Abuse cases in the ED. How....? - page 2

I'm new to the ED, have been working the floor for a little less than a month, still in orientation. I do have prior nursing exp, 3yrs on an acute cardiac medsurg floor, different hospital. Anyway,... Read More

  1. by   bookworm1
    Often times a family with several children will select 1 child to receive the brunt of the abuse and neglect. Medical personnel often forget this when doing evaluations. When they see the other children all healthy they just assume that the 'sickly' child just has something unknown wrong with them. It is so hard to see these kids like this.
  2. by   morte
    Quote from sanctuary
    Possible, check genes for father being both gf and f?
    that was my thought...
  3. by   RNtigerEMT
    Quote from morte
    is it possible that the baby is actually the grand child?
    I thought about that, but didn't have time to go that far before we transferred the baby out. I'd like to follow up on the child, but am unsure of the p/p on that. Maybe its better if I just let it go as the child is in another hospital, and CPS has been contacted? Don't dwell on it. I know I can't let this get personal.
  4. by   JBudd
    Quote from RNtigerEMT
    I thought about that, but didn't have time to go that far before we transferred the baby out. I'd like to follow up on the child, but am unsure of the p/p on that. Maybe its better if I just let it go as the child is in another hospital, and CPS has been contacted? Don't dwell on it. I know I can't let this get personal.
    Yeah, but it is personal. Whether it should be or not, sometimes one just gets to your heart. Easy to say don't dwell on it, hard to do. The last one that really hit home for me, it helped a lot just being able to talk it out a few times with dh, crying really hard, and praying about it. Time and talking lessened the grief.

    You do have to let it go though. All the suspicians we come up with, so will the receiving hospital and CPS. CPS can likely think up even more than we can, sadly enough.
  5. by   RNOTODAY
    Quote from sanctuary
    Possible, check genes for father being both gf and f?
    I am confused, please enlighten me.... why would we suspect this from what was posted?
  6. by   RNtigerEMT
    Quote from RNOTODAY
    I am confused, please enlighten me.... why would we suspect this from what was posted?
    I don't think I posted anything that might lead to that thought, but it sure was in my mind that morning. Just from watching the 13-14 yr old interact with the baby. She showed more concern than mom, was more attentive to the baby, acted more like a mother than big sister. I have 4 children of my own, and though all of my older ones were concerned about the younger siblings, it was nothing like what I saw. She acted responsible for the baby, was able to give more concisde information than mom, etc. I really don't know if the 13 yr old was the mother, but thats what my gut instinct was telling me. And, though not a lot of yrs experience as an RN, have learned to go with my instincts, and am rarely wrong. Unfortunately, I cannot follow up on this one to see.

    Minor update about the baby: spoke with the medic who transported her and he said that after the bolus and infusion we gave, by the time they got 3/4 way to Children's in Columbus, the baby was up on all fours, crying (with real tears finally), cyanosis was mostly gone, and generally acting more alert. Good news, and made me feel a lot better.
  7. by   mommy2boys
    "I don't think I posted anything that might lead to that thought, but it sure was in my mind that morning. Just from watching the 13-14 yr old interact with the baby. She showed more concern than mom, was more attentive to the baby, acted more like a mother than big sister. I have 4 children of my own, and though all of my older ones were concerned about the younger siblings, it was nothing like what I saw. She acted responsible for the baby, was able to give more concisde information than mom, etc. I really don't know if the 13 yr old was the mother, but thats what my gut instinct was telling me. And, though not a lot of yrs experience as an RN, have learned to go with my instincts, and am rarely wrong. Unfortunately, I cannot follow up on this one to see. "

    The 13 yr old could very well be the mother, but it could be a very concerned older sister. I have heard of siblings turning into "mother" figures when there is abuse in the family. She may have witnessed (or has been) abused and wants to give this child some sort of mothering. I have a friend that came from a very abusive family (drugs, very violent mother, etc) and she turned into the mother for her siblings. At 10 yrs old she did the best she could, but what 10 yr old really knows how to be a parent? After years of abuse, the state finally took the kids and she was able to be a child also.

    Either way, my prayers go out to this child and the other children living in that household. Hopefully the state will come in and help this poor inocent kids from their worthless mom. Thank you for being concerned about this child and showing her some compassion in her life. You are a wonderful person and nurse to care about her.

    JMHO
    Erin
  8. by   morte
    1) "all children appeared on the small side"
    2) oldest appeared about 13 (hmm maybe as much as 15 if small?)
    3)lack of attachment from "mom" ie couldnt/wouldnt take older childs hint that baby needed diaper change
    4) older child stepped in and took charge...
    5) "mom" was upset her DAUGHTER would not be allowed in the ambulance
    6) my gut instinct

close