This activity has been designed to meet the educational needs of nurses and physicians involved in the treatment and care of victims of intimate partner violence.
PREREQUISITE: Must have completed a 40 hour SAE training.
After completing this activity, the participant should be better able to:
- Define IPV across the lifespan.
- Identify and analyze current scientific literature related to incidence and prevalence of IPV.
- Describe potential clinical indicators of IPV.
- Discuss barriers to service and relate specific examples from individual practice experiences.
- Analyze practice delivery models across a variety of healthcare settings.
- Identify examples of effective interventions for IPV patients.
- Describe the purpose of lethality, dangerousness and risk assessments in the IPV patient population.
- Describe appropriate safety and discharge planning with the IPV patient.
- Examine the co-occurrence of both child maltreatment and sexual violence in IPV patients
- Review the specific challenges and barriers for IPV patients who are LGBTQ/Two-Spirit or elders.
- Describe the role of the forensic clinician in caring for the IPV patient.
- Utilize a trauma informed model of care in order to minimize concerns about revictimization within the healthcare system.
- Employ a process for comprehensive screening and assessment of IPV patients.
- Describe and differentiate common IPV injuries.
- Identify physical/biological evidence collection needs and collects, packages and preserves the samples, as warranted.
- Document the care of the patient, using subjective and objective data, to provide a comprehensive clinical picture of the patient encounter.
- Identify co-existing conditions that may impact both the clinical encounter and patient health outcomes.
- Analyze the safety issues of the patient and work with the patient and appropriate community partners to develop a safety plan.
- Describe the role of community partners involved in a comprehensive response to IPV.
- Identify collaborative partners necessary to create a patient-centered approach to IPV.
- Analyze models for multidisciplinary collaboration based on geographic and resource constraints.
- Identify mandatory reporting requirements and circumstances where disclosure of protected health information may be required as they relate to the IPV patient.
- Describe the role of clinicians in both criminal and civil legal proceedings.
- Illustrate an understanding of effective testimony skills, grounded in practice and current science.
- Appraise the types of policies and procedures needed for comprehensive care of the IPV patient.
- Identify methods to evaluate program capacity.
- Describe methods for ensuring and improving quality in IPV patient care.
- Discuss ethical issues that can arise in the care of IPV patients.
Jenifer Markowitz, ND, RN, WHNP-BC, SANE-A
Dr. Markowitz is a forensic nursing consultant who specializes in issues related to sexual assault and domestic violence, including medical-forensic examinations, strangulation, expert witness testimony, and professional education and development. She currently provides expert testimony, case consultation, and TA and develops training materials, resources, and publications. Until December 2012, she served as the Medical Advisor for AEquitas: The Prosecutor’s Resource on Violence Against Women. A forensic nurse examiner since 1995, Dr. Markowitz has presented and facilitated for organizations such as the National District Attorneys Association and several State prosecuting attorney associations, as well as the Judge Advocate General’s Corps for the U.S. Army, Navy, Air Force, Marine Corps, and Coast Guard. Her past national activities include working with the DOJ’s OVW to develop a national protocol and training standards for SAFEs, with the U.S. Department of Defense to revise the military’s Sexual Assault Evidence Collection kit and corresponding documentation forms, and on the advisory board for the National Sexual Violence Resource Center. She is the author of multiple publications, including several book chapters and the clinical text The Color Atlas of Domestic Violence (Mosby), and serves as a member of the editorial board of the Sexual Assault Report. In 2004, Dr. Markowitz was the recipient of the IAFN’s Distinguished Fellow award. In 2011, Dr. Markowitz was elected to the IAFN’s board of directors and served as President in 2012. Dr. Markowitz received a BA from Case Western Reserve University in Cleveland, Ohio. She completed her clinical doctorate in nursing (ND) at the University of Colorado Health Sciences Center in Denver and is board certified as a women’s health nurse practitioner and a SANE (Adult/Adolescent).
Kim Nash, BSN, RN, SANE-A, SANE-P
Kim Nash, BSN, RN, SANE-A, SANE-P has been practicing as a registered nurse for 15 years and as a forensic nurse for 7 years. She earned her BSN from Regis University in 1998 and became a Sexual Assault Nurse Examiner in 2006. Dual board certified as a SANE-A and a SANE-P, she is part of a team of forensic nurses at Memorial Hospital, University of Colorado Health in Colorado Springs, Colorado who provide medical forensic care to more than 1200 patients per year who are victims of violence (sexual assault, intimate partner violence, child abuse, elder abuse, strangulation, human trafficking). Additionally, she provides clinical skills training through Memorial Hospital’s Simulation Laboratory, teaching sexual assault care to providers from across the US, with a special emphasis on those working in rural or underserved areas. Ms. Nash’s work at the national level includes serving on the Board of Directors for the International Association of Forensic Nurses ( IAFN) and presenting at the International Conference on Forensic Nursing Science and Practice. Additionally, she is the Past President of the Colorado Chapter of IAFN. In 2012, she served as an International consultant for a USAID project in Swaziland, Africa, mentoring local health care professionals in the care of the pediatric rape patients with an emphasis on the prevention of HIV.
