We do have, and some of us on our station have used, referral forms for child, elderly and vulnerable adult abuse. I did think about putting one of these referrals in, but couldn't think what I would actually write as the description of the abuse. No pictures on walls? The only thing that I think I could have 'got' them on would have beenon the lack of a sheet, and their excuse would have been that they were changing the bed when I turned up (seeing as she was bleeding). So while I didn't put in anything formal, I did have a power-moan at the nurse in charge of the floor, letting her know that it just wasn't good enough. The referral form has been used with great effect before, but in this case it just didn't warrant it...