Training is intended for RN's, Advanced Practice Nurses, Physician Assistants and Physicians who have already completed the 40 hour Adult/Adolescent Sexual Assault Examiner classroom course and are serving American Indian/Alaska Native patients. Participants will develop and enhance their clinical practice skills in the care of adult victims of sexual assault. This training will simulate the patient care setting and include hands-on activities, such as forensic photography of genital and non-genital trauma and simulated patient experiences using live models.
Professional Requirements: You must hold an active, unrestricted license as an RN, Advanced Practice RN, MD, DO, or PA to take this course. This course is intended for practitioners who will be performing hands-on Medical Forensic Exams.
Target Audience: This activity has been designed to meet the educational needs of nurses and physicians involved in the treatment and care of patients who have been victims of sexual assault.
Course Length: 16 hours
Cost: Registration is free to providers from IHS, Tribal, and Urban Indian health care facilities. Providers from referral facilities that serve American Indian or Alaska Native victims of sexual abuse are also eligible to attend at no cost.
While the training itself is free of charge, all travel arrangements including hotel, airfare, meals and incidentals will be the financial responsibility of the student attending the clinical. Students will be provided with an information sheet with nearby hotels and airports, however they must make their own travel arrangements.
Presenter(s): Sexual Assault Forensic Medical Examiners
Statement of Need/Program Overview:
Clinicians evaluating patients who have experienced sexual assault often fail to recognize the importance of comprehensive medical treatment and evaluation of the patient, which is included in the medical forensic examination. They lack basic training in performing the medical forensic evaluation of the patient, and are unable to provide the services or the care necessary to prevent long term health sequelae in the aftermath of sexual violence. Current peer reviewed literature indicates that to provide the best outcomes for the patient in terms of their health and well-being, a provider needs specialized education and training in the care of this patient population. This online training will provide clinical information, along with the cultural and historical information necessary for completing a medical forensic evaluation on the American Indian/Alaska Native populations that Indian Health Services provide services to.
After completing this activity, the participant should be better able to:
- Recognize the magnitude of the problem of sexual assault in Native American/Alaska Native communities
- Implement effective communication strategies when working with AI/AN peoples
- Analyze the health consequences of sexual assault/abuse
- Identify best practices when working with prison rape victims
- Prepare the patient for the anogenital examination
- Identify assessment techniques and identification of strangulation injury
- Discuss the anogenital anatomy as it changes through the lifespan
- Recognize the limitations in testimony regarding the presence or absence of anogenital injury
- Describe the benefits of employing commonly used assessment tools during the anogenital examination
- Distinguish between traumatic injury, disease process and normal examinations
- Explain the benefits and limitations of using photography as a documentation tool in sexual assault cases.
- Explain the benefits and limitations of using a colposcope to document anogenital findings post sexual assault
- Differentiate appropriate time frames for evidence collection in the sexually assaulted adolescent and adult
- Explain the anonymous evidence collection system
- Define and describe drug and alcohol facilitated sexual assault
- Discuss evidence collection in the unconscious patient suspected of having been sexually assaulted
- Differentiate between evidence collection in victims of sexual assault, and evidence collection in suspect examinations
- Demonstrate documentation of the physical assessment using the written (electronic) word and body maps and diagrams
- Explain the health risks associated with being sexually assaulted
Physician Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and International Association of Forensic Nurses. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Credit Designation:
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 16 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 nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
Nursing Continuing Education Credit Designation:
The International Association of Forensic Nurses designates this activity for 16 Nursing CE Credits.
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 of the training 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 the assigned code in the box, and hit enter
4. Click on the activity title
5. Complete the online post test and evaluation and obtain your CME certificate to download and/or print for your files.
Upon completion of the online post test 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.
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