Forensic Protocols & Evidence
Mandatory Reporting & Patient Rights
Medical Management & Documentation
Courtroom & Legal Nuances
100

NY State SANE protocols mandate this specific type of consent, separate from general medical treatment consent, for the collection of forensic evidence from a sexual assault victim.


  • What is forensic consent?
100

In NY, a SANE is a mandated reporter for suspected child abuse or maltreatment to this specific state agency.


  • What is the NYS Office of Children and Family Services (OCFS) or Child Protective Services (CPS)?
100

NYSDOH guidelines for Emergency Contraception after sexual assault typically recommend a single dose of this specific medication, effective up to 120 hours post-assault.


  • What is Ulipristal acetate (Ella)?
100

Before a SANE can offer expert testimony in a NY court, they must be qualified by the court as having this specific status based on their education, training, and experience.


  • What is an expert witness?
200

Under NY DOH SANE guidelines, if a patient presents with anogenital trauma, the SANE should include this specific type of microscopy during the medical exam to assess for sperm or motile trichomonads.


  • What is wet mount microscopy?
200

f a SANE encounters an adult patient (18+) with suspected sexual assault injuries who has significant cognitive impairments preventing informed decision-making, reporting to this local agency may be required, even if the patient cannot consent to forensic collection.


  • What is Adult Protective Services (APS)?
200

When documenting injuries on a sexual assault victim in NY, a SANE must use clear, objective language and meticulously avoid these specific terms that imply a legal conclusion about the event.


  • What are "rape," "assault," or "assaulted"?
200

When testifying in NY, a SANE must strictly limit their testimony to observations, findings, and medical opinions, carefully avoiding discussion of this ultimate legal question regarding the defendant's guilt or the victim's truthfulness.

  • What is the ultimate issue (of guilt or whether the assault occurred)?
300

The NYS Police Forensic Investigation Center (FIC) mandates that all sexual assault evidence collection kits (SAECs) include this specific item, used to collect potential assailant DNA from underneath the victim's fingernails.


  • What are fingernail scrapings?
300

NY's Criminal Procedure Law mandates that sexual assault victims have the right to request this specific advocacy service during forensic examinations and police interviews.


  • What is a victim advocate/counselor?
300

Per NYSDOH SANE protocols, when documenting lack of injury, the SANE must still perform a thorough examination and specifically record this finding using terms like "no acute trauma observed."


  • What is the absence of trauma (or negative findings)?
300

If a SANE's notes contain privileged information (e.g., patient's therapy discussions related to the assault), this legal process in NY may allow the defense to petition the court for access if deemed directly relevant and not unduly prejudicial.


  • What is discovery?
400

Per NYSDOH SANE protocols, if a patient initially declines forensic evidence collection but changes their mind, collection may still be viable and should be offered within this general timeframe from the assault, depending on the type of evidence sought.


  • What is 120 hours (or up to 5 days)?
400

Under NY law, a SANE must inform a sexual assault victim of their right to have the forensic evidence kit preserved for this minimum period, even if they choose not to report to law enforcement immediately.


  • What is 20 years?
400

In NY, if a SANE takes photographs of injuries, specific patient consent is required, and these photographs must include a scale and be stored in a manner that protects patient privacy while maintaining this principle for evidentiary purposes.


  • What is authenticity or integrity (of the image)?
500

In NY, evidence collected during a SANE exam, even from a "restricted" report where law enforcement is not immediately involved, must still maintain this strict legal principle for its eventual admissibility in court.


  • What is chain of custody?
500

f a SANE discovers injuries consistent with sexual assault in an adult over 18 years old who is not incapacitated and explicitly declines forensic collection and police reporting, the SANE's mandatory reporting obligations in NY typically do not extend to this specific law enforcement action.


  • What is initiating a police report against the patient's will (unless other mandatory reporting criteria like child abuse or elder abuse are met)?
500

If a SANE suspects a patient has been trafficked for sexual exploitation, NYSDOH guidelines recommend screening for signs and offering referrals to resources, even if the patient presents primarily for a sexual assault examination. The SANE's role extends to identifying potential victims under this state initiative.


  • What is the NYS Human Trafficking Initiative or a similar state protocol for identifying and assisting human trafficking victims?
500

During cross-examination in a NY courtroom, a SANE may face questions challenging their methodology or conclusions; to counter this, they should cite their adherence to these specific, widely accepted guidelines.


  • What are NYSDOH SANE protocols, established medical/nursing standards of care, or evidence-based practices?
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