Does This Sound Fishy?

Nurses General Nursing

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I was working in peds last night and they brought up an 8 month old baby with a head injury who had been in a car accident. The baby was the only one hurt...the parents claim he was in a car seat and that the car seat was properly fastened. They said that the impact was too great.(no one else was injured) But this baby's face was all beat up. The doctor even thought it was strange and was wondering about abuse. I don't know about that, but do you think it is possible for a securely strapped in baby to sustain severe head injuries like that in an accident that would otherwise be deemed minor? My theory is that the baby was not in a car seat(maybe on mom's lap) or that the car seat was not fastened properly) and that they were afraid to admit it. I was only working in the capacity of a nurse's aid so I don't know what happened after that. I took him down for x-rays with what I thought was the parents but I don't know the results. That's another thing. The parents were in the coffee shop getting something to eat, while the aunt and uncle came with me to x-ray. And the parents didn't seem overly upset. I don't know....that seemed a little bizarre, as well. Since I am going to be a nurse soon and may be faced with similar situations, am I wrong to raise my eyebrows at the way this kid got hurt? And if so, as a nurse how do you deal with this? Like what is the protocol? I would never want to jump to conclusions. At the very least, maybe the parents require further education regarding proper use of a car seat?

I have to agree with the other posters, it definitely sounds like something is off.

One thing you brought up is interesting...educating parents on car seat safety. Many times the only thing required is that the parents have a car seat, not that the car seat is correctly placed.

IMHO, I would not feel comfortable if I didn't speak to either the doctor or the social worker. Not that I might be able to do anything, but saying nothing would be a thing I would always regret.

Kris

This all seems a bit odd.

If the parents were Spanish speaking were the Aunt and Uncle English speaking? Perhaps that is why they went with the child, to be able to communicate with the X-ray tech. etc. But still, you would think that the parents would tag along and perhaps use the aunt and uncle as interpreters.

If they really were in an accident perhaps they meant that they stopped suddenly and something within the car bacame loose and hit the child. Then there would be no damage to the car and the police would not be called.

This all sounds too weird. I agree with others, trust your instincts. Surely, though, when they brought the baby to the ER they would have had to explained to the doc or nurse the events and what exactly hit the child.

Let us know what happens.

The uncle spoke some English, and I see your point but I would think the parents would still want to be present, you know? I did voice my concern to the nurse assigned to the patient and she ignored me as though I didn't exist, as if to say, " You are just a CNA...what do you know?" (she has been a nurse about 6 months and when she first started she told me that she didn't know anything and that she was terrified and now she thinks her shit doesn't stink but that is another story) The doctor DID seem to listen to me though, so hopefully this WILL be followed up.

I didn't hear anything about the child being struck by any loose objects. And he had lacerations all over his face, not to mention a black eye and a fat lip. Like the injuries to his face were generalized...not just in one spot. If something had stuck him, he might have an injury in a localized area but his entire face was battered. Poor little guy. And for as hurt as he was, he didn't cry much. I mean some of these babies scream their heads off just when you take their temperatures. He just looked kinda sad.:o

That's sad Flo :o Those injuries don't make sense to me for a baby in a car seat :confused: Especially since 8 mo olds are to be in a rear facing seat, I doubt much would've cut the baby if the car was hit in the front? Hopefully someone gets to the bottom of what happened. You should report it again, if the nurse didn't understand, this time to someone else...it was the right thing to question!

Sometimes it sucks being a student and a CNA at the same time because of the different hats you wear. At least as a student, there is more that I could do. As a CNA, I just have to hope that someone investigates the situation further. As a CNA, my opinion isn't really valued. It's not really valued as a student, either but at least I am still in the position to do something and my instructors will back me up. I would rather investigate it, even if I am wrong and be able to sleep at night than to do nothing and have something tragic happen and be unable to live at myself.

This IS waaaaaaayyyyy too fishy!

My first question woud be proof of a MVA.... if proof was a airbag invovled???? If MVA was sooooooo bad how was it the child was the only hurt if properly in a car seat ..... SMELLS LIKE TUNA that has been under a rose bush to meeeee..... Has CPS been notified just as a paper trail investigation ??? Patient advocacy is and should be of utmost importance if you have a strong feeling about this .....

I have a question. Has anyone here actually reported this type of thing to CPS and was anything done about it. I know in California (where I used to live) had a terrible CPS. Almost to the point that they were making things worse.

I agree things do not add up.

But but I am more suspicious over the babys injuries than I am over the parents or the babys behavior. It is impossible to predict how a parent will react or to judge what is "normal"...when my (now) 19 yo was 11 months old he ran across the room, tripped over the carpet and knocked his front teeth out on a step...I was not able to even look at him to see how bad the damage was...we went to the ER and I couldn't go in the room with him. When Andrea was 4 yo she was hit by a car in front of our house...I stood in the doorway and screamed for her Dad & sent him out...I couldn't even go out to her, Dad rode in the ambulence. One thing I learned from my kids experiences and had confirmed since I became a nurse is that it is fairly common for children (even babies) who have "sustained trauma" even if the injuries are not serious like scrapes, cuts, bumps, fx, knocked out teeth (but involves a big scare) to react by becoming quiet & passive (and will even go to sleep).

Specializes in Research,Peds,Neuro,Psych,.

Definately something very fishy...

I don't think you have to be a nurse to make an anonymous call about this. I have know ward clerks in our hospital to make calls to the abuse hotline. It very difficult to injure a child secured in a car seat. Yes, follow your instincts.

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