Sexual Assault and Abuse Response Team Regional Guidelines ... · Sexual Assault and Abuse Response...
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Sexual Assault and Abuse Response Team Regional Guidelines v3; Update 10/16 LE = Law Enforcement MSTH = Methodist Specialty & Transplant Hospital RAINN = Rape, Abuse & Incest National Network RCC = Rape Crisis Center SA = Sexual Assault SANE = Sexual Assault Nurse Examiner MEDCOM (210) 233-5815 MSTH (210) 575-8168 RAINN Hotline (800) 656-HOPE San Antonio Rape Crisis Ctr (210) 349-7273 > For Military Personnel call San Antonio Military SARC Hotline (210) 808-7272 Acronyms: Phone Numbers Adult (> 18 years of age) Sexual Assault Patient Kayce Ward, MSN, RN SANE-A, CA-CPSANE Program Coordinator Forensic Nursing Services Methodist Specialty & Transplant (210) 575-8343 [email protected] Does the SA patient present with Priority 1 Trauma (1-Red or 2-Blue Trauma Criteria)? YES Call MEDCOM (210) 233-5815 for immediate transfer to L1 Trauma Center. SA <96 hours, wants LE involved & SANE forensic exam. Medical Screening Exam to include offer of emergency contraception RX, ABXs offeres of Zithromax 1 Gm PO x 1; Rochephin 250mg IM x 1; Flagyl 2Gms PO with LFT WNL, Lab offers of HIV and Hepitis panel. Call SANE center is patient under the inffluance of drugs or alcohol. Treat injuries if any are present. Patient will only be seeing SANE nurse who is unable to order treatments. Call MSTH SANE (210) 575-8168 for possible referral. Patient declines referral for sexual assault exam. Call MSTH SANE (210) 575-8168 for evaluation of possible outcall within Bexar County. Examination conducted by trained staff. Call RAINN (800) 656-HOPE. NO SA <96 hours, does not want LE but wants SA forensic exam non-report option. SA patient does not want LE or SA forensic exam. Cynthia A. Garcia, MSN, RN SANE-P, CA-CPSANE Forensic Nurse Program Manager Christus Santa Rosa Health System (210) 704-3330 [email protected]
Transcript of Sexual Assault and Abuse Response Team Regional Guidelines ... · Sexual Assault and Abuse Response...
Sexual Assault and
Abuse Response Team
Regional Guidelines v3; Update 10/16
LE = Law Enforcement
MSTH = Methodist Specialty &
Transplant Hospital
RAINN = Rape, Abuse & Incest
National Network
RCC = Rape Crisis Center
SA = Sexual Assault
SANE = Sexual Assault Nurse
Examiner
MEDCOM (210) 233-5815
MSTH (210) 575-8168
RAINN Hotline (800) 656-HOPE
San Antonio Rape Crisis Ctr
(210) 349-7273
> For Military Personnel call
San Antonio Military SARC
Hotline (210) 808-7272
Acronyms:
Phone Numbers
Adult (> 18 years of age) Sexual Assault Patient
Kayce Ward, MSN, RNSANE-A, CA-CPSANEProgram CoordinatorForensic Nursing ServicesMethodist Specialty & Transplant(210) [email protected]
Does the SA patient present with Priority 1 Trauma (1-Red or 2-Blue Trauma Criteria)?
YES
Call MEDCOM (210) 233-5815 for immediate
transfer to L1 Trauma
Center.
SA <96 hours, wants LE
involved & SANE forensic exam.
Medical Screening Exam to include offer of emergency contraception RX, ABXs offeres of Zithromax 1 Gm PO x 1; Rochephin 250mg IM x 1; Flagyl 2Gms PO with
LFT WNL, Lab offers of HIV and Hepitis panel. Call SANE center is patient under the inffluance of drugs or alcohol. Treat injuries if any are present.
Patient will only be seeing SANE nurse who is unable to order treatments.
Call MSTH SANE (210) 575-8168
for possible referral.
Patient declines referral for sexual assault exam.
Call MSTH SANE (210) 575-8168
for evaluation of possible outcall within Bexar County.
Examination conducted by trained staff. Call RAINN
(800) 656-HOPE.
NO
SA <96 hours, does not want LE but wants SA
forensic exam non-report option.
SA patient doesnot want LE or
SA forensic exam.
Cynthia A. Garcia, MSN, RNSANE-P, CA-CPSANEForensic Nurse Program Manager
Christus Santa Rosa Health System(210) [email protected]
Sexual Assault and
Abuse Response Team
Regional Guidelines v3; Update 10/16
LE = Law Enforcement
RAINN = Rape, Abuse & Incest
National Network
RCC = Rape Crisis Center
SA = Sexual Assault
SANE = Sexual Assault Nurse
Examiner
MEDCOM (210) 233-5815
MSTH (210) 575-8168
RAINN Hotline(800) 656-HOPE
San Antonio Rape Crisis Ctr
(210) 349-7273
> For Military Personnel call
San Antonio Military SARC
Hotline (210) 808-7272
Pedi (< 17 years of age) Sexual Assault Patient
Acronyms:
Phone Numbers
Does the SA patient present with Priority 1 Trauma (1-Red or 2-Blue Trauma Criteria)?
YES
Call MEDCOM (210) 233-5815 for immediate transfer to L1
Trauma Center.
Acute: SA <96 hours, sexual assault medical forensic exam needed.
Patient denies pain or
bleeding and will be in a
safe environment
once discharged.
NO
Kayce Ward, MSN, RNSANE-A, CA-CPSANEProgram CoordinatorForensic Nursing ServicesMethodist Specialty & Transplant(210) [email protected]
Non-Acute: SA >96 hours, sexual assault medical forensic exam needed.
Call CPS (800) 252-5400 and LE to report
suspected abuse or assault and to obtain
approval for SANE exam.
CompleteMedical
Screening Exam.
Call Children's Hospital of
San Antonio ER for SANE referral(210) 704-2190.
Patient in pain, bleeding or
potential/actual unsafe
environment.
Call CPS (800) 252-5400 and/or LE to report suspected abuse or assault.
CompleteMedical Screening
Exam.
Provide advocacy information: RCC
Refer patient to Children's Hospital of
San Antonio Center for Miracles (210) 704-3800
during normal business hours to schedule an appointment
for a Non-Acute exam.
Cynthia A. Garcia, MSN, RNSANE-P, CA-CPSANEForensic Nurse Program Manager
Christus Santa Rosa Health System(210) [email protected]
NOYES
YES: LE approves
NO: LE did not approve SANE exam.
CompleteMedical Screening
Exam.
Refer to RCC or RAINN for
counseling.
Note: any trauma injury or mental health issue such as suicidal ideations takes precedence over the forensic exam.
