EVIDENCE COLLECTION
How many hours after a sexual assault do the current national recommendations generally support considering evidence collection?
UP TO 12O HOURS
Which medication is routinely used for gonorrhea prophylaxis?
Ceftriaxone.
Every envelope should contain what besides evidence?
Proper patient identifiers and labeling.
Documentation should be:
A. Objective
B. Opinion based
C. Emotional
Answer
OBJECTIVE
Name one thing that should always happen before collecting evidence.
Answer
Obtain informed consent.
A PATIENT SHOWERED BEFORE COMING TO THE ED, CAN EVIDENCE BE COLLECTED?
Yes. Showering may reduce some evidence but does not eliminate the need for an exam.
Which medication treats chlamydia?
Doxycycline (or azithromycin in select circumstances).
TRUE OR FALSE
Wet evidence should be sealed immediately.
FALSE, ALLOW TO DRY COMPLETELY
nstead of writing "patient was raped," documentation should say...
Document the patient's statements objectively using quotations when appropriate.
How often should consent be confirmed?
Throughout the exam, before each major step.
Name three body sites where DNA evidence may still be found.
Which medication is commonly used for trichomoniasis?
Metronidazole.
What should never be packaged together?
Separate evidence items from different body sites.
True or False
You should document injuries that are NOT present.
True.
Finish the sentence:
Trauma-informed care means...
Creating physical and emotional safety while respecting patient choice and control.
A patient declines photography but wants evidence collected. Can you continue?
Yes. Patients can decline any portion of the exam and still receive the remainder.
True or False
PATIENT CAN DECLINE EVIDENCE COLLECTION AND STILL RECEIVE STI MEDICATION
Name two reasons chain of custody is important.
Maintains evidence integrity and preserves legal admissibility.
What's wrong with documenting "patient appears intoxicated"?
It's subjective.
Better:
If a patient changes their mind halfway through the exam...
Stop immediately, reassess, and respect their decision.
A patient reports strangulation and sexual assault. Besides the evidence kit, what additional evidence or documentation becomes especially important?
A patient presents within 72 hours of assault. Besides STI prophylaxis, what medication should be discussed?
NPEP
Why should each swab package remain separate?
To prevent contamination and preserve evidentiary value.
A patient says,
"He forced me."
Should quotation marks be used?
Patient statements should be documented as direct quotes whenever appropriate.
List as many components of a complete SANE exam as possible.
EACH TEAM 1 MINUTE