Policy
DV occurred in the home with children present. Who should be notified?
CPS
How do you assess Cranial Nerve 1?
Sense of smell in each nare: gum, hand sanitizer, orange juice, alcohol swab.
Iodine prep
A DFSA Kit may need _____ swapped out from hospital supply secondary to expiration dates?
Grey top tubes.
Max number of hours for patient to be eligible for HIV PEP?
3 days
A patient in Crisis unit reports sexual assault by a warewolf, do you proceed with the exam?
Yes!
What exam technique is used prior to speculum insertion
Labial traction
Which color color swab stick is used to collect sample for GC/CHL and which is discarded?
Blue collect
Red discard
To relay any information to the crime lab, the FNE writes on what? "Example: touch DNA to underwear waistband"
The envelope.
To dilute 500mg of Ceftriaxone, the FNE uses how much lidocaine?
1.8ml
A 13yo is accompanied by mom for SA exam. Who signs consent?
The 13yo as a mature minor.
Gold standard imaging for a patient who reports strangulation is_____
CT of the neck with angio (CTA)
How much urine (max) can be sent in the DFSA?
Up to 100ml.
How long must SA kit swabs dry prior to boxing?
60 minutes
Your patient is allergic to Zithromax. You recognize what as al alternative drug to use as prophylaxis?
Doxycycline
Who can be present in the exam room for a medical forensic patient interview?
The patient, the nurse & the advocate.
What must be present to use tulidine blue?
Visible injury
What labs are required prior to administration of HIV PEP
CBC, CMP, HIV
If exchanging supplies/using hospital supply of anything (tubes, swabs) what 2 places must this be documented?
The chart and the envelope/kit
Ceftriaxone is best injected into what muscle
Glute or Vastus Lateralis.
In what 4 situations is a mandatory law enforcement report made?
1. Homicide
2. Assault with deadly weapon
3. Stabbing
4. Gunshot wound
The patient reports forced penile oral penetration. Where should you examine for injuries
Mouth, gums, frenulum, throat, teeth
Verbalize proper patient instruction for self swabbing to obtain vaginal cultures
Avoid contaminating bottom half of swab stick, can use gloves.
Insert vaginally 1-1.5 inches making contact with the vaginal walls.
Count to 10.
Remove swab and place cotton end in the container or hand off to the nurse.
Educate them we are unable to provide a copy any or parts of the chart at that time without going through medical records and release the evidence only.
Your patient was bit by their perp and has a break in the skin. You talk to the provider to order
Tetanus vaccine