Establishing the Need for and Implementing a Pediatric Sexual Assault Response Team Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/162983
Type:
Presentation
Title:
Establishing the Need for and Implementing a Pediatric Sexual Assault Response Team Program
Abstract:
Establishing the Need for and Implementing a Pediatric Sexual Assault Response Team Program
Conference Sponsor:Emergency Nurses Association
Conference Year:2005
Author:Davis, Barbara, RN, BSN, CEN
P.I. Institution Name:Lehigh Valley Hospital and Health Network
Title:Patient Care Coordinator
Contact Address:17th & Chew Streets, Allentown, PA, 18104, USA
Contact Telephone:(610) 402-2288
Co-Authors:Charlotte Buckenmyer, RN, BS, MS, CRNI; Gina Sierzega, BA, MA; Elizabeth Evans, DO
Clinical Topic: In 1998, this emergency department (ED) implemented a Sexual Assault Forensic Examiner (SAFE) program for patients 12 years old and older. Analysis of data between January 2001 and December 2004 revealed that, in addition to the 314 patients 12 and older who were treated for sexual assault, 77 patients 11 and younger also were treated. On average, pediatric patients 11 and younger represent 18% to 23% of all sexual assault cases annually in this emergency department. In response to the number of pediatric patients under 12 who need treatment for sexual assault in the emergency department and the lack of a specialized program to address their specific needs, this institution implemented a pediatric sexual assault program. Implementation: July 1, 2004, a pediatric Sexual Assault Response Team (SART), consisting of three emergency physicians, three pediatricians, and four trained SART nurses, was initiated. Nurses received training during a two-and-one-half day pediatric sexual assault education session that was offered through an outside organization. SART nurses were able to serve as Sexual Assault Forensic Examiners for the 12 and older population as well. Following implementation of the SART program, all sexual assault patients who presented to the emergency department were asked a series of questions by the triage nurse, who then paged a SAFE nurse. The SAFE nurse used a carefully designed algorithm to determine the patients' care path. A team, comprised of a SART physician and nurse, treated each patient; however, plans are in process to have SART nurses treat pediatric patients independently . Lastly, support was provided to SART team members through monthly meetings and adequate staffing to ensure that each member's on-call rate remained low. Outcome: Between July 1 and December 31, 2004, the SART team treated 14 sexual-assault patients under 12. In addition, 118 sexual assaults among patients 12 and older were treated in 2004. ED physicians and nurses have indicated great satisfaction with the SART program. Plans are being developed to implement an internal course to train nurses and physicians on the SAFE and SART programs. Recommendations: Analysis of data from the institution's SAFE program revealed a considerable number of pediatric sexual assaults in the emergency department. Although pediatric patients received appropriate care prior to implementation of the SART program, this population benefited from a specialized team trained to care for the pediatric patient. As a result, it is recommended that hospitals implement a combined SAFE and SART program?one that generates a team to care for both pediatric and adult sexual-assault victims. In addition, it is essential to have a staff support system in place to alleviate burnout associated with caring for young children of assault.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEstablishing the Need for and Implementing a Pediatric Sexual Assault Response Team Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162983-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Establishing the Need for and Implementing a Pediatric Sexual Assault Response Team Program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</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">Davis, Barbara, RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Hospital and Health Network</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Patient Care Coordinator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">17th &amp; Chew Streets, Allentown, PA, 18104, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(610) 402-2288</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Barbara.davis@lvh.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Charlotte Buckenmyer, RN, BS, MS, CRNI; Gina Sierzega, BA, MA; Elizabeth Evans, DO<br/></td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: In 1998, this emergency department (ED) implemented a Sexual Assault Forensic Examiner (SAFE) program for patients 12 years old and older. Analysis of data between January 2001 and December 2004 revealed that, in addition to the 314 patients 12 and older who were treated for sexual assault, 77 patients 11 and younger also were treated. On average, pediatric patients 11 and younger represent 18% to 23% of all sexual assault cases annually in this emergency department. In response to the number of pediatric patients under 12 who need treatment for sexual assault in the emergency department and the lack of a specialized program to address their specific needs, this institution implemented a pediatric sexual assault program. Implementation: July 1, 2004, a pediatric Sexual Assault Response Team (SART), consisting of three emergency physicians, three pediatricians, and four trained SART nurses, was initiated. Nurses received training during a two-and-one-half day pediatric sexual assault education session that was offered through an outside organization. SART nurses were able to serve as Sexual Assault Forensic Examiners for the 12 and older population as well. Following implementation of the SART program, all sexual assault patients who presented to the emergency department were asked a series of questions by the triage nurse, who then paged a SAFE nurse. The SAFE nurse used a carefully designed algorithm to determine the patients' care path. A team, comprised of a SART physician and nurse, treated each patient; however, plans are in process to have SART nurses treat pediatric patients independently . Lastly, support was provided to SART team members through monthly meetings and adequate staffing to ensure that each member's on-call rate remained low. Outcome: Between July 1 and December 31, 2004, the SART team treated 14 sexual-assault patients under 12. In addition, 118 sexual assaults among patients 12 and older were treated in 2004. ED physicians and nurses have indicated great satisfaction with the SART program. Plans are being developed to implement an internal course to train nurses and physicians on the SAFE and SART programs. Recommendations: Analysis of data from the institution's SAFE program revealed a considerable number of pediatric sexual assaults in the emergency department. Although pediatric patients received appropriate care prior to implementation of the SART program, this population benefited from a specialized team trained to care for the pediatric patient. As a result, it is recommended that hospitals implement a combined SAFE and SART program?one that generates a team to care for both pediatric and adult sexual-assault victims. In addition, it is essential to have a staff support system in place to alleviate burnout associated with caring for young children of assault.</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:32Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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