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California suspicious injury report

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The person making this report shall not be required to disclose his/her identity to their employer PC 11160. Part A PATIENT WITH SUSPICIOUS INJURY 1. PATIENT S NAME Last First Middle 2. BIRTH DATE 3. GENDER M 5. PATIENT S RESIDING ADDRESS Number and Street / Apt NO P. O. Box City State 6. PATIENT SPEAKS ENGLISH Y 4. SAFE PHONE NUMBER F Zip 7. DATE AND TIME OF INJURY N Identify language spoken 8. LOCATION / ADDRESS WHERE INJURY OCCURRED IF AVAILABLE Date Time am pm Unknown Check here if unkno ...

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What are 5 suspicious injuries that should be reported?

Types of Suspicious Injuries Bedsores. Malnutrition / Dehydration. Bruises and abrasions. Infections and fevers. Medication issues. Frequent falls and unexplained fractures. Unsanitary conditions. Unexplained genital infections (sign of sexual abuse)

What is a suspicious injury report?

Health care providers are required to make a report if they provide medical services for a physical condition to a patient whom they reasonably suspect is suffering from a physical injury due to a firearm, or from assaultive or abusive conduct inflicted upon the person.

What are two ways to tell the difference in abuse and accidental injury?

For example, welts caused by beating a child with an electrical cord might be loop shaped; a belt might cause bruises in the shape of the buckle. Accidental marks resulting from bumps and falls usually have no defined shape.

What constitutes a suspicious injury?

Suspicious Injury Includes any wound or other physical injury that either was: Inflicted by the injured persons own act or by another where the injury is by means of a firearm, OR Is suspected to be the result of assaultive or abusive conduct inflicted upon the injured person.

What is a non-accidental injury?

Non-accidental injury or physical abuse is any bodily injury that is deliberately inflicted on a vulnerable person that is considered unacceptable in a given culture at a given time. This may include hitting, kicking, burning, biting or choking.

Which of the following questions should you ask yourself to determine whether an injury is suspicious?

Suspicious Injuries: Telling the Difference Between Potential Abuse and Accidental Injury. How did it happen? Whats the location of the injury? Whats the extent of the injury? ( Whats the injurys size and shape? Could a medical condition have caused the injury? Accidents happen with everyone.

What is the Cal OES 920 form?

This is the official form (Cal OES 2-920) for submitting the written report. This form is used by law enforcement only and is confidential in ance with Section 11163.2 of the Penal Code. In no case shall the person identified as a suspect be allowed access to the injured persons whereabouts.

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What are 5 suspicious injuries that should be reported?

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Which of the following questions should you ask yourself to determine whether an injury is suspicious?

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Get the up-to-date ca suspicious injury report 2024 now

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The fastest way to redact Ca suspicious injury report online

Complete this form in 5 minutes or less

Got questions?

What are 5 suspicious injuries that should be reported?

What is a suspicious injury report?

What are two ways to tell the difference in abuse and accidental injury?

What constitutes a suspicious injury?

What is a non-accidental injury?

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People also ask

Which of the following questions should you ask yourself to determine whether an injury is suspicious?

What is the Cal OES 920 form?

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