Implementing a Comprehensive Computerized Documentation System for Acute Sexual Assault Examinations in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/149830
Type:
Presentation
Title:
Implementing a Comprehensive Computerized Documentation System for Acute Sexual Assault Examinations in the Emergency Department
Abstract:
Implementing a Comprehensive Computerized Documentation System for Acute Sexual Assault Examinations in the Emergency Department
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Navarro, Rebecca, MSN, RN, SANE-A
P.I. Institution Name:Wishard Health Services
Title:Program Coordinator, Center of Hope
Co-Authors:Dan Qualkinbush, AAS; Pamella Jahnke, RN, BSN, CEN, SANE-A; Herbert Blitzer, AB, MBA; Agnes Purdie, RN, BSAH
A computerized documentation system was developed in 2004 to document and track patient information from acute sexual assault examinations conducted by forensic nurse examiners in the emergency department. The computerized documentation system allows forensic nurse examiners to integrate information obtained from a forensic interview with physical exam finding, including injuries documented with digital photographs and bodymapping and evidence collected during a forensic examination, into one document. The forensic nurse can also include other forms such as discharge instructions, consultation notes, and signed patient consents into the computerized document. The completed document with all of these components serves as the patient's medical record. The completed patient medical record is saved on a hospital server and on a compact disc. Care has been taken to protect security of this information and to maintain the privacy of the patient's medical information. The compact disc is available to law enforcement and prosecutors immediately following the completion of the sexual assault examination, if the patient chooses to sign a release for their medical records. The computerized documentation system has been beneficial for nurses caring for sexual assault patients. It has improved the documentation process through immediate access to photographs of injuries and automated features that facilitate documentation. The system automatically enters information from the medical record into a secured, searchable database. The nurse can access this information to identify trends as a means to improve patient outcomes. The system has also been beneficial for law enforcement officers and prosecutors. It has given them immediate access to information and photographs collected by the forensic nurse examiner, which can be used to enhance the investigation and prosecution of sexual assault cases. This system was implemented in three hospitals in Indianapolis in Fall 2004. These systems were developed under National Institute of Justice Award number 2002-RG-CX-K004.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementing a Comprehensive Computerized Documentation System for Acute Sexual Assault Examinations in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/149830-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementing a Comprehensive Computerized Documentation System for Acute Sexual Assault Examinations in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Navarro, Rebecca, MSN, RN, SANE-A</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wishard Health Services</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Program Coordinator, Center of Hope</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rebecca.navarro@wishard.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Dan Qualkinbush, AAS; Pamella Jahnke, RN, BSN, CEN, SANE-A; Herbert Blitzer, AB, MBA; Agnes Purdie, RN, BSAH</td></tr><tr><td colspan="2" class="item-abstract">A computerized documentation system was developed in 2004 to document and track patient information from acute sexual assault examinations conducted by forensic nurse examiners in the emergency department. The computerized documentation system allows forensic nurse examiners to integrate information obtained from a forensic interview with physical exam finding, including injuries documented with digital photographs and bodymapping and evidence collected during a forensic examination, into one document. The forensic nurse can also include other forms such as discharge instructions, consultation notes, and signed patient consents into the computerized document. The completed document with all of these components serves as the patient's medical record. The completed patient medical record is saved on a hospital server and on a compact disc. Care has been taken to protect security of this information and to maintain the privacy of the patient's medical information. The compact disc is available to law enforcement and prosecutors immediately following the completion of the sexual assault examination, if the patient chooses to sign a release for their medical records. The computerized documentation system has been beneficial for nurses caring for sexual assault patients. It has improved the documentation process through immediate access to photographs of injuries and automated features that facilitate documentation. The system automatically enters information from the medical record into a secured, searchable database. The nurse can access this information to identify trends as a means to improve patient outcomes. The system has also been beneficial for law enforcement officers and prosecutors. It has given them immediate access to information and photographs collected by the forensic nurse examiner, which can be used to enhance the investigation and prosecution of sexual assault cases. This system was implemented in three hospitals in Indianapolis in Fall 2004. These systems were developed under National Institute of Justice Award number 2002-RG-CX-K004.</td></tr></table>en_GB
dc.date.available2011-10-26T10:10:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:10:26Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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