Protocol for the Acute Care of the Adult Patient Reporting Sexual Assault

Table of Contents

  • Information About Using this Protocol (PDF, 55KB, 2pg)
  • Acknowledgments and Contributors (PDF, 70KB, 2pg)
  • List of Appendices (PDF, 92KB, 2pg)
  • Introduction (PDF, 148KB, 8pg)
    • Overview
    • General Hospital Requirements
    • Sexual Assault Forensic Examiner (SAFE) Program Requirements
    • Sexual Assault Forensic Examiners
    • Continuous Quality Improvement
    • Law Enforcement Involvement
    • Intake
    • Rape Crisis Center Victim Advocates
  • The Health Care and Evidentiary Examinations (PDF, 443KB, 35pg)
    • Overview
    • Patient Consent
    • Maintaining the Chain of Custody of Evidence
    • Sexual Assault Documentation
    • Health Care/Medical Documentation
    • Injury documentation
    • Body Diagrams
    • Forensic Photography
    • Bite Mark Evidence
    • Drug-Facilitated Sexual Assault
    • DNA Evidence Collection (Revised October 2008)
    • The New York State Sexual Offense Collection Kit
    • General Guidelines for Using the Kit
    • Oral Swabs and Smear
    • Buccal Specimen for Patient DNA Sample
    • Trace Evidence
    • Clothing
    • Underwear
    • Debris Collection
    • Dried Secretions and/or Bite Marks
    • Matted Material in Hair
    • Fingernail Scrapings
    • Pulled Head Hairs
    • Pubic Hair Combings
    • Pulled Pubic Hairs
    • External Genital Exam
    • Perianal and Anal Swabs and Smear
    • Vulvar/Penile Swabs and Smears
    • Vaginal Swabs and Smears
    • Cervical Swabs and Smears
    • What to do when the medical evidentiary exam has been completed
  • Additional Health Concerns -- Treatment and Testing (PDF, 147KB, 9pg)
    • Pregnancy
    • Prophylaxis Against Pregnancy
    • HIV and Other Viruses
    • HIV
    • Hepatitis B and Hepatitis C
    • Sexually Transmissible Infections (STIs)
    • Post-Assault Care and Patient Discharge
  • Post-Assault Care and Patient Discharge (PDF, 56KB, 1pg)
  • Testifying (PDF, 45KB, 1pg)
  • Additional Resources (PDF, 55KB, 2pg)
    • Brief Glossary of Anatomic and Forensic Terminology
  • Appendix A (PDF, 67KB, 4pg)
    • New York State Public Health Law; Section 2805-i; Treatment of sexual offense patients and maintenance of evidence in a sexual offense, including Sections 2805-i (4-b) and 2805-i (5); Establishment of hospital-based Sexual Assault Forensic Examiner Programs.
  • Appendix B (PDF, 57KB, 2pg)
    • Sample Form for Patient Consent/Refusal and Evidentiary Log
  • Appendix C (PDF, 686KB, 42pg)
    • Sexual Assault Forensic Examiner (SAFE) Program Standards, Sexual Assault Forensic Examiner Standards and Sexual Assault Forensic Examiner Training Program Standards, Requirements and Applications
  • Appendix D (PDF, 97KB, 4pg)
    • Responsibilities of Hospitals with a DOH-Certified SAFE Program Compared to Hospitals without a SAFE Program Related to the Treatment of Victims of Sexual Assault
  • Appendix E (PDF, 78KB, 5pg)
    • United States Emergency Medical Treatment and Active Labor Act; 42 U.S.C. Section 1395dd; Examination and treatment for emergency medical conditions and women in active labor.
  • Appendix F (PDF, 40KB, 2pg)
    • Forensic Education Programs in New York State and status of New York State Department of Health Certification of Sexual Assault Forensic Examiner Training Programs
  • Appendix G (PDF, 132KB, 12pg)
    • Sexual Assault Nurse Examiner (SANE) Services in New York State and status of New York State Department of Health Certification
  • Appendix H (PDF, 84KB, 7pg)
    • 10 NYCRR 405.9 (c) and 405.19; Establishment of hospital protocols and maintenance of sexual offense evidence.
  • Appendix I (PDF, 45KB, 2pg)
    • Suggested supplies and Equipment for Sexual Assault Evaluations
  • Appendix J (PDF, 45KB, 2pg)
    • New York State Penal Law; Section 265.25; Certain wounds to be reported. New York State Penal Law; Section 265.26; Burn injury and wounds to be reported.
  • Appendix K (PDF, 70, 6pg)
    • New York State Public Health Law; Section 2803-d; Reporting abuses of persons receiving care or services in residential health care facilities.
  • Appendix L (PDF, 71KB, 2pg)
    • Department of Health Patient Care Hotline Numbers
  • Appendix N (PDF, 74KB, 5pg)
    • Title 10 (Health) NYCRR SubPart 69-5; Approval of rape crisis programs for the purpose of rape crisis counselor certification.
  • Appendix O (PDF, 339KB, 27pg)
    • Special Considerations for Caring for Diverse Populations
      Medical and Legal Protocol for Dealing with Victims of Domestic Violence
  • Appendix P (PDF, 342KB, 4pg)
    • Sample Diagrams for Male and Female Patients
  • Appendix Q (PDF, 380KB, 25pg)
    • Sexual Offense Evidence Collection Kit Instruction Sheets, including Patient Information Form and Medical Record Sexual Assault Form
  • Appendix R (PDF, 48KB, 2pg)
    • Sample Checklist for Sexual Assault Care
  • Appendix S (PDF, 63KB, 2pg)
    • Authorization for Release of Information and Evidence to Law Enforcement Agency
  • Appendix T (PDF, 65KB, 3pg)
    • HIV Clinical Education Centers for Consultation on HIV Antiretroviral Prophylaxis Following Sexual Assault
  • Appendix U (PDF, 76KB, 2pg)
    • Sample Standing Orders for a Patient Reporting Sexual Assault
  • Appendix V (PDF, 64KB, 3pg)
    • Forensic Payment Act and payment for other Sexual Assault services.