Harbor:Sexual assault: Difference between revisions
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(Updated San Pedro SART forensic procedure recommendations) |
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**Closest SART Center is in San Pedro | **Closest SART Center is in San Pedro | ||
== | ===Coming Soon=== | ||
*Sexual assault order set in Orchid for all the medications, labs, consults, communication orders | |||
*Working on policy with pharmacy for giving NPO patients their prophylactic medications to-go to take at SART center after forensic exam | |||
==Management== | ==Management== | ||
===Forensics Logistics=== | |||
*If a patient wants a forensic exam or evidence to be collected, please treat the patient medically first, and if otherwise medically clear, keep in mind the following recommendations. | |||
*In addition to the instructions found on the [[Sexual assault]] page, the San Pedro SART has the following policies to preserve forensic evidence | |||
**Place patient's clothes and belongings into a paper back (NOT the usual plastic patient belongings bags) | |||
**If patient has had oral trauma within past 6 hours, place patient on strict NPO (no medications, no ice chips or swabs, no rinsing mouth) | |||
**Have nursing call hospital police. The hospital police will coordinate to find the correct police department that needs to be contacted to file a report. The hospital PD will not take a report. | |||
**Specimens that PD will take to SART center with the patient | |||
***Dirty catch urine. Label specimen cup with patient's name, time of collection, and who collected | |||
===ED Consults=== | |||
*Consult to Social Work | |||
**Also speak to social work about arranging a ride home for the patient. Police will bring patient to the SART center, but some patients have no way to get home from the SART center. | |||
*Consult to Violence Intervention Team | |||
*If patient meets criteria for [[HIV post-exposure prophylaxis]], consult HIV | |||
**Need approving ID fellow/attending name to order medications in ED or to prescribe medications | |||
**Speak to ID fellow about arranging 2 week follow up appointment for DHS patients | |||
==Disposition== | ==Disposition== | ||
*PD from jurisdiction where assault occurred will take patient to SART center | |||
*See "Consult to Social Work" above to arrange a ride home for the patient | |||
*If patient receives HIV PEP, provide a 2 week supply of medications and patient needs follow up appointment in 2 weeks | |||
==See Also== | ==See Also== | ||
*[[Sexual assault]] | |||
*[[emergency contraception]] | |||
*[[HIV post-exposure prophylaxis]] | |||
*[[Child abuse]] | |||
*[[Occupational exposure]] | |||
[[Category:Admin]] | [[Category:Admin]] | ||
Revision as of 08:05, 29 January 2020
Background
- See Sexual assault for general evaluation and management details. Details below are Harbor-specific.
- Harbor SART Protocol https://www.wikem.org/wiki/File:SART_ED_Protocol_Recommendations.pdf
- Closest SART Center is in San Pedro
Coming Soon
- Sexual assault order set in Orchid for all the medications, labs, consults, communication orders
- Working on policy with pharmacy for giving NPO patients their prophylactic medications to-go to take at SART center after forensic exam
Management
Forensics Logistics
- If a patient wants a forensic exam or evidence to be collected, please treat the patient medically first, and if otherwise medically clear, keep in mind the following recommendations.
- In addition to the instructions found on the Sexual assault page, the San Pedro SART has the following policies to preserve forensic evidence
- Place patient's clothes and belongings into a paper back (NOT the usual plastic patient belongings bags)
- If patient has had oral trauma within past 6 hours, place patient on strict NPO (no medications, no ice chips or swabs, no rinsing mouth)
- Have nursing call hospital police. The hospital police will coordinate to find the correct police department that needs to be contacted to file a report. The hospital PD will not take a report.
- Specimens that PD will take to SART center with the patient
- Dirty catch urine. Label specimen cup with patient's name, time of collection, and who collected
ED Consults
- Consult to Social Work
- Also speak to social work about arranging a ride home for the patient. Police will bring patient to the SART center, but some patients have no way to get home from the SART center.
- Consult to Violence Intervention Team
- If patient meets criteria for HIV post-exposure prophylaxis, consult HIV
- Need approving ID fellow/attending name to order medications in ED or to prescribe medications
- Speak to ID fellow about arranging 2 week follow up appointment for DHS patients
Disposition
- PD from jurisdiction where assault occurred will take patient to SART center
- See "Consult to Social Work" above to arrange a ride home for the patient
- If patient receives HIV PEP, provide a 2 week supply of medications and patient needs follow up appointment in 2 weeks