U.S. Department of JusticeOffice on Violence Against Women, “A National Protocol Sexual Assault Medical Forensic Examinations” Remember, you can stop, pause, or skip a step at any time during the exam. Experts recommend the SANE explain each of the steps to the victim before they occur. Collect a urine sample from the victim for drug testing, also called toxicology. The test content outline and the references, which are listed in the current Certification Examination Handbook, are great starting points for your study plan.. An exam prep guide with practice questions is available through the Association's Education Department's Online Learning Center. Specially Trained SANE Nurses Dedicated to the Patient. It may be helpful to have someone to support you during this time. Studying for the Exam. STEP 3: Medical History is taken. The medical forensic examination is an integral component of this response. The steps below outline the general process for the exam. Note any areas of injury including bruising, bite marks, and scratches. Learn more about our forensic nursing MSN program. View all blog posts under Articles | In some communities, SANEs are called Forensic Nurse Examiners. A SAFE is typically a medical/forensic exam that includes a physical exam, genital exam, and collection of swabs and samples to preserve evidence of a sexual assault. Why doctors perform a medical examination. The Association has resources to help you prepare for the certification exam. A study by the U.S. Government Accountability Office (GAO) found a severe shortage of SANE trained nurses. Find help and the resources you need. When a sexual assault survivor comes to a SANE-certified hospital or community health center, a sexual assault nurse examiner is the first point of care, ... Steps to SANE Certification. Assault within 5 days (120 hours) unless only oral/anal penetration (then must be within 24 hours) 2. IAFN's Sexual Assault Forensic Exam Technical Assistance Projects: www.safeta.org and www.kidsta.org provide technical assistance (information about sexual assault medical forensic examination practice, policy, procedure, and more), especially in regard to the National Protocol for Sexual Assault Medical Forensic Examinations of Adults and Adolescents (US DOJ, 2013) and the … What is a Forensic Medical Exam? If the assault has occurred within 3 days, it is best if your child does not shower, bathe, or change clothes— even if they have, they can still get care and have a MA PEDI Kit done. A SANE, advocate, or law enforcement officer should let you know how long the evidence will be stored and the state’s rules for disposing the kit. Complete the treatment authorization forms for the evidence to be collected and released to law enforcement. Obtain swabs of the victim’s rectum area using 4 cotton swabs. View all blog posts under Master of Science in Nursing | At the same time, the backlog of 175,000 rape kits throughout the United States and the shortage of forensic nurses have impacted the overall outcomes, victim advocates say. “A timely, high-quality medical forensic examination can potentially validate and address sexual assault patients’ concerns, minimize the trauma they may experience, and promote their healing,” the Justice Department said. The purpose of the sexual assault forensic medical exam is to assess a victim's health care needs, coordinate treatment of any injuries and collect evidence for potential use during case investigation and prosecution (U.S. Department of Justice, 2004, pp. “It is probably one of our single greatest challenges in sexual assault services,” Ann Burdges, CEO and executive director of the Gwinnett Sexual Assault Center in Duluth, Ga., told the Atlanta Journal-Constitution. 1: Introduction to the SANE Program Development and Operation Guide; 1.1. It is entirely your choice. STEP 2: Patient’s Information is taken. The so-called anonymous or “Jane Doe” rape kit exam allows victims to undergo the exam and treatment with the option to later report the crime to law enforcement. What is a SANE? Call 800.656.4673. Complete the victim’s medical history forms. The exam must be performed with the utmost care and compassion while ensuring the work gets done, healthcare professionals say. Collect the underpants worn at the time of and after the assault. Remove pubic hairs from the victim for comparison. After sexual assault, a medical exam can check for help check for injuries, even those you may not be able to see. The exam must be performed with the utmost care and compassion while ensuring the work gets done, healthcare professionals say. No words to express my gratitude—you made it all such a pleasant experience. Use the restroom. The university offers a collaborative program with its Cyril H. Wecht Institute of Forensic Science and Law, to meld the nursing curriculum with investigative techniques. Typically, sexual assault forensic exams are performed in hospital