sexual assault/domestic violence

prior assault

what is the strongest predictor for future assault

Ensure safety

Address life-threatening injuries

Obtain consent before any exam or evidence collection

immediate medical priorities in management of a sexual assault pt

Sexual Assault Nurse Examiner (SANE) referral if available

Evidence collection (if within appropriate time frame)

Pregnancy test

STI testing (GC, chlamydia, HIV, syphilis, hepatitis B)

forensic and medical evaluation indicated for sexual assault vicitim

Ceftriaxone

Doxycycline

Metronidazole

standard meds given for STI prophylaxis in Sexual assault victims

72 hours

HIV PEP must be given within

Never force reporting unless mandatory (minors, vulnerable adults).

should you force sexual assault survivors to report?

Assess immediate danger

Ask: "Do you have somewhere safe to go?"

Develop escape plan

Provide emergency numbers

Discuss safe word with children/friends

components of short term safety planning with a DV victim

1-800-799-SAFE

number for national domestic violence hotline

ask to speak with patient alone

Patient presents with vague abdominal pain. Partner answers all questions.

Next step: