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The Forensic Sexual Assault Medical Legal Examination: The SANE Exam

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Handbook of Sexual Assault and Sexual Assault Prevention

Abstract

The Sexual Assault Nurse Examiner (SANE) is an experienced Registered Nurse who has expanded the knowledge and skills, that come naturally for the time-honored nurse, and transitioned those proficiencies into the specialty of forensic nursing. The Sexual Assault Nurse Examiner will conduct comprehensive, compassionate, and exemplary forensic sexual assault medical legal examinations, on reported victims and suspects of sexual assault events. It is an examination that requires distinct professional boundaries, nursing judgment, and the objectivity necessary for an independent, nonbiased forensic examination.

The “N” in “SANE” is for “Nurse.” The first consideration, for the SANE, is the patient’s health and well-being. The forensic nurse is always an advocate for the patients’ health and well-being but not necessarily an advocate for the circumstances. That way, the nurse examiner will remain objective throughout the process, from the forensic examination to the courtroom, should the case should go to trial.

SANE programs strive to have someone on-call 24/7 unless otherwise arranged due to staffing or distance issues. The time frame for an acute forensic examination is up to 5 days to 7 days. The program will structure the call schedule according to policy.

The sexual assault nurse examiner position will most likely be a part-time position which requires a full-time knowledge base. It is well worth it for the registered nurse who is objective and detail oriented.

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References

  • Archambault (2001). Dr. Sue Lindsay, Brief Encounter.

    Google Scholar 

  • California Codes Title 17 (1986). Penal Code Section 679.04A.

    Google Scholar 

  • California Office of Criminal Justice Planning (1987, 2001). California Medical Protocol for Examination of Sexual Assault and Child Sexual Abuse Victims, with updates 3-9-2018.

    Google Scholar 

  • CDC Guidelines (Centers for Disease Control). (2015). Guidelines for Sexually Transmitted Diseases. http://www.cdc.gov/std/.

  • Constantino, R. E., Crane, P. A., & Young, S. E. (2012). Forensic nursing: Evidence-based principles and practice (p. 126). Philadelphia, PA: FA Davis. (unit two).

    Google Scholar 

  • Drunk Driver (2017). “Re: Drunk Driver: Sadly, far too often, there is no justice for victims. After all, as one victim said, it’s called the “criminal” justice system, not the “victim” justice system. The complex and confusing justice system can be difficult and emotionally exhausting to navigate.” By, DRUNK DRIVINGhttps://www.madd.org/blog/seven-ways-the-justice-system-will-frustrate-you/.

  • EMTALA (1986).

    Google Scholar 

  • HIPAA: Health Information Portability and Accountability Act (1996). 2003 F.R. 82462.

    Google Scholar 

  • Human Rights Campaign (2015). https://www.hrc.org/resources/sexual-assault-and-the-lgbt-community.

  • International Association of Forensic Nurses, SANE-A and SANE-P (2002). Designations and placement.

    Google Scholar 

  • Kafarowski, E., Lyon, A. M., & Sloan, M. M. (1996). The retention and transfer of spermatozoa in clothing by machine washing. Journal of the Canadian Society of Forensic Science, 29(1), 7–11.

    Article  Google Scholar 

  • Kaplan, R., Adams, J. A., Starling, S. P., Giardino, A. P. (2011). Medical Response to Child Sexual Abuse.

    Google Scholar 

  • Ledray L. (1999). SANE-SART Development and Operational Guide (1999).

    Google Scholar 

  • Ledray, L. E., Burgess, A. W., & Giardino, A. (2011a) STM 2011 Medical Response to Adult Sexual Assault: A Resource for Clinicians and Related Professionals.

    Google Scholar 

  • Lynch & Duval (2005) Link Between Nursing and the Law, (2005). UC Riverside Extension, The Forensic Sexual Assault Examiner Course, Caruso C. (2005)

    Google Scholar 

  • Lynch & Duval (2011). Forensic Nursing Science, ‘Legal and Ethical Issues in Forensic Nursing Roles,’ Susan Chasson (2011) (HIPAA 2003 F.R. 82462) Chapter 44, Legal and Ethical Issues in Forensic Nursing.

    Google Scholar 

  • Lynch, V., & Barber Duval, J. (2011a). Forensic Nursing Science, Global and Cultural Crimes, Global Expansion. St. Louis, MO: Elsevier.

    Google Scholar 

  • Lynch, V. A., & Barber Duval, J. (2011b). Forensic Nursing Science (2nd ed.). St. Louis, MO: Elsevier.

    Google Scholar 

  • National Center for Lesbian Rights (2014, April 30). http://www.nclrights.org/sexual-assault-in-the-lgbt-community.

  • Office on Violence Against Women (OVW), United States Department of Justice (DOJ), Violence Against Women Act (VAWA) of 2005, Enacted by Congress, 42 U.S.C. and 3796gg-4(d) (n.d.). STOP violence against women grant federal program guidelines, p. 7.

    Google Scholar 

  • Sackett, D., Straus, S., Richardson, W., Rosenberg, W., & Haynes, R. (2000). The Academy of Medical-Surgical Nurses (AMSN) values evidence-based practice (EBP) as a way to affect best patient care. Medical Response to Adult Sexual Assault.

    Google Scholar 

  • U.S. Department of Justice. (2013). A National Protocol for Sexual Assault Medical Forensic Examinations Adults/Adolescents (2nd ed., p. 43). Washington, DC: DOJ.

    Google Scholar 

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Caruso RN SANE-A, C. (2019). The Forensic Sexual Assault Medical Legal Examination: The SANE Exam. In: O’Donohue, W.T., Schewe, P.A. (eds) Handbook of Sexual Assault and Sexual Assault Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-23645-8_36

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