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Patricia Iyer MSN RN LNCC, Patricia Iyer Associates, Med League Support Services, Inc.:"Patricia Iyer Associates provides legal nurse consultants with the critical information they need to succeed in their roles.
Med League Support Services, Inc. assists attorneys with the medical issues of their cases. We specialize in medical malpractice and personal injury cases, and supply expert witnesses and medical analysis in the form of timelines, chronologies and medical summaries." Social Media (Twitter, Linkedin, Facebook, etc) Connect with me http://www.linkedin.com/in/patiyer http://www.facebook.com/PatIyer http://www.nursingentrepreneurs.com/iyer ****************************************************** ******************************************************
Cari Caruso, RN SANE-A, Forensic Nurse Professionals, Inc., California Nurse Entrepreneurs:"Forensic Services: Forensic Sexual Assault, Evidentiary Exams for Victims and Suspects, Domestic/Interpersonal Violence evaluations and Photography, Consulting for Defense and Prosecuting Attorneys, Expert Testimony, Education." ****************************************************** ******************************************************
Medical Examination and Treatment for Victims of Sexual Assault, Agency for Healthcare Research and Quality (AHRQ):"In this Report to Congress, the Agency for Healthcare Research and Quality (AHRQ) provides an overview of current systems for training and practice in provision of medical evidentiary exams to victims of sexual assault and other abuse. It also discusses major gaps in service and training and summarizes the current scientific evidence base." ******************************************************
Advocacy Information for Survivors, City of San Diego (California):"As a survivor of a sexual assault you are entitled to have an advocate and/or support person with you during; evidentiary exams, detective interviews, deputy district attorney interviews, defense attorney interviews and court proceedings.
The advocate is present to provide you with accurate factual information and emotional support throughout this confusing and sometimes overwhelming process. Information you choose to share privately with your advocate is privileged and therefore CONFIDENTIAL. Advocates do not disclose any information without your signed and written permission (with the clear exception of possible child abuse, elder abuse, suicide, and homicide)." ******************************************************
Helping Victims vs. Retraumatizing Them, Forensic Nurse:"In the 1990s, SANE programs sprang up in communities across the country to address the inadequacy of the traditional model for sexual assault medical evidentiary exams. According to the U.S. Justice Department Office for Victims of Crimes (OVC)'s bulletin1, victims are often retraumatized when they come to hospital emergency departments for medical care and forensic evidence collection. Where they exist, SANE programs have made a profound difference in the quality of care provided to sexual assault victims." ******************************************************
Sexual Assault Forensic Examiner Program, Mercy Medical Center:"Advantages of the S.A.F.E Program:
Provides the victim with initial crisis intervention, emotional and social support.
Performs sexual assault exam, evidence collection and preservation of evidence prior to submission of evidence to police (i.e. evidentiary exam).
Provides education to community groups, high schools, colleges, law enforcement agencies, and emergency medical personnel." ******************************************************
Payment for Forensic Exams - National Center for Victims of Crime:"With the passage of the Violence Against Women Act (VAWA) in 1994, Congress specifically addressed the problem of sexual assault victims being charged with forensic exam costs.(1) Requiring states, Indian tribal governments, and local governmental agencies to assume responsibility for the "full out-of-pocket cost of forensic [sexual assault] medical exams"(2) in order to qualify for the S.T.O.P. (Services Training Officers Prosecutors) Violence Against Women Formula Grants Program, provided incentives for states to find alternative ways to cover the costs of sexual assault evidentiary exams.
In order to receive these federal funds, states must certify that sexual assault victims will not be responsible for the forensic exam costs, and designate an entity to pay for the exams. Although this requirement must be met for grant eligibility, the grants available under VAWA are not intended to be used to pay for forensic exams; instead, the funding is earmarked for a variety of other services related to violent crimes against women." ******************************************************
Summa Dove Program, Suspect Evidence Collection Program, Summa Health System:"Evidentiary Exams. The DOVE Program, in cooperation with Summit County law enforcement agencies, conducts voluntary and court-ordered evidentiary examinations. DOVE nurses collect evidence, including blood and hair samples, for use in the prosecution of suspects. Nurses are available, by appointment, and can provide on-site services to law enforcement agencies." ******************************************************
Medical/Evidentiary Examinations, Child and Adolescent Abuse, Resource, Evaluation (CAARE) Diagnostic and Treatment Center, UC Davis:"Medical/evidentiary exams are provided for children brought to the Center by patrol officers and Children's Protective Services' (CPS) social workers. Results of these exams assist detectives, social workers, and prosecutors to distinguish between accidental and non-accidental injury. Medical evaluations include taking a complete history, performing a complete physical examination, documenting findings, and consulting with law enforcement officers, CPS social workers, and attorneys. The Center has contracts with thirty law enforcement and CPS agencies in Northern California to provide these services." ******************************************************
Data Collection by SANE Programs, U.S. Department of Justice
Office of Justice Programs,
Office for Victims of Crime:"Because SANE programs follow cases from the initial evidence collection through prosecution, they often gather valuable data on the results of the evidence collected. Data can include information such as the likelihood of finding sperm at a specific site at a specific time and the likelihood of a sexual assault victim being injured during the assault.16 Such data can aid law enforcement and prosecution efforts. For example, the above information can help prosecutors who need to explain that the lack of injuries or the absence of sperm does not mean that a woman was not raped.17" ******************************************************
Forensic Evidence Collection and Care of the Sexual Assault Survivor: The SANE-SART Response, VAWnet:"The SANE program operation steps described include: the initial medical evaluation and the evidentiary exam. The paper explains basic documentation, the recommended time frames and chain-of-evidence collection for the exam, and provides information about collection of DNA, seminal fluid, blood and urine evidence. It describes documentation and responses to potential pregnancy, genital trauma , and non-genital injuries. It describes "emergency contraception" options the programs can offer if the sexual assault victim is afraid of pregnancy, discusses crisis intervention and counseling, and describes things the survivor may feel after the exam." ******************************************************
SANE Evidentiary Exams, Violence Against Women Online Resources:"SANE training programs involve numerous issues and do not focus solely on the evidentiary exam, but include topics that will provide effective, competent care to the "whole" person as a victim of sexual assault.
Typically, SANE training programs involve the following topics:"
http://www.nursefriendly.com/nursing/legal.nurse.consultants.lnc/medical.evidentiary.exams.htm
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