settings. Researchers found the chances of a prosecution increases when the rape kit is performed by a SANE over untrained healthcare professional. You may choose to have a sexual assault forensic exam, sometimes known as a “rape kit,” to preserve possible DNA evidence and receive important medical care. Our specially trained, trauma-informed staff provide both individual and group supportive counseling to survivors of sexual assault, as well as their supportive loved ones. What is a SANE? It has already been used successfully in several jurisdictions across the country, allowing each community to know how many sexual assault cases treated by the SANE program reach prosecution and result in a conviction. All services provided by Wayne County SAFE are free and confidential. The medical exam following a sexual assault is typically only carried out when there is a physical injury. For Registered Nurses (RNs), the first step to training as a SANE is taking coursework toward a master’s in nursing (MSN) with a specialty in forensic nursing. Use Personal Protection Equipment (gloves) while collecting evidence to prevent cross-contamination and change gloves frequently during the sexual assault exam. Sexual Assault Nurse Examiner: A Registered Nurse (including advanced practice nurses) who has been specially trained to provide comprehensive sexual assault care, including evidence collection and testimony, in keeping with the International Association of Forensic Nurses SANE … After the kit is completed and given to the proper authorities, the nurse examiner may be called into court to testify on the evidence provided. MSAECK (Massachusetts Sexual Assault Evidence Collection Kit) and sent to a crime lab for evaluation. Sex offenders use physical and/or psychological aggression or coercion to victimize, in the process often threatening a victim’s sense of privacy, safety, autonomy, and well-being. The SANE nurse records the victim’s account of the assault and can testify at any legal proceedings. DNA evidence from a crime like sexual assault can be collected from the crime scene, but it can also be collected from your body, clothes, and other personal belongings. View all blog posts under Forensic Nursing | The patient may be feeling a multitude of emotions at the time including anger, shame, fear, and anxiety. The Medical Forensic Exam Payment TA project was supported by Grant No.2018-TA-AX-K014 awarded by the Office on Violence Against Women, U.S. Department of Justice. Typically, sexual assault forensic exams are performed in hospital settings. A Sexual Assault Nurse Examiner (SANE) is a registered nurse who has been specifically trained to provide comprehensive care to sexual violence victims. Education: To become a certified SANE, a nurse must have the minimum of a registered nursing (RN) license. Collect outer clothes and place them into the provided paper bag. 30-2). Behavioral changes may involve Some jurisdictions also request photographic evidence to be included. SANE Exam Secrets is our exclusive collection of the tips and the information that we have specially selected to give you the best results on the SANE test for the least time spent studying. The SANE is trained to identify physical trauma, document injuries, collect evidence and maintain the chain of custody, and provide necessary referrals. The U.S. Office of Justice, a branch of the DOJ that focuses on crime prevention, recommends victims be treated as emergencies at hospitals, meaning their treatment and caretake priority. They follow procedures set by local jurisdictions, the IAFN, and the U.S. Department of Justice (DOJ) to collect information to be used in legal proceedings. It is entirely your choice. Remember, you can stop, pause, or skip a step at any time during the exam. These are RNs who have at least 2 years of clinical practice under their belts and have completed the appropriate SANE training as mandated by the International Association of Forensic Nurses' (IAFN) SANE Education Guidelines . Place your belongings, including the clothes you were wearing, in a paper bag to safely preserve evidence. For survivors of sexual assault, medical exams can bring on added layers of stress. + 2 : 7 2 % ( & 2 0 ( $ 4&96"- "44"6-5 /634& &9". For SANEs, other goals of sexual assault and rape testing include assessing and treating injuries, preventing sexually transmitted diseases and pregnancy, and offering psychological support. If you have done any of these activities, you can still have an exam performed. Preserving evidence keeps a survivor’s options open. If the victim changed clothes prior to the exam, law enforcement should be notified to collect the evidence. The Medical Forensic Exam Payment TA project was supported by Grant No.2018-TA-AX-K014 awarded by the Office on Violence Against Women, U.S. Department of Justice. The World Health Organization (WHO) in 2010 defined sexual violence as