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<div class=3DSection1>

<p class=3DMsoNormal><span style=3D'font-size:18.0pt;font-family:Arial'>Chi=
ld Abuse
Recognition and Reporting<o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Poli=
cy:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;mso-bidi-font-size:12.=
0pt;
font-family:Arial'>Child abuse is the physical or mental injury, sexual abu=
se,
negligent treatment, or maltreatment of a child under the age of 18 by a pe=
rson
who is responsible for the child&#8217;s welfare.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The recognition of abuse and the p=
roper
reporting is a critical step to improving the safety of children and preven=
ting
child abuse.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Purp=
ose:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Asse=
ssment
of a child abuse case based upon the following principles:<o:p></o:p></span=
></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<ul style=3D'margin-top:0in' type=3Ddisc>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><b><u><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Protect</span></u></b><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
> the
     life of the child from harm, as well as that of the <st1:place w:st=3D=
"on">EMS</st1:place>
     team.<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><b><u><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Suspect</span></u></b><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
> that
     the child may be a victim of abuse, especially if the injury / illness=
 <span
     class=3DGramE>is</span> not consistent with the reported history.<o:p>=
</o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><b><u><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Respect</span></u></b><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
> the
     privacy of the child and family.<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><b><u><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Collect</span></u></b><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
> as
     much evidence as possible, especially information.<o:p></o:p></span></=
li>
</ul>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc=
edure:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level4 lfo2;
tab-stops:list 22.5pt'><![if !supportLists]><span style=3D'font-size:10.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>1.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>With all children, assess for and document
psychological characteristics of abuse, including excessive passivity,
compliant or fearful behavior, excessive aggression, violent tendencies,
excessive crying, fussy behavior, or other behavioral disorders.<o:p></o:p>=
</span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;tab-stops=
:list 22.5pt'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level4 lfo2;
tab-stops:list 22.5pt'><![if !supportLists]><span style=3D'font-size:10.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>2.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>With all children, assess for and document physic=
al
signs of abuse, including especially any injuries that are inconsistent with
the reported mechanism of injury.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>The back, buttocks, genitals, and face are common sites for abusive =
injuries.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;tab-stops=
:list 22.5pt'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level4 lfo2;
tab-stops:list 22.5pt'><![if !supportLists]><span style=3D'font-size:10.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>3.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>With all children, assess for and document signs =
and
symptoms of neglect, including inappropriate level of clothing for weather,
inadequate hygiene, absence of attentive care giver(s), or physical signs of
malnutrition.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;tab-stops=
:list 22.5pt'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level4 lfo2;
tab-stops:list 22.5pt'><![if !supportLists]><span style=3D'font-size:10.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>4.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>With all children, assess for and document signs =
of
sexual abuse, including torn, stained, or bloody underclothing, unexplained
injuries, pregnancy, or sexually transmitted diseases.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;tab-stops=
:list 22.5pt'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level4 lfo2;
tab-stops:list 22.5pt'><![if !supportLists]><span style=3D'font-size:10.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>5.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>With all children, assess for and document any in=
fant
resuscitation that could be the result of &#8220;shaken baby&#8221; syndrom=
e.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;tab-stops=
:list 22.5pt'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level4 lfo2;
tab-stops:list 22.5pt'><![if !supportLists]><span style=3D'font-size:10.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>6.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>With all children assess for and document element=
s of
dangerous or unhealthy environments; and children endangered by domestic
violence or impaired adults.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;tab-stops=
:list 22.5pt'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:-.25in;mso-list:=
l0 level4 lfo2;
tab-stops:list 22.5pt'><![if !supportLists]><span style=3D'font-size:10.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial;mso-fareast-font-family:Arial'>=
<span
style=3D'mso-list:Ignore'>7.<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Immediately report any suspicious findings to both
the receiving hospital (if transported) and to the Catawba County Departmen=
t of
Social Services - Child Protective Services Division.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>During office hours the Child Prot=
ective
Services intake worker can be contacted at (828) 324 - 9111.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>After office hours Child Protective
Services intake worker can be contacted through the <st1:place w:st=3D"on">=
<st1:PlaceName
 w:st=3D"on">Catawba</st1:PlaceName> <st1:PlaceType w:st=3D"on">County</st1=
:PlaceType>
 <st1:PlaceName w:st=3D"on">Communications</st1:PlaceName> <st1:PlaceType w=
:st=3D"on">Center</st1:PlaceType></st1:place>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><b>This is a legal requirement to
report, not an accusation</b>.<o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

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