursing reporting?

Several Massachusetts laws and regulations have specific requirements for nurses to report suspected patient abuse, child abuse, elder abuse, and abuse of a disabled person to their respective divisions in State Government. Skip table of contents.

What is abuse in CMR?

Board regulations define abuse as any impermissible or unjustifiable contact or communication with a patient which in any way harms or intimidates, or is likely to harm or intimidate, a patient. Abuse may be verbal or non-verbal, and may cause physical, sexual, mental, or emotional harm as stated in 244 CMR 9.02.

What age can you report abuse of a disabled person?

Abuse of persons with disabilities includes acts of physical, sexual, emotional, verbal abuse, and omission by a caregiver of a person with a physical disability between the ages of 18 - 59. Abuse of persons with disabilities under age 18 must be reported as child abuse and if older than 59 as elder abuse (see above).

How long does it take to report elder abuse in Massachusetts?

Massachusetts General Law, Chapter 19A, Section 15 requires that nurses who have reasonable cause to believe that an elderly person is suffering from or has died as a result of abuse must immediately make an oral report and submit a written report within 48 hours.

Will anyone know who made the report?

HHS keeps your name and that of the other person confidential, unless required to release it by law. However, if you choose to remain anonymous, HHS has no way to let you know the results of the investigation. HHS may also forward your report to another agency if it should be reported to or investigated by that agency.

What happens once a report is made?

Employees from the HHS Regulatory Services make an unannounced onsite investigation. The investigation may include:

What is the Texas Abuse Hotline?

The Texas Department of Family and Protective Services manages the Texas Abuse Hotline. DFPS investigates complaints of abuse, neglect and exploitation not investigated by HHS.

Who can report child abuse?

Mandatory Reporters of Child Abuse and Neglect. All U.S. States and territories have laws identifying persons who are required to report suspected child abuse or neglect. Mandatory reporters may include social workers, ...

How to stop child abuse?

There are ways you can help stop child maltreatment if you suspect or know that a child is being abused or neglected. If you or someone else is in immediate and serious danger, you should call 911. You may be wondering who can report child abuse and neglect, what information is included in a report, or what happens after a report is made.

What happens after you make a report?

After you make a report, it will be sent to child protective services (CPS). When CPS receives a report, the CPS worker reviews the information and determines if an investigation is needed. The CPS worker may talk with the family, the child, or others to help determine what is making the child unsafe. The CPS worker can help parents ...

What is the number for Crisis Counseling?

Call or text 1.800.4.A.CHILD (1.800.422.4453). Professional crisis counselors are available 24 hours a day, 7 days a week, in over 170 languages. All calls are confidential. The hotline offers crisis intervention, information, and referrals to thousands of emergency, social service, and support resources.

Is there a hotline for child abuse?

Child Welfare Information Gateway is not a hotline for reporting suspected child abuse or neglect, and it is not equipped to accept reports or intervene in personal situations of this nature.

How to report a person who is being abused?

The first step is to gather information, such as the names of people involved, current status of the individuals involved (especially if there is injury), the address the abuse occurred at, and names and contact information of witnesses. The second step is to find out who to make the report to.

What is emotional abuse?

Emotional abuse: involves creating emotional pain, distress or anguish through the use of threats, intimidation or humiliation. This includes insults, yelling or threats of harm and/or isolation, or non-verbal actions such as throwing objects or glaring to project fear and/or intimidation.

What is the term for restricting visits from family and friends or preventing contact via telephone or mail correspondence?

Isolation: involves restricting visits from family and friends or preventing contact via telephone or mail correspondence. Financial or material exploitation: includes the misuse, mishandling or exploitation of property, possessions or assets of adults.

What are the different types of abuse?

According to the National Adult Protective Services Association, there are different types of abuse, but as a general rule: Physical abuse: may include slapping, hitting, beating, bruising or causing someone physical pain, injury or suffering.

What is the difference between abuse in Indiana and Texas?

Sadly, the definition of abuse varies by state--in Indiana, it has to be physical abuse, financial, or sexual, while in Texas it can be physical, emotional abuse, mental, financial, or sexual. Check with the Adult Protective Services office in your county.

Where do adult protective services work?

Each state has an Adult Protective Services. Typically they work out of the county prosecutor's office. Like Child Protective Services (CPS), Adult Protective Services investigates complaints when they have reason to believe an individual has been harmed or is in danger of coming to harm from abuse, neglect, or exploitation.

Is it illegal to retaliate against someone for filing a complaint?

Retaliation against an individual for filing a complaint is illegal--make sure the abuser knows it. Abuse of any person is despicable, unacceptable, and wrong. Don't let the abuser get away with it. Know how to report abuse of an adult with mental illness.

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