Nursing Review Issue 6 | Nov-Dec 2017 | Page 19

clinical practice Bruising, on the other hand, is one of the most common and readily visible injuries resulting from intentional injury. However, it may be overlooked because it is deemed to be clinically insignificant or ‘minor’. The TEN-4 rule uses a combination of anatomy and age to predict inflicted injury (Pierce, 2009). It describes bruising on the torso, ears and neck (TEN) or bruising anywhere on a child younger than and including four months of age, as a red flag that may be indicative of intentional injury. TEN-4 also includes any of the TEN areas on a child younger than four years of age. Patterns, shapes and numbers of bruising, and those away from bony prominences, should always be of concern to ED nurses. RECOGNITION AND REPORTING Throughout Australia, nurses are bound by law to report cases where intentional injury and sexual abuse are suspected. Each state and territory has its own legislation stipulating who is mandated to report suspected cases of harm or risk of harm. Most paediatric hospitals have their own internal child advocacy services which offer inve