Tulsa Forensic Nursing Services

HISTORY SEXUAL ASSAULT EDUCATION OPPORTUNITIES
WHAT'S NEW INTIMATE PARTNER VIOLENCE RESEARCH
FAQ HUMAN TRAFFICKING AWARDS
MEDICAL SERVICES ELDER ABUSE CONTACT US
OTHER SERVICES STATEWIDE SANE INFORMATION OKLAHOMA SANE PROGRAMS


WHAT'S NEW

SANE_SAFEforensicLearningSeries.jpg

STM Learning's SANE/SAFE Forensic Learning Series: Adolescent and Adult Sexual Assault Assessment is designed to challenge the critical thinking skills of sexual assault examiners responsible for identifying injuries, collecting evidence, and treating patients reporting a history of sexual assault or abuse. They are available for purchase either separately or as a bundle. For a complete description of this resource visit: http://www.stmlearning.com/sane-safe-forensic-learning-series-bundle-print.html

The most recent text for sexual assault examiners has just been released.

book.jpgHardbound, 160 Pages
Published: MAR-2012
ISBN 13: 978-1-4377-2783-8
Imprint: MOSBY 

 

For a full description of the text go to:
http://www.us.elsevierhealth.com/product.jsp?isbn=9781437727838&sgCountry=--&default=US&isbn=9781437727838

o More than 250 full-color images of normal and abnormal findings assist in determining causation and accurate identification, interpretation, and documentation of injuries.
o Critical information related to clinical practice is highlighted throughout the text.
o Interpretation of anogenital findings is simplified with coverage of normal anatomy and physiology of the mouth, genitalia, anus, and rectum, as well as anogenital variances not attributable to trauma.
o Unique! Postmortem Sexual Assault Examinations chapter includes the details and photos of this specific examination.
o Photo legends note proper identification and descriptive terminology of injuries, disease, and normal variances.
o Key Terms are highlighted and defined, making it easier for healthcare providers, law enforcement, and legal professionals to use accurate medical forensic terminology for documentation and courtroom testimony.

Check out the IAFN Store for pricing for members and non-members at iafn.org.

 

Non reports--
Although every sexual assault victim has the right to report the crime, not all choose to do so.  Patients 18 years of age and older, have the option of reporting the incident or not.  Regardless of whether they report the incident, all victims have the right to a medical forensic examination, crisis intervention, counseling, support groups and medical care.  Whatever the circumstances, you did not deserve it, it is not your fault and you do not have to cope alone.

120 hrs for adult and adolescent--
A sexual assault nurse examiner can evaluate an adult or adolescent victim whose assault has occurred within the previous 120 hours (5 days). 

FAQ
What is sexual assault?
Sexual assault is defined as any sexual activity involving a person who does not or cannot (due to alcohol, drugs, or some sort of incapacitation) consent. 

According to the U.S. Department of Health & Human Services, "sexual assault can be verbal, visual, or anything that forces a person to join in unwanted sexual contact or attention."  Sexual assault can describe many things, including:

  • rape, including partner and marital rape
  • unwanted sexual contact (touching or grabbing)
  • unwelcome exposure of another's body, exhibitionism, or voyeurism
  • child sexual abuse
  • incest or molestation
  • sexual harassment
  • sexual exploitation of clients by therapists, doctors, dentists, or other professionals

 What to do if you have been sexually assaulted?
 
  1. Go to a Safe Place

  • After experiencing a traumatic event such as sexual assault, it is important to find a place where you feel comfortable and safe from harm

   2. Call for Assistance

  • DVIS/Call Rape 24 hour crisis line-  918.7.HELP.ME (918-743-5763)
  • Call 911

   3. Seek Medical Attention

  • To check for injuries; you may have injuries that you can't see or feel
  • To prevent sexually transmitted infections
  • To prevent pregnancy
  • To collect evidence (For adults evidence collection does not require you to place a report with the police or press charges; it preserves these options for the future.)

   4. Preserve Evidence
       
For the purposes of evidence collection, we suggest that you avoid: 

  • drinking
  • eating
  • showering/bathing
  • brushing your teeth
  • combing your hair
  • changing your clothes

If you have done any of these things, evidence can still be collected and it is still important to seek medical attention If you have changed your clothes, take the clothes you were wearing at the time of the assault to the hospital in a paper bag (not a plastic bag). 

