SANE
Abrasion correct answersBlunt force wound caused by scraping or rubbing away the upper layers of skin
Bruise correct answersWound that occurs when blunt force, ruptures or tears, a blood vessel, resulting in
leakage of blood into the tissue, also known as a contusion
Laceration correct answersWound caused by tearing, ripping, crushing overstretching or shearing of
tissue
Petechiae correct answersRed non-elevated bruising that is less than 3 mm in diameter and results from
the rupture of capillaries. Do not blanch, are nontender, and may be seen in clusters
What is a sexual assault nurse examiner correct answersA registered nurse with specialized training.
They provide comprehensive care to patients who report sexual assault
What is a forensic nurse? correct answersA forensic nurse is a registered nurse who has received specific
education and training. Forensic nurses provide specialized care for patients who are experiencing acute
and long-term health consequences associated with victimization or violence. They work in a multiple
fields.
What did training for sane consist of? correct answersLicensed as a registered nurse, completed a 40
hour sane training on caring for adolescent and adults, and additional/ongoing training, such as
conferences case, reviews, monthly research articles, and monthly meetings
Describe the 40 hour forensic nursing training correct answersPresentations by members of the
multidisciplinary team, including prosecuting and defense, attorneys, law enforcement, advocates, the
crime lab, etc. training specific to the care of a patient who reports SA including gathering a medical
history, providing a detailed physical exam, including injury, identification, and documentation, and
performing a detailed genital exam, as well as evidence collection, and preservation
, Do you have standard reviews or training? correct answersCharts are peer reviewed and we have
monthly staff/training meetings. I attend the monthly meeting and read professional articles
Do physicians ever consult with you? correct answersYes, we consult with the ED doctor before and after
the medical forensic exam
Difference between a medical forensic exam and a diagnostic exam correct answersDiagnostic pelvic
exam is usually very quick collection of samples to identify disease. The medical forensic exam is very
thorough and detailed looking for injury, collecting samples to identify DNA.
Is there a medical component to your exam? correct answersYes, I provide healthcare, I assess my
patient to identify injury other health concerns, document that assessment and communicate those
findings and recommendations to care for the medical provider. I provide resource information and
discharge instructions for my patient at discharge and follow up with my patient to address any ongoing
health concerns.
What are some of the recommendations you may make? correct answersRequest medication's to
prevent pregnancy, and or STI infections, recommend vaccinations, request mental health/crisis,
evaluations if needed, request, a school/work excuse for the patient, recommend therapy, recommend
follow up exam to address medical needs such as STI testing and injuries
Do you do any medical testing or provide treatment with your exam? correct answersI collect blood and
urine that may be used for medical testing as needed for my patients I identify injury or medical issues, I
may provide immediate treatment, such as stopping bleeding or applying an ice pack. I may assist get
assistance from the ED with some of the treatment a patient may need, for example imaging to detect
injury when a patient reports strangulation, and or head injury.
What is the purpose of a medical forensic exam? correct answersTo gather a medical history, assess and
document physical exam findings, provide, or recommend interventions to provide care for current
findings, and to provide prophylaxis for anticipated adverse effects of the sexual assault. It's also an
opportunity to collect samples from the patient where DNA may be found. Also to provide
recommendations to minimize the adverse effects of sexual assault.
How are you notified that the patient was at the hospital? correct answersWe use an answering service.
Law-enforcement and/or the hospital call me through the answering service to notify me if a patient
needs a sexual/physical assault exam.
