TEN 4 Week 2026 Recap – Kentucky and Beyond

This October 4th, the Kosair For Kids Face It Movement once again raised awareness to the critically important TEN-4-FACESp Bruising Rule and emphasized the importance of adults knowing the signs and symptoms of child abuse and how to report it. The Stanley Manne Children’s Research Institute at Lurie Children’s is the pioneer of this clinical rule. It is based on two decades of children presenting in the ER with injuries. They saw a common set of injuries in those children who were diagnosed with non-accidental trauma.

In addition to the TEN-4-FACESp Bruising Rule and Pediatric Abusive Head Trauma trainings hosted for hundreds of professionals and the many elected leaders across Kentucky who proclaimed Sunday, October 4 as TEN-4 Day 2026, efforts have spread across the nation through the Face It Movement’s partnership with Lurie Children’s, Massachusetts General Hospital, and the University of Wisconsin.

We are celebrating as TEN-4 Day 2026 was recognized by the Governors in Kentucky, Massachusetts, Montana, and North Carolina. TEN-4 Day and awareness of the bruising rule were also recognized through many efforts in Colorado, Illinois, Missouri, Ohio, Oklahoma, Tennessee, Virginia, and Wisconsin!


Inova Health led a special presentation on their research and systemwide implementation of the TEN-4-FACESp bruising rule using implementation science. This session offered collaborative strategies and implementation tools as well as practical skills provided by a hospital system that implemented the TEN-4 FACESp bruising clinical decision rule across 12 Emergency Departments and how that may help other organizations implement TEN-4-FACESp within their own clinical settings.

Jesse’s Law North Carolina held Jesse’s Rally for Change and TEN-4 Day where advocates, experts, family members, State Representative Maria Cervania, professionals, survivors and supporters all gathered to remember those murdered by domestic violence and impacted by abuse, recognize and discuss the types of abuse and their effects, and prevent abuse by raising awareness of TEN-4 FACESp/TEN-4 Day and Jesse’s Law North Carolina.


Thank you to all who participated in TEN-4 Day (and events throughout the week!) by making child abuse prevention a priority. Together, we can end child abuse across the nation. Learn more about the TEN-4- FACESp Bruising Rule and how you can stay involved throughout the year in our newest website at TEN4Day.com. 

If you or your team hosted a community event or training, obtained a proclamation, posted on social media, or acknowledged TEN-4 Day in any other ways, please take 1-2 minutes to complete this form so that we can spotlight your efforts and continue to grow this national movement.