Recognizing and Reporting Abuse and Neglect

Patients in care can be harmed by anyone: family, visitors, other patients, or staff. Watch for:

• Physical abuse: hitting, pushing, rough handling, improper restraint
• Emotional abuse: threats, insults, isolation, humiliation
• Neglect: not providing food, water, hygiene, medicine or needed care
• Financial exploitation: taking money, property or using a patient's accounts
• Sexual abuse: any unwanted sexual contact

• Bruises, burns or injuries that do not match the explanation, or in different stages of healing
• Fear of a certain person, or a sudden change in mood or behavior
• Weight loss, dehydration, pressure sores, or poor hygiene
• Missing money or belongings, or sudden changes in finances
• A caregiver who will not let the patient speak alone with you

One sign is not proof. Your job is to notice and report, not to decide.

Healthcare workers are required by law to report suspected abuse or neglect. You do not need proof.

1. Make sure the patient is safe right now
2. Tell your supervisor immediately
3. Follow your facility's and your state's reporting steps. Many states set short deadlines, some within hours
4. Write down what you saw and heard, in the patient's own words where possible

Do not investigate on your own or confront the person you suspect. Reports made in good faith are protected by law.