Carmen is an enrolled member of the Cheyenne River Sioux Tribe of South Dakota. She has worked toward ending violence against Native women professionally and as a volunteer since 1988. In 1988, she began working in the field as a Children’s Advocate in a shelter, at which she held various other positions over the years. During that time, she served as a co-chair for the South Dakota Coalition Against Domestic Violence and Sexual Assault and as a consultant for the Center for Offender Management, Mending the Sacred Hoop, National State Courts and Sacred Circle- National Resource Center to End Violence Against Native Women. Carmen currently serves as the coordinator for the Native Women’s Society of the Great Plains, a tribal coalition whose membership consists of Native programs, providing services to women who experience violence, across the northern Great Plains. The Native Women’s Society is in its third year of existence and has grown to 22 members strong. The Coalition supports its membership through training, technical assistance and promotes awareness to begin te process of keeping women safe in their own communities. Carmen’s areas of expertise include civil protection orders, children’s issues around domestic violence, and advocacy training for the areas of sexual assault and domestic violence. Other areas of service include: school board member, part time Tribal Magistrate, member of the local Indian Child Welfare Board, the local tribal Child Protection Team, founding member of the Okiciyapi Oti Habitat for Humanity, and current licensed lay advocate for the Cheyenne River Courts. Carmen takes pleasure in the occasional rodeo and pow wow, but is happiest at home with her children, family, friends, horses and cows. The changing seasons and openness of the Plains keeps her grounded and enjoying life.
John W. Sawney (Cherokee) has worked in criminal law for more than 13 years with experience both as a prosecutor and indigent defense attorney. He has successfully prosecuted domestic violence and sexual assault cases in Indian Country. Mr. Sawney served as the managing attorney for the District 27 Drug Task Force and Child Support Enforcement covering four counties in Oklahoma. He is a member of the Oklahoma Bar Association.
Physician Accreditation Statement:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and the International Association of Forensic Nurses. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.
Physician Credit Designation:
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 24 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Education Accreditation Statement:
The International Association of Forensic Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Nursing Continuing Education Credit Designation:
The International Association of Forensic Nurses designates this live activity for 24 Nursing CE Credits.
Disclosure of Conflicts of Interest:
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.
| Name of Faculty or Presenter
| Reported Financial Relationship
| Jenifer Markowitz, ND, RN, WHNP-BC, SANE-A
| Kim Nash, BSN, RN, SANE-A, SANE-P
| Carmen O'Leary
| John Sawney, JD, MEd
The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:
The following PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, RN, BSN and Jan Schultz, RN, MSN, CHCP hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.
The following International Association of Forensic Nurses planners and managers, Kim Day, RN, FNE A/P, SANE-A, SANE-P, Jennifer Pierce-Weeks, RN, SANE-A, SANE-P and Sarah Tucker, BA, hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months
Disclosure of Unlabeled Use:
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Information about obtaining your certificate is provided within the course.
CME Method of Participation and Request for Credit:
There are no fees for participating and receiving CME credit for this activity. During the period September 26 2018 - November 7, 2018, participants must read the learning objectives and faculty disclosures and study the educational activity.
Physicians: How to Obtain your CME Certificate
PIM supports Green CME by offering your Request for Credit online. If you wish to receive acknowledgment for completing this activity, please follow the steps below:
1. Go to CME University at: www.cmeuniversity.com and register or login
2. Once logged in, click on “Find Post-test/Evaluation by Course” at the top of the page
3. Type in 11944 in the box, and hit enter
4. Click on the activity title
5. Complete the online posttest and evaluation and obtain your CME certificate to download and/or print for your files.
Upon completion of the online posttest and evaluation form, you will have immediate access to a certificate of attendance to print or save for your files. You can save your certificate by selecting the “Save” option on the print screen.
For any questions relating to CME (physician) certification for this activity, please contact Postgraduate Institute for Medicine at: firstname.lastname@example.org or (303) 799-1930.
This course requires a Laptop or Desktop Computer, a modern web browser (Internet Explorer 7+, Mozilla Firefox, Apple Safari, Google Chrome), Adobe Flash and access to YouTube.
Jointly provided by Postgraduate Institute for Medicine and International Association of Forensic Nurses
This activity is funded by Indian Health Service.