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View Diary: Here's how you can be part of ending child sexual abuse (103 comments)

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  •  I appreciate the links too, and I like that you (5+ / 0-)

    can send questions. I come from the complete opposite direction--every child who showed up with a fractured arm, or certain other specific injuries, we were immediately on edge, and looking for other bruises, other signs of behavior, eagle eyeballing the parents, having the doctors assess the type of fracture, etc.  Most of this was handled by the ER, but if there was any doubt, even in the OR we'd continue a body exam once the child was asleep, and if we were asked by the ER, even X-ray the other limb for old fractures (unless there are other suspicious signs you don't want to due a total body scan or anything, just because they're young, and limiting the amount of X-ray they're exposed to is also important). But we'd watch how the parent(s) reacted to their child being whisked away, and how the child emerged from anesthesia, and then even how the parent(s) and child interacted with each other in PACU--the recovery room. We would certainly be observant of how the parents interacted with us, and our questions. So we were "trained" to be at most suspicious, and observing and assessing  at the least. This was the case for every child injury that didn't have a 100% explicable cause (like a MV accident).  Like I said, the ER handled most of it, but I remember vividly  instances where we were asked to keep observing and checking and so on. And when we were not asked, we checked every child chart, or asked in the ER, or checked with the surgeon, to make sure that someone was assessing this. Of course, this was mostly for physical abuse, but sadly enough, even in the OR, I have had a couple of sexual abuse cases. In fact, although I was already pro-choice albeit with a few reservations, a certain very specific type of abuse changed me into a fervent, ardent pro-choice advocate. I don't want anyone who doesn't want a child ever to be forced to have one.

    •  Sounds like great awareness and vigilence (5+ / 0-)

      Insanity is a perfectly rational adjustment to an insane world... -R D Laing

      by crazyamerican on Sat Nov 12, 2011 at 09:51:46 AM PST

      [ Parent ]

      •  We have mandated continuing ed on this stuff, and (2+ / 0-)
        Recommended by:
        Onomastic, AllisonInSeattle

        pretty much every hospital has clear and specific policies and procedures spelled out that every employee gets exposure to during orientation. So that's an enormous start. And "patient safety first" is probably the first standard of care every nurse is instilled with. So.

         From what I'm learning, states have these regs for teachers and others who come into contact with children as well--how that gets transmitted to them, I have no idea, and in light of the Penn State sexual abuse cases, I'm really left wondering.  Its pretty much an automatic response in hospitals, and I was initially surprised that the same wouldn't be true in schools (all of 'em).  But then considering the issue of bullying in schools, and the fact that it is for some reason a controversial issue, and schools clearly do not have complete buy in from adults all along the line, I guess I shouldn't have been surprised. Really disappointed, but not surprised. I have a lot more to learn, because I still don't entirely understand what adult advocates are so afraid of about dealing with this.

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