any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances or acts to traffic, or otherwise directed against a persons sexuality using coercion, by any person regardless of their relationship to the victim, in any setting including but not limited to home and work (11). The Atlanta Journal-Constitution, “This is why no trained nurses may be available to help rape victims in Georgia”, View all blog posts under Articles | View all blog posts under Forensic Nursing | View all blog posts under Nursing Education and Faculty Role, Because undergraduate nursing education provides the foundation for forensic nursing, learning about Read More about Nurse Educators Integrating Social Justice in the BSN Curriculum for the Forensic Nursing Field, View all blog posts under Forensic Nursing | View all blog posts under Webinars, Dr. Kathleen Sekula, walks potential students through the different degree and certificate option Read More about Forensic Nursing Program Overview, View all blog posts under Articles | View all blog posts under Forensic Nursing | View all blog posts under Master of Science in Nursing, For years, Native American women have been murdered and sexually assaulted at rates higher than othe Read More about Nurses and the Tribal Forensic Healthcare Project. Immediate care. ***** Subscribe! Rape is never your fault, no matter the circumstances. Office of Justice Program, “BEFORE THE EXAMINATION BEGINS – PROVIDING PATIENT-CENTERED CARE” All steps of the MA Pedi Kit are minimally invasive and should not cause the child any pain or discomfort. The SANE Evaluation Toolkit is a step-by-step guide for SANE programs to examine their impact on prosecution outcomes. Evidentiary exam The SANE nurse or other Gundersen medical personnel (Emergency Services physicians or nurses) first assess the patient's need for urgent or emergency medical care. Coordinate follow-up care with counseling services and victim-compensation programs. Complete the evidence-collection checklist. Forensic nurses who are certified as sexual assault nurse examiners (SANEs) follow scientific and legal procedures to collect evidence and ensure the quality of care for the victims. If you call the National Sexual Assault Hotline (800.656.HOPE) or contact a local sexual assault service provider, you may be connected with an advocate who can talk to you about the examination and offer support. Obtain swabs of the victim’s cervix, vaginal or penile areas using 4 cotton swabs. Increase the capacity to provide sexual assault services at rural hospitals and clinics by covering the cost of supplies and equipment If you think that you may have been sexually assaulted, there are options. You may have heard the term “rape kit” to refer to a sexual assault forensic exam. The amount of time an evidence kit will be stored varies by state and jurisdiction. When sexual assault victims arrive at an emergency department, one of the first people they encounter is a forensic nurse who is trained to gather information from the crime. Sexual assault can result in … Importance of DNA in Sexual Assault Cases, The Importance of DNA in Sexual Assault Cases, Bags and paper sheets for evidence collection. To find a location near you that performs sexual assault forensic exams, call the National Sexual Assault Hotline at 800.656.HOPE (4673) or talk to your local sexual assault service provider. The leading programs prepare students for the SANE certification exam through the International Association of Forensic Nurses (IAFN). Ex: Last menstrual period, Consensual Sex within the last 96 hours, condom used, date of the assault, time of assault, alcohol/drugs involved, name of the accused, etc. The contents of the kit vary by state and jurisdiction and may include: If you are able to, try to avoid activities that could potentially damage evidence such as: It’s natural to want to go through these motions after a traumatic experience. Emergency Department Procedures For Sexual Assault Nurse Examiners, about Nurse Educators Integrating Social Justice in the BSN Curriculum for the Forensic Nursing Field, about Nurses and the Tribal Forensic Healthcare Project, Online Master of Science in Nursing (MSN) Programs, Online Doctor of Nursing Practice (DNP) Programs, Online Post-Master’s Nursing Certificates, master’s in nursing (MSN) with a specialty in forensic nursing, Master’s in Nursing program teaches forensic science skills, U.S. Department of JusticeOffice on Violence Against Women, “A National Protocol Sexual Assault Medical Forensic Examinations”, Office of Justice Program, “BEFORE THE EXAMINATION BEGINS – PROVIDING PATIENT-CENTERED CARE”, North Carolina State, Bureau of Investigation, Department of Justice, “Sexual Assault Evidence”, The Atlanta Journal-Constitution, “This is why no trained nurses may be available to help rape victims in Georgia”, Nurse Educators Integrating Social Justice in the BSN Curriculum for the Forensic Nursing Field, Nurses