Forensic Nursing

Question 1

What is a forensic nurse

Answer 1

1. They apply the forensic aspects of healthcare combined with the bio-psychosocial eduction of registered nurse

Question 2

What does a forensic nurse do

Answer 2

1. Provide specialized care for patients who are experiencing acute and long-term health consequences associated with victimization or violence

Question 3

What is a SAFE, SANE, SANE-A, SANE-P, SART

Answer 3

SAFE = Sexual assault Forensic Examiner (any HCP)
SANE = Sexual Assault Nurse Exainer
SANE-A= Adult/adolescent
SANE-P = Peds
SART = Sexual assault response team

Question 4

In Ohio what is the timeframe to collect evidence

Answer 4

96 hours for adults
*120 nationally
*72 kids nationally

Question 5

Where should evidence be placed

Answer 5

Inside of a paper bag
*dry wet items before packaging

Question 6

What is the most common drug used for sexual assault

Answer 6

Alcohol

Question 7

Can photographs of the patient be released with evidence

Answer 7

No they must be stored with the medical records

Question 8

What are the most common infections women have been diagnosed with after sexual assault

Answer 8

Trichomoniasis
BV
Gonorrhea
Chlamydia

Question 9

What is the empiric treatment for chlamydia, gonorrhea, and Trichomonas

Answer 9

Ceftriaxone 500 mg IM single dose PLUS
Doxycycline 100 mg BID PO 7 days PLUS
Metronidazole 500 mg BID PO for 7 days

Question 10

When should postexposure hepatitis B vaccination be given

Answer 10

1. If the hepatitis status of the assailant is unknown and the survivor has not been previously vaccinated
   *is the assailant is known to be HBsAG positive, unvaccinated survivor should receive both hep B and HBIG

Question 11

When should follow up dose of the Hep B vaccine be given

Answer 11

1 to 2 months and 4 to 6 months after the first dose

Question 12

Is a patient required to report a sexual assault in order to receive and exam

Answer 12

No

Question 13

When is reporting mandatory

Answer 13

Some require it when there is victimization by caretakers or authority figures

Question 14

When is reported mandated in ohio

Answer 14

1.serious physcial harm
2. Rape
3. Child abuse
4. Elder abuse

Question 15

What is the recommend collection time for vaginal, anal, oral, and bite marks

Answer 15

V: 120hours
A: up to 72 hours
O: up to 24 hours
B: up to 96 hours

Question 16

How is collection done when the patient is unconscious

Answer 16

1. Is deferred until the patient is conscious
2. Consent is required
   *doesnt fall within implied consent
3. If kit collection is crucial, court order my be required