I want to let you all know about a patient encounter that occurred this morning. A father brought his 10-month-old son in for a “fall out of a bed, where he hit his head on toys”. The charge RN brought the child right back for a trauma eval. The resident and attending trauma cleared the baby, and he went to a room. The resident then evaluated the child and had the intention of observing the baby and giving him Tylenol. The father’s story was inconsistent with the child's presentation. The primary RN, Kelly, did not like the way the baby was behaving. He had an odd whimper that was not appropriate for a child of that age. Kelly did a full assessment. The baby had additional bruises on his hips and asked the father where the bruises were from. The father stated they must have been from the fall. Kelly was skeptical of the father’s story from the beginning and involved me early on. The baby was tachycardia, tachypnea and had lower 02 stats. The resident was not as convinced as Kelly thought that more was going on. Kelly approached another attending and expressed some concern. He told her to keep a close eye on the baby’s behavior and vital signs. Kelly decided to take a rectal temperature, thinking perhaps the baby was febrile, causing the symptoms. At this time, Kelly found additional bruising to his buttocks that was extremely concerning. She excused herself and told the father she needed to grab something. She told the attending she needed him in the room now. The attending saw her concerns. The baby’s vital signs were the same as at his arrival. The attending told the father the baby needed a chest X-ray and head scan, and then transferred the baby to St. Christopher's. Kelly called the child line. Kelly called X-ray and CT to expedite the imaging. She stayed with the child and kept cool, not to create additional concerns with the father. St. Chris arrived and was equally concerned. They stated they were not given how ill the child was during report. The baby was transported and admitted to PICU with elevated alcohol level a liver and kidney lac, his liver enzymes were in the 1000s and a sexual assault kit was done on the child. The parents have been banned from the hospital. Kelly never trusted the father of the child; she followed her intuition and utilized her critical thinking and clinical skills to push for the safety of this child. She is an excellent Nurse, and I thanked her for being confident enough to advocate for such a helpless little life.