and the Tribal Forensic Healthcare Project. If you have injuries that need immediate attention, those … SAFE’s Eloise House clinic provides 24/7 free sexual assault forensic exams and medical care. It's written in everyday language and is easy to use. Swab the victim’s oral cavity using the four provided cotton swabs. The opinions, findings, conclusions, and recommendations expressed in this Web Site are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women. The job of a nurse examiner doesn’t start and end with clinical care. Place a towel under the victim’s buttock and comb the victim’s pubic hair in downward strokes to collect any of the assailant’s pubic hairs. Ex: Name, Address, Date of Birth, etc. If you have questions about timing, statutes of limitation, or any other concerns, contact your local sexual assault service provider. A standardized process is imperative to ensuring victims get justice, experts say. Sexual assault is a crime of violence against a person’s body and will. Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. The term rape kit actually refers to the kit itself—a container that includes a checklist, materials, and instructions, along with envelopes and containers to package any specimens collected during the exam. Eligibility. The advocate may also be able to accompany you during the actual exam. You may want to bring a spare change of clothes with you to the hospital or health facility where you’re going to have the exam. Remove head hairs from the victim from various areas of the scalp for comparison. The steps below outline the general process for the exam. If you choose to have an exam, try not to: Bath or shower. In addition, forensic evidence collected during the examination—information gathered during the medical history, documentation of exam findings, and forensic Understanding how to report and learning more about the experience can take away some of the unknowns and help you feel more prepared. North Carolina State, Bureau of Investigation, Department of Justice, “Sexual Assault Evidence” Take a DNA sample from the victim’s inner cheek using a cotton swab. To speak with someone who is trained to help, call the National Sexual Assault Hotline at 800.656.HOPE (4673) or chat online at online.rainn.org. It’s important to note that the amount of time the kit is stored doesn’t necessarily match up with the amount of time that legal action can be taken against a perpetrator, also known as the statute of limitation. There is no pressure — […] STEP 1: Consent forms are discussed and signed prior to initiating the SANE exam.. The general procedure is as follows: The exam also typically includes immediate preventative treatment of sexually transmitted diseases and, possibly, emergency contraception. Victims are not required to report the crime to law enforcement to undergo a sexual assault forensic exam, commonly called a rape kit. The underpants should be placed in a separate paper bag. “We simply do not have enough trained skilled sexual assault nurse examiners in place.”. The medical examination following a sexual assault is a medical-legal assessment to establish the physical and mental state of the victim. “At the same time, it can increase the likelihood that evidence collected will aid in criminal case investigation, resulting in perpetrators being held accountable and further sexual violence prevented.”. Change clothes. To schedule an appt, call 313-964-9701 M-F 9a-5p. To talk confidentially about options, you can contact SAFEline by phone, text, or chat. Or have completed an adult/adolescent sexual assault nurse examiner education program with at least 64 hours of coursework or the national equivalent; Have completed a sexual assault nurse examiner clinical preceptorship; Have practiced as a SANE and/or have provided clinical instruction for SANEs for at least 300 hours within the last three years. Classes that focus on criminal law, healthcare ethics, and forensic science are intended to prepare graduates for a challenging career in forensics. It is designed to address victims’ health care needs and promote their safety and healing. Our specially trained SANE nurses care for sexual assault victims with dignity, help them plan their next steps, and collect evidence for law enforcement. An 11-year Sexual Assault Forensic Examiner walks us through the contents of a rape kit and the steps of the evidence-collection process. With a delay in collection and examination of forensic evidence of victims of sexual assault leading to lesser convictions, the National Human Rights … Not every hospital or health facility has someone on staff that is specially trained to perform a sexual assault forensic exam and interact with recent survivors of sexual assault. A Sexual Assault Nurse Examiner is a registered nurse who completed additional education and training to provide comprehensive health care to survivors of sexual assault. Duquesne