How do I know if I've been drugged?

It is often hard to tell. Most victims don't remember being drugged or assaulted. The victim might not be aware of the attack until 8 or 12 hours after it occurred. These drugs also leave the body very quickly. But there are some signs that you might have been drugged:

  • You remember having a drink, but cannot recall anything after that.
  • You feel drunk and haven't drunk any alcohol - or, you feel like the effects of drinking alcohol are stronger than usual.
  • You wake up feeling very hung over and disoriented or having no memory of a period of time.
  • You find that your clothes are not on right or torn.
  • You feel like you had sex, but you cannot remember it. 

Where can I go for help? 

  • Call 911
  • Call DVIS/Call Rape 24 hour crisis line-  918.7.HELP.ME (918-743-5763)
  • Go to a local hospital (Most exams are done in a quiet location within Hillcrest Medical Center) 

How can I help someone who has been sexually assaulted? 

You can help someone who is abused or who has been assaulted by listening and offering comfort. Go with her or him to the police, the hospital, or to counseling. Reinforce the message that she or he is not at fault and that it is natural to feel angry and ashamed. 

How much does it cost?

There is no charge for the forensic medical exam.

Do I have to report it to law enforcement?

Adults over the age 18 are not required to report their assault to law enforcement. 
Emergency Contraceptive

Patients of different ages, social, cultural and religious/spiritual backgrounds may have varying feelings regarding acceptable treatment options for pregnancy prevention.  The various options will be explored in detail at the time of the exam.
Sexually Transmitted Infections

Contracting a sexually transmitted infection is typically a concern of sexual assault patients.  Because of this concern it will be addressed as part of the forensic medical exam.  Testing and treatment will be considered on a case by case basis.  Testing at the time of the initial exam is not typically performed.

When will the results be back?

To give an exact time is virtually impossible but typically takes a few weeks to a few months.  Analysis of the kit is determined by the detective investigating the incident.  The results will be supplied to the detective once the analysis is complete.  Maintaining contact with the investigator is important in assisting with the progression of the case.

How do I find out the investigator in my case?

Contact the law enforcement agency in the city or county where the crime occurred. 

MEDICAL SERVICES
            Sexual assault medical and forensic exams
            Domestic violence exams
            Drug endangered children exams
            Elder abuse and neglect exams

OTHER SERVICES
            Convicted offender DNA collection
            Suspect exams 

SEXUAL ASSAULT
Sexual assault is defined as any sexual activity involving a person who does not or cannot (due to alcohol, drugs, or some sort of incapacitation) consent 

According to the U.S. Department of Health & Human Services, "sexual assault can be verbal, visual, or anything that forces a person to join in unwanted sexual contact or attention." Sexual assault is therefore somewhat of an umbrella term, and can describe many things, including:

  • rape, including partner and marital rape
  • unwanted sexual contact (touching or grabbing)
  • unwelcome exposure of another's body, exhibitionism, or voyeurism
  • child sexual abuse
  • incest or molestation
  • sexual harassment
  • sexual exploitation of clients by therapists, doctors, dentists, or other professionals 

INTIMATE PARTNER VIOLENCE
Intimate partner violence (IPV) occurs between two people in a close relationship. The term "intimate partner" includes current and former spouses and dating partners. IPV exists along a continuum from a single episode of violence to ongoing battering.

IPV includes four types of behavior:

  • Physical violence is when a person hurts or tries to hurt a partner by hitting, kicking, or other type of physical force.
  • Sexual violence is forcing a partner to take part in a sex act when the partner does not consent.
  • Threats of physical or sexual violence include the use of words, gestures, weapons, or other means to communicate the intent to cause harm.
  • Emotional abuse is threatening a partner or his or her possessions or loved ones, or harming a partner's sense of self-worth. Examples are stalking, name-calling, intimidation, or not letting a partner see friends and family.

    Often, IPV starts with emotional abuse. This behavior can progress to physical or sexual assault. Several types of IPV may occur together. 

