Voices from the Nursing Frontline
Recognizing the Signs: From Suspicion to Action with Andrea Sebastian, Part Two
April 15, 2026
Recognizing possible child maltreatment is only the first step—what comes next can be just as critical. In this continuation of our Child Abuse Prevention Month series, Dr. Lisa Beasley and pediatric nurse practitioner Dr. Andrea Sebastian explore what happens after a provider recognizes concerning injuries in a child. The conversation focuses on the real-world responsibilities of mandatory reporters, including the difference between proof and reasonable suspicion, and why action must be taken even when certainty is not possible. Together, they break down: What “reasonable suspicion” actually means in practice Who determines whether abuse occurred (and who does not) How to document injuries clearly and objectively The role of photographs and body maps in clinical care How reporting to CPS and law enforcement works in Tennessee What information providers need before making a report How to communicate with families in a trauma-informed, non-accusatory way Why early reporting can change outcomes and save lives This episode emphasizes a central message for all healthcare providers: trust your clinical judgment, act on concern, and prioritize child safety through timely, responsible reporting. April is National Child Abuse Prevention Month. Awareness begins with knowledge—and action protects children.
Key Topics Covered:

Key Takeaway:
 Healthcare providers are mandated reporters who act on suspicion, not proof. Prompt, objective reporting can protect children and improve long-term outcomes.

Brought to you by:
 Tennessee Center for Nursing Advancement