Management of Suspected Child Abuse - Flowchart
Management of Suspected Child Abuse - Flowchart Child Abuse and Neglect Child Abuse and Neglect
«Flowchart»

Suspected abuse or neglect

Suspected abuse or neglect

Suspected abuse or neglect

Suspected abuse or neglect

Do complete physical and history
Notify hospital social worker or other members of child abuse team

Do complete physical and history
Notify hospital social worker or other members of child abuse team

Do complete physical and history
Notify hospital social worker or other members of child abuse team

Do complete physical and history
Notify hospital social worker or other members of child abuse team


End

End

End

End

Treat medical condition

Treat medical condition

Treat medical condition

Treat medical condition

Do CBC, platelet, INR, PTT, bleeding history

Do CBC, platelet, INR, PTT, bleeding history

Do CBC, platelet, INR, PTT, bleeding history

Do CBC, platelet, INR, PTT, bleeding history

X-ray: Long-bone series and specific x-rays

X-ray: Long-bone series and specific x-rays

X-ray: Long-bone series and specific x-rays

X-ray: Long-bone series and specific x-rays

Bruising?

Bruising?

Bruising?

Bruising?

Yes

Yes

Yes

Yes

No

No

No

No

Do CBC, U/A, electrolytes, ESR, ALT, TSH, creatinine, BUN

Do CBC, U/A, electrolytes, ESR, ALT, TSH, creatinine, BUN

Do CBC, U/A, electrolytes, ESR, ALT, TSH, creatinine, BUN

Do CBC, U/A, electrolytes, ESR, ALT, TSH, creatinine, BUN

Reason to suspect abuse or neglect?

Reason to suspect abuse or neglect?

Reason to suspect abuse or neglect?

Reason to suspect abuse or neglect?

Yes

Yes

Yes

Yes

No

No

No

No

Full psychosocial evaluation; report to child protective services; arrange for safe and appropriate disposition

Full psychosocial evaluation; report to child protective services; arrange for safe and appropriate disposition

Full psychosocial evaluation; report to child protective services; arrange for safe and appropriate disposition

Full psychosocial evaluation; report to child protective services; arrange for safe and appropriate disposition

Complete medical treatment; arrange for close follow-up; consider visiting nurse

Complete medical treatment; arrange for close follow-up; consider visiting nurse

Complete medical treatment; arrange for close follow-up; consider visiting nurse

Complete medical treatment; arrange for close follow-up; consider visiting nurse

Suspected fracture?

Suspected fracture?

Suspected fracture?

Suspected fracture?

Yes

Yes

Yes

Yes

No

No

No

No

Failure to thrive?

Failure to thrive?

Failure to thrive?

Failure to thrive?

Yes

Yes

Yes

Yes

No

No

No

No

Treat as medical emergency

Treat as medical emergency

Treat as medical emergency

Treat as medical emergency

Medically stable

Medically stable

Medically stable

Medically stable

Yes

Yes

Yes

Yes

No

No

No

No

Is child <5 yr comatose, have a history of shaking, unable to give a history, have at least one proven fracture?

Is child <5 yr comatose, have a history of shaking, unable to give a history, have at least one proven fracture?

Is child <5 yr comatose, have a history of shaking, unable to give a history, have at least one proven fracture?

Is child <5 yr comatose, have a history of shaking, unable to give a history, have at least one proven fracture?

Yes

Yes

Yes

Yes

No

No

No

No