For more information:

Ann Patterson Dooley Family Safety Center
http://www.cityoftulsa.org/public-safety/family-safety-center.aspx 

Oklahoma Coalition Against Domestic Violence and Sexual Assault
http://ocadvsa.org 

DOMESTIC VIOLENCE INTERVENTION SERVICES/CALL RAPE
http://www.dvis.org/dvis/default.asp 

HUMAN TRAFFICKING
Sexual Trafficking is the recruitment, transportation (within national or across international borders) transfer, harboring, or receipt of persons for the purposes of commercial sexual exploitation.  Sexual trafficking is accomplished by means of fraud, deception, threat of or use of force, abuse of a position of vulnerability, and other forms of coercion.

Trafficking of persons exists in two distinct types: labor trafficking and sexual trafficking. Worldwide, it is estimated that somewhere between 700,000 and four million women, children and men are trafficked each year, and no region is unaffected.  An estimated 14,500 to 17,500 women and children are trafficked into this country each year. There have been reports of trafficking instances in at least 20 different states, with most cases occurring in New York, California, and Florida. 

For more information:

Oklahoman's Against Trafficking Humans
http://oathcoalition.org 

National Human Trafficking Resource Center (NHTRC) http://nhtrc.polarisproject.org 

National Trafficking Tip Line:  (888) 373-7888 

ELDER ABUSE
Elder abuse is a term referring to any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult. The specificity of laws varies from state to state, but broadly defined, abuse may be:

  • Physical Abuse - Inflicting, or threatening to inflict, physical pain or injury on a vulnerable elder, or depriving them of a basic need.
  • Emotional Abuse - Inflicting mental pain, anguish, or distress on an elder person through verbal or nonverbal acts.
  • Sexual Abuse - Non-consensual sexual contact of any kind.
  • Exploitation - Illegal taking, misuse, or concealment of funds, property, or assets of a vulnerable elder.
  • Neglect - Refusal or failure by those responsible to provide food, shelter, health care or protection for a vulnerable elder.
  • Abandonment - The desertion of a vulnerable elder by anyone who has assumed the responsibility for care or custody of that person. 

In the United States, the issue of elder mistreatment is garnering the attention of the law enforcement, medical, and research communities as more people are living longer than ever before. This trend is expected to increase, as the U.S. Census Bureau projects that more than 62 million Americans will be age 65 or older in 2025, an increase of 78 percent from 2001, and more than 7.4 million will be age 85 or older, an increase of nearly 68 percent from 2001. This aging population will require more care and protection than is currently available or possible.

The National Research Council defines elder abuse and mistreatment as (a) intentional actions that cause harm or create a serious risk of harm to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder, or (b) failure by a caregiver to satisfy the elder's basic needs or to protect the elder from harm.  This definition includes financial exploitation of the elderly as well as physical abuse or neglect.

For more information:

Oklahoma Department of Human Services, http://www.okdhs.org/programsandservices/aps/apsdefault.htm

Statewide Abuse Hotline: 1-800-522-3511 

National Center on Elder Abuse, http://www.ncea.aoa.gov 

 

EDUCATION OPPORTUNITIES

Sexual Assault Response Team Education

Tribal Law and Policdy Institute
You will find a wealth of information at this websiete for anyone caring for American Indian victims of sexual assault and Interpersonal violence.  http://www.tribal-institute.org/  They will be offering a webinar July 16 titled Culturally Appropriate Responses for American Indian Victims of Sexual Assault.  
Link to webinar information

RESEARCH
Tulsa's Forensic Nursing Program is a community partner within the Tulsa Institute for Trauma, Abuse and Neglect (TITAN) which is an interdisciplinary institute committed to evidence-based education, scholarship, research, and service that reduce the incidence and impact of trauma and adversity.

http://www.utulsa.edu/academics/Centers-and-Institutes/tulsa-institute-trauma-abuse-neglect.aspx

AWARDS

U.S. Department of Justice Award for Public Service 1994
 
Innovations in State and Local Government from the Ford Foundation and John F. Kennedy School of Government at Harvard University 1994

NOVA (National Organization of Victim Assistance) Distinguished Service to Victims of Crime 1995

Recognized again in 2002 by the Innovations in Government for continued efforts

 

CONTACT US

Kathy Bell MS, RN
Forensic Nursing Administrator
Tulsa Police Department
600 Civic Center
Tulsa, Oklahoma 74103
918-596-7608
kbell@cityoftulsa.org

 


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