Patient safety is of utmost importance. Put yourself in this scenario. While you are completing an admission, you notice a number of unusual bruises and several abrasions on the patient. After reviewing the module resources, consider how you would approach the topic with the patient. What barriers prohibit the patient from opening up regarding the abuse, and how can you address these barriers through the assessment process? What is your responsibility if you suspect abuse? What educational resources are available to you as a nurse in your current setting (travel nursing) or in your state (New York)? What educational resources are available to the patient in your setting?

In order to be a good nurse, you must always approach situations that involve patient safety in a sensitive and caring manner. In the event that I observe unusual bruises or abrasions in the course of an admission I would discuss this with the patient, privately and without judgment. In order to show concern and care for my patient, I will ask them if their living conditions or home are safe. It is important to listen actively and patiently to the patient’s response and allow them to speak freely without interrupting.

There are many barriers to the patient speaking up, including fear of retaliation or a lack of trust. Other obstacles include shame, guilt or feeling trapped. In my role as a nurse I can help to overcome these obstacles by providing a supportive and safe environment where the patient feels comfortable disclosing any abuse. This can include asking open-ended question, offering emotional support and reassuring patients that safety is their top priority. To help make the patient more comfortable, I may also ask a support person such as a social work or nurse to assist.

It is my duty as a registered nurse to notify the authorities if I have any suspicions of abuse. This could be a supervisor, or an agency designated to handle such reports. New York requires nurses to report any abuse. Failure to do so could result in legal penalties. You should also document all observations and conversations related to any suspected abuse. These can later be used to prove the allegations.

My agency and professional organisations, such as American Nurses Association, National Council of State Boards of Nursing, can provide me with educational resources. The T