Search Fred Hutch Extranet

Reporting and Documentation

If you suspect abuse of a patient, family member, caregiver or any child immediately contact the following people, who will follow-up with the proper authorities.

  • SCCA Social Worker at 206.288.1076 or the attending physician
  • After hours page Social Worker at 206.998.1437
  • Or after hours page Administrator On-Call at 206.982.3743

SCCA Policy

"The Seattle Cancer Care Alliance physicians, nurses, social workers, psychologists, pharmacists and any other SCCA staff member who may detect or otherwise observe instances of abuse of children or vulnerable adults or instances of abandonment, abuse, exploitation or neglect of vulnerable adults shall comply with state reporting regulations aimed at protected individuals that are dependent and cannot adequately care for themselves."

Understanding the Terms

  • Abandonment: Leaving a child or vulnerable adult without the means or ability to obtain food, clothing, shelter or health care.
  • Abuse: Willful action or inaction that inflicts injury, unreasonable confinement, intimidation, or punishment on a child or vulnerable adult.  Abuse includes sexual abuse, mental abuse, physical abuse, and exploitation of a child or vulnerable adult.
  • Neglect: Pattern of conduct resulting in deprivation of care necessary to maintain minimum physical and mental health. Negligent treatment or maltreatment is a dangerous act or omission, which constitutes a clear and present danger to the health, welfare and safety of a child or vulnerable adult.
  • Self-Neglect: The failure of a vulnerable adult, not living in a facility, to provide for himself or herself the goods and services necessary for the vulnerable adult's physical or mental well-being.
  • Exploitation: Act of forcing, compelling, or exerting undue influence over a vulnerable adult or child.  The illegal or improper use of a child, or a vulnerable adult and/or his/her resources for another person's profit or advantage.
  • Domestic Violence: Physical, sexual, verbal, and/or emotional abuse of an individual by an intimate partner or household resident.

Recognizing Abuse, Neglect or Exploitation

  • Patient or family member reports experiencing abuse, neglect or exploitation by another.
  • Staff witnesses threats, abusive or neglectful behavior, or violence toward the patient or family member.
  • There is a clinical staff assessment of the following:
    • Suspicious injuries or presentations.
    • Pattern of repeated Emergency Room visits; clinic visits, hospitalizations, or visits to multiple physicians with poor follow-through.
    • Evidence of or complaint of financial mismanagement of patient’s resources by another.
  • Clinical staff assesses more than one of the following:
    • Current problem with or history of serious psychosocial problems.
    • Questionable support system.
    • Nervous or unusual behavior when questioned about injury (e.g. poor eye contact or evasive answers; unusual urgent desire for admission or discharge).

A child includes a person who is…

  • Under the age of eighteen years of age.

What information will you be asked to provide if you make a report about child abuse?

  • Name, address and age of the child;
  • Name and address of the child's parents or guardians;
  • The nature of the injury or abuse;
  • Any evidence of previous incidences of abuse or neglect; and
  • Any other information which may be helpful.

A vulnerable adult includes a person who is…

  • 60 years of age or older who has the functional, mental or physical inability to care for himself or herself; or
  • An adult over the age of 18 who have been found incapacitated; or
  • An adult with a developmental disability; or
  • Living in a facility licensed or required to be licensed by the Department of Social and Health Services; or
  • Receiving services from home health, hospice, or home care agencies licensed or required to be licensed by law.

What information will you be asked to provide if you make a report about a vulnerable adult?

  • Identification of the adult;
  • The nature and extent of the suspected abuse, neglect, exploitation or abandonment;
  • Evidence of previous abuse, neglect, exploitation or abandonment;
  • Name and address of the person making the report; and
  • Any other helpful information including the identity of the perpetrator if known.

Abuse, Neglect and Exploitation Quiz Question

 
 a. SCCA Social Worker at 206.288.1076 or the attending physician
 b. After hours page Social Worker at 206.998.1437
 c. After hours page Administrator On-Call at 206.982.3743
 d. Any of the above
 
 a. Staff overhear conversation between a patient and family member regarding an incident of abuse of another patient
 b. Patient is slightly nervous when questioned about an injury
 c. Patient hits their head on a door at home and complains about the bump at their appointment
 d. Staff witnesses threats, abusive or neglectful behavior, or violence toward the patient or family member

Check Answers

+

Correct answers:

  1. d. Any of the above
  2. d. Staff witnesses threats, abusive or neglectful behavior, or violence toward the patient or family member