Community nursing staff

Community nursing staff

When community nursing staff have concerns giving rise to suspicion of abuse they will:

  • Take appropriate action to ensure the safety of the child and siblings in the household.
  • Discuss your concerns with your line manager, named or designated nurse or child protection supervisor
  • In the case of a school nurse all concerns must be discussed with the Head Teacher or Designated Teacher for the school who will then be responsible for further action. The school nurse should also inform their line manager, named or designated nurse or child protection supervisor
  • Establish whether a CAF has been completed and if there is a team around the family
  • Establish whether the child or siblings is subject to a child protection plan
  • If appropriate make referral to Children’s Social Care using a multi agency referral form. In emergencies a verbal referral may be made but this must be followed up in writing within 48 hours.
  • The Initial Response Service should respond in writing within 24 hours of receiving your referral. If there is no response you should contact them again.
  • Be open with parents and carers re the need for referral and where possible obtain parental consent for referral to Children’s Social Care unless this would place the child at increased risk of abuse. The interests of the child are paramount and initiating child protection procedures should not be prevented by failure to obtain consent.
  • A joint visit may be necessary. The visit should be pre planned, structured with mutually agreed actions / outcomes. This should be conducted prior to arrival at the clients address.
  • If appropriate, arrangements should be made to have the child medically examined by a Paediatrician, this should be arranged by the Social Worker. In exceptional circumstances it maybe necessary for the community nurse to organise such a medical. In such cases advice should be sought from a Designated or Named Professional.
  • Ensure that a comprehensive detailed entry has been made on all relevant nursing records and completed with date, times, full signature and designation, within 24 hours of the incident. Detail/illustrate any wounds/marks/bruises including shape, size, colour on a body map. When case notes are not available, a contemporaneous record must be made and added to the records at the earliest opportunity.
  • The entries must also include details of all discussions, decisions, actions agreed and responsibility for carrying out the actions.
  • Attend Strategy Meeting and Child Protection Conference with prepared detailed report of professional involvement and the findings of the reported incident
  • Complete relevant post conference report and submit copy to appropriate seniors follow internal Trust procedures
  • Ensure GP is informed of all actions in respect of the incident.
  • The Designated Nurse/Named Nurse for the area can be contacted for advice and support at any point in the process.