The single most useful safeguarding question is not “could this have happened?” but “could this child have done this?” Map a bruise on a labelled child and test it against TEN-4-FACESp, then set a mechanism against a developmental stage and an injury against the forces required to produce it. Finally, sort what the duty to report actually is from the four things students most often believe about it.
Examine the child
TEN-4-FACESp is a validated screen for bruising in children under 4 years. It flags bruises that warrant evaluation for abuse. It is a screen, not a diagnosis — the diagnosis of abuse is a multidisciplinary process.
The milestones on the right are the yardstick: rolling at about 4 to 6 months, sitting unsupported at 6 to 8, crawling at 7 to 10, cruising at 9 to 12, walking at 12 to 15.
Four features of the duty to report are commonly misunderstood, and so is what belongs in the notes. Decide which of these is how it actually works.
Correct calls0 / 0
Choose a siteClick a bruise site on the child
Waiting
Click a site on the figure to test it against TEN-4-FACESp.