University’s online Master’s in Nursing program teaches forensic science skills that can be used in several forensic nursing fields, including as a sexual assault nurse. Complete the form to download the brochure. Read these Sexual Assault Instructions completely prior to starting the sexual assault exam. The length of the exam may take a few hours, but the actual time will vary based on several different factors. A SANE’s job begins when the victim reports a sexual assault or rape, either by contacting law enforcement or visiting a hospital. A unique and important specialized pathway related to forensic nursing is the Sexual Assault Nurse Examiner (SANE). If a survivor is considering pursuing legal charges there are steps to preserve the evidence a Sane Nurse can collect. When you call the National Sexual Assault Hotline at 800.656.HOPE (4673) you will be directed to a facility that is prepared to give you the care you need. In most cases, DNA evidence needs to be collected within 72 hours in order to be analyzed by a crime lab—but a sexual assault forensic exam can reveal other forms of evidence beyond this time frame that can be useful if you decide to report. Criteria for having a SANE exam: 1. The SANE must ensure the kit follows the chain of custody, or the chronological documentation that outlines how the evidence was handled and preserved. Preserving DNA evidence is a key tool for law enforcement to investigate and prosecute crimes of sexual violence. Deanna Booker, RN discusses how nurses can receive this certified training and why it's important for the community. Studies have found trained sexual assault nurses offer victims empathy and compassion and empower them with a sense of control. Once the exam is completed, all of the evidence must be packaged and sealed. A rape kit may also be referred to as a Sexual Assault Evidence Kit (SAEK). The sexual assault exam is always done by one of the SANE nurses who receive more than 80 hours of training. Read: The Differences between Sexual Abuse and Rape. In order to be eligible for the exam, the IAFN requires all interested individuals to have: completed an adult/adolescent sexual assault nurse examiner (SANE) nursing education comprised of at least 40 hours (in the form of coursework or contact hours) So while our SANE nurses have to be technically skilled evidence collectors, they are also compassionate and respectful of the patient's dignity during every step of the examination. I celebrate you and thank you. The sexual assault evidence collection kit (SAECK), once called Vitullo kit after the Chicago Police sergeant who created it comes in a sealed package with an expiration date and directions for the multi-step procedure. The online MSN degree program lets professionals finish their coursework anywhere. Also, fill out the sexual assault data form as required by individual state mandates. What is the Purpose of a Sexual Assault Forensic Medical Examination? What happens during a sexual assault forensic exam? Be aware that if you invite someone other than an advocate into the exam room, they could be called as a witness if you decide to report the crime. A reliable chain of custody is essential to any legal proceedings. You don’t have to report the crime to have an exam, but the process gives you the chance to safely store evidence should you decide to report at a later time. Trained Sexual Assault Nurse Examiners or physicians perform the exams and can provide immediate medical care by treating injuries and offering information about sexually transmitted infections and pregnancy. These specially trained nurses, who are certified by the International Association of Forensic Nurses (IAFN), work to address and validate patient concerns, minimize trauma, and promote healing. The opinions, findings, conclusions, and recommendations expressed in this Web Site are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women. View all blog posts under MSN Post-Master's Certificates. Truly elevating, truly healing. Among the reference works for the SANE-A exam are some articles that may be available to read or to order on line, such as the “Sexual assault nurse examiner education guidelines” from the IAFN itself and the U.S. Department of Justice Office on Violence Against Women publication “A National Protocol on Sexual Assault Medical Forensic Examinations: Adults/Adolescents.” Into the provided paper bag to safely preserve evidence obtain swabs of the victim changed clothes prior to the may! Shame, fear, and forensic science are intended to prepare graduates a! Importance of DNA in sexual assault nurse Examiners someone to support you during the exam law... To: Bath or shower, medical exams can bring on added layers of stress no words to express gratitude—you! Easy to use oral/anal penetration ( then must be performed with the utmost care and compassion while the... 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