Name: 急診科的性侵犯法醫檢查； (Forensic Sexual Assault Examinations in Emergency Departments)
Uploaded: 2021-01-14T06:00:48.000Z
Duration: 13 min 16 s
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sexual violence is prevalent throughout all of our communities

a victim can be of any age, gender, ethnicity, or economic class

程度副詞

each victim's experience in assault is extremely individualized

but what is universal is their need to be treated with dignity and respect

all while voluntarily participating in a forensic sexual assault medical

the medical profession has made great strides when it comes to providing

with the best possible care with the development and training of sexual

assault nurse examiners also known as "s.a.n.e.s" the use of these highly skilled and

specialized group of nurses has become the gold standard when it comes to

unfortunately, many communities are without access to sexual assault nurse

examiners until then adult victims of rape will receive their forensic

having a basic understanding of how to perform a proper forensic sexual assault

for any medical professional working in an emergency department

individuals assaulted within the previous seventy two hours

may present at the emergency department in several different ways

they may come by themselves with friends or family members they may be escorted

by a sexual assault advocate from a local rape crisis center. A victim may

also present accompanied by local law enforcement officer

no matter what path leads the victim to your emergency department

treating them with compassion understanding and professionalism is a

crucial component for each forensic medical examination

when a victim of sexual violence presents to an emergency department for

it is best practice to move them to a private waiting room or exam room as soon

most victims feel extremely exposed and vulnerable after an assault

having the victim avoid waiting for an examination in a community space

will help to cultivate a sense of report with the medical staff

and the feeling of safety and security for the victim

especially if they're being escorted by a law enforcement officer

this is very important since the victim will be asked to share details regarding

and they will undergo a physical examination that has the potential to

mirror the trauma that they just experienced. Sexual assault forensic

examination kids are provided at no cost to to emergency departments by the

Arkansas state crime lab out of Little Rock.

these basic kits provide the medical professional with essential steps to

collecting forensic evidence after a  sexual assault

the manner in which this exam is performed will create a lasting impact

At any point during the examination the victim has the right to refuse any parts

and or evidence collection as well as the right to stop the examination

This exam is completely voluntary and under no circumstances should the victim

It is recommended to advise the victim before and throughout the examination of

It is important to communicate the sense of control to the victim

since so many circumstances leading them up to this point

Let the victim know that you will explain every step of the examination before you

complete it so they will not be startled.

It is also best practice to offer to contact a local sexual assault advocate

for the victim if that resource is available in the community

an advocate will play an essential role in the long term care of a victim of

as well as providing emotional care and  support during the immediate medical

It is highly recommended that a sexual assault advocate be present during

but this decision is ultimately left to the victim.

The advocate's role is to provide emotional support,

professional advocacy, and follow-up resources to the victim as desired.

The advocate does not participate in any part of the investigation or the

It is the medical professionals role to carefully collect evidence and provide

medical care for the victims in a supportive, compassionate environment.

Included in the forensic examination kits as a guide for obtaining

an appropriate history from the sexual assault victim prior to the examination

this will allow the medical professional to assess where on the victim's body

Preserving the evidence is an important part of solving the investigation

while maintaining a judgment free demeanor in providing a safe and

It is very important that the only information documented comes directly

When gathering evidence for the forensic examination,

the next step is not specifically included in the forensic examination kit

this step involves collecting the victim's clothing

if the clothing worn by the victim was what he or she was wearing during the

place a disposable drop off on the floor of the exam room

have the victim step onto the drop cloth to disrobe

if you have an advocate present or another nurse

please use another cloth to provide a sense of privacy for the victim during

have the victim hand each article of clothing to you individually with gloved