Reporting of Spousal/Child/Elder Abuse

POLICY:
 
We strive to appropriately address the physical, 
psychological and emotional needs of our patients.The 
patient's right to privacy, confidentiality and dignity will 
be considered in application of this policy.
 
Employees detecting any evidence of abuse should immediately 
inform the patient's physician and/or the Medical Director.
The index of suspicion may be raised by bruising and/or 
lacerations which are difficult to explain, a marked change 
in patient demeanor in the presence of caregiver or other 
person(s), or patient comment.Required reporting to 
governmental welfare agency officials will be made 
immediately and appropriate steps will be taken to support 
the patient.
 
If the facility suspects abuse,(physical assault, rape, 
sexual molestation, domestic abuse, elder neglect or abuse, 
or child neglect or abuse)the following will occur:
 
If the person is a minor, age 18 or younger, it will be 
reported by calling the Domestic Abuse Hotline 1800 942 6909
 
If the person is 18 or older, the following will occur: 
 
The patient or when the patient has a legal guardian, will be 
approached regarding documenting and recording abuse.
Consent to do so will be recorded in the chart.
 
FROM THIS POINT ON THE VICTIM MUST UNDERSTAND THAT ALL EXAMS, 
PHOTOS, OR CONVERSATIONS BECOME EVIDENCE.

The physician or nurse will interview the patient.
 
The physician with a nurse present, will exam the patient 
further and record all findings. 
 
The patient will be reassured that all information obtained 
will be safeguarded and treated as evidence.
 
The patient must be informed that all information collected 
will only be released to the proper authorities, with their 
permission.
 
The patient will be transferred to Mount Sinai Hospital for 
further evaluation, documentation, and treatment.
 
However, if the patient does not wish to proceed to the 
emergency room a referral can be made to Domestic Abuse 
Hotline 1800 942 6909
 
This organization conducts an annual, or more frequent if 
indicated, in-service in recognizing signs of abuse.
 
Regulatory requirements carry the potential of disciplinary 
action by the Medical Board or the nurse licensing agencies 
for non-reporting of abuse.

Approved By Governing Board

MC.5

Control #24.2

GUPTA GASTRO