What should a nurse document when reporting suspected child abuse?

Documenting suspected child abuse requires a comprehensive approach that focuses on factual and objective observations. By recording detailed observations and factual findings, the nurse ensures that the information is credible, reliable, and can be used in any necessary investigations or legal actions. This documentation should include specific behaviors, reported statements from the child, physical signs of abuse, and the context in which these observations were made. Objective details support the case while maintaining the integrity of the information, which is crucial for protecting the child and providing the appropriate support and resources.

In contrast, documenting only physical injuries would provide an incomplete picture of the situation. Personal biases and opinions can cloud the facts and might lead to misunderstandings or misinterpretations. General remarks about the family lack the specificity needed to address the legal and procedural requirements that come with suspected abuse cases. Thus, the emphasis is on clear, detailed, and factual documentation to support the child’s safety and well-being.