Harbor:Sexual assault - Revision history

Rossdonaldson1: /* Consults */

2024-09-11T20:46:09Z

Consults

← Older revision		Revision as of 20:46, 11 September 2024
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	*Hospital sheriffs (MD/DO or RN to call) - physicians, nurses, SW are all mandated reporters by state law		*Hospital sheriffs (MD/DO or RN to call) - physicians, nurses, SW are all mandated reporters by state law
	**Within 15 minutes of call, hospital sheriffs will speak to patient to determine appropriate jurisdiction (where the crime occurred) and contact local police		**Within 15 minutes of call, hospital sheriffs will speak to patient to determine appropriate jurisdiction (where the crime occurred) and contact local police
			**If the sheriffs come in with the patient, they are the ones that handle the SART.
			We called dispatch and they kept sending random sheriffs until we figured this out hahaha
	**Within 30 min to 1 hr of call, police from jurisdiction where assault occurred to come speak to patient		**Within 30 min to 1 hr of call, police from jurisdiction where assault occurred to come speak to patient
	***Police from jurisdiction need to close the loop with ED provider regarding disposition plan		***Police from jurisdiction need to close the loop with ED provider regarding disposition plan

2023-05-10T19:51:30Z

Quick Links

← Older revision		Revision as of 19:51, 10 May 2023
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	*Pediatric sexual assault protocol http://pemsource.org/wp-content/uploads/2017/09/Suspected-Child-Abuse-and-Neglect.pdf		*Pediatric sexual assault protocol http://pemsource.org/wp-content/uploads/2017/09/Suspected-Child-Abuse-and-Neglect.pdf
	*[[File:Harbor-UCLA PEP followup centers.pdf\|thumb\|File:Harbor-UCLA PEP followup centers.pdf]]		*[[File:Harbor-UCLA PEP followup centers.pdf\|thumb\|File:Harbor-UCLA PEP followup centers.pdf]]


	===Cerner Ordersets===		===Cerner Ordersets===

2023-05-10T19:51:11Z

RAPE CRISIS CENTERS

2023-05-10T19:50:44Z

SART Centers

2021-09-13T19:21:57Z

HIV Post-Exposure Prophylaxis (PEP)

← Older revision		Revision as of 19:21, 13 September 2021
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	**If DHS eligible, CCC patient for follow up or advise patient to return to UCC or ED if unable to get appointment		**If DHS eligible, CCC patient for follow up or advise patient to return to UCC or ED if unable to get appointment
	**If OOP, either with their PMD or any PEP Center in LA http://getprepla.com/pep/get-pep-now/		**If OOP, either with their PMD or any PEP Center in LA http://getprepla.com/pep/get-pep-now/
	*~~DHS Expected Practice for~~ Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents ~~age ≥13 [~~File:Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents Expected Practice.pdf]		*[[File:Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents Expected Practice.pdf\|thumb\|File:Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents Expected Practice.pdf]]

	===Consults===		===Consults===

2021-09-13T19:07:04Z

Quick Links

← Older revision		Revision as of 19:07, 13 September 2021
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	*Harbor SART Protocol https://www.wikem.org/wiki/File:SART_ED_Protocol_Recommendations.pdf		*Harbor SART Protocol https://www.wikem.org/wiki/File:SART_ED_Protocol_Recommendations.pdf
	*Pediatric sexual assault protocol http://pemsource.org/wp-content/uploads/2017/09/Suspected-Child-Abuse-and-Neglect.pdf		*Pediatric sexual assault protocol http://pemsource.org/wp-content/uploads/2017/09/Suspected-Child-Abuse-and-Neglect.pdf
	*PEP ~~Centers for Patient Follow-up~~: Harbor-UCLA PEP followup centers.pdf		*[[File:Harbor-UCLA PEP followup centers.pdf\|thumb\|File:Harbor-UCLA PEP followup centers.pdf]]


	===Cerner Ordersets===		===Cerner Ordersets===

2021-09-13T18:59:36Z

HIV Post-Exposure Prophylaxis (PEP)

← Older revision		Revision as of 18:59, 13 September 2021
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	**If DHS eligible, CCC patient for follow up or advise patient to return to UCC or ED if unable to get appointment		**If DHS eligible, CCC patient for follow up or advise patient to return to UCC or ED if unable to get appointment
	**If OOP, either with their PMD or any PEP Center in LA http://getprepla.com/pep/get-pep-now/		**If OOP, either with their PMD or any PEP Center in LA http://getprepla.com/pep/get-pep-now/
	*DHS Expected Practice for Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents age ≥13 File:Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents Expected Practice.pdf		*DHS Expected Practice for Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents age ≥13 [File:Non-occupational Post-Exposure Prophylaxis (nPEP) for HIV Prevention in Adults and Adolescents Expected Practice.pdf]

	===Consults===		===Consults===

2021-09-13T18:36:47Z

Management

← Older revision		Revision as of 18:36, 13 September 2021
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	==Management==		==Management==
	Treat the patient's medical conditions first (may have traumatic injuries)		Treat the patient's medical conditions first (may have traumatic injuries), offering prophylactic treatments, while doing your best to preserve any evidence (see below).

	===Triage Time-Sensitive Actions===		===Triage Time-Sensitive Actions===

2021-09-13T18:32:46Z

Consults

← Older revision		Revision as of 18:32, 13 September 2021
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	*Consult to Social Work		*Consult to Social Work
	**If the patient does not have transportation home after leaving the SART center, SW can provide the patient with a TAP card during daytime hours. ED registration provides TAP cards after hours.		**If the patient does not have transportation home after leaving the SART center, SW can provide the patient with a TAP card during daytime hours. ED registration provides TAP cards after hours.
	*Consult to Violence Intervention Team		*Consult to Violence Intervention Team, and Trauma Recovery Center
	*HIV team should not be consulted unless the patient is confirmed positive for HIV or patient cannot take Truvada/raltegravir and needs different medication recommendations		*HIV team should not be consulted unless the patient is confirmed positive for HIV or patient cannot take Truvada/raltegravir and needs different medication recommendations

2021-09-02T15:56:34Z

Quick Links

← Older revision		Revision as of 15:56, 2 September 2021
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			===Get SART exam approval===
			*Call Harbor Sheriffs
			*Harbor Sheriffs will contact outside Law Enforcement Agency with jurisdiction
			*Law enforcement with jurisdiction will come to Harbor to interview patient and then call:
			**(1)- Forensic Nurse Specialist (SART, available 24/7): (562) 497-0147
			**(2) - Sexual Assault Hotline at SACA (Sexual Assault Crisis Agency): (562) 989-5900
			*Stabilize patient while preserving evidence, and offer STI and HIV prophylaxis below if indicated
			*If patient not stable to be discharged to SART center then inform Law Enforcement Agency to have on-call Sexual Assault Nurse Examiner come to Harbor

	==Quick Links==		==Quick Links==
	*See [[Sexual assault]] for medical management details. Details below are Harbor-specific processes.		*See [[Sexual assault]] for medical management details. Details below are Harbor-specific processes.