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MFSRH Part 2 NK > Sexual Assault > Flashcards

Sexual Assault Flashcards

1
Q

Risk factors

A
  • Age (16-24y)
  • Female
  • Single
  • Student
  • Poverty / low income
  • Female with lifelong illness or disability
  • Living in a household with no children
  • Previous victimisation
  • Alcohol / drug use
  • CSW
  • transgender
  • being displaced
  • being in environment where there are other types of violence
  • in detention
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2
Q

What’s an ISVA

A

Independent sexual violence advisers provide specialist support to victims and survivors of sexual violence regardless of whether they have reported to police or not.
Provide impartial advice about survivors options - police, SARC, pre trial therapy, counselling and advice on other services - eg health and social care, housing, benefits.

Also complete risk assessment / safeguarding / support plan

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3
Q

Immediate management (within 7 days of assault) - BASHH

A
  • Immediate safety
  • Treatment of injuries
  • Offer SARC referral
  • Baseline CT/GC screen +/- prophylaxis
  • HIV screen or serum save
  • Baseline HCV/HBV screen
  • HBV vaccination (0,1,3 weeks)
  • EC +/- PDT
  • PEPSE within 72h
  • carry out self harm risk identification
  • assess for any safeguarding issues or vulnerabilities
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4
Q

Forensic evidence - gloves

A

Double non sterile gloves. Change between sampling sites. No need to send gloves unless visible material on them

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5
Q

Forensic samples time frame - kissing / licking / biting

A

48 hours

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6
Q

Forensic samples time frame - digital penetration

A 
48 hours (FFLM)
(BASHH say 12h)
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7
Q

Forensic samples time frame

- oral penetration

A

48 hours

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8
Q

Forensic samples time frame - vaginal penetration

A

7 days

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9
Q

Forensic samples time frame - anal penetration

A

3 days

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10
Q

Medium term needs (>7 days, < 1 year)

A
  • Screen for STIs (May need follow up 3-6/12)
  • HBV vacc (if within 6 weeks of SA)
  • PDT
  • assessment of coping abilities
  • identify symptoms of PTSD
  • practical and psychosocial support
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11
Q

Long term needs (disclosure of historical SA >1yr post SA)

A

STI screen

Psychological support - GP, local support services, psychosexual counsellor etc

  • with PTSD - CBT / EMDR
  • without PTSD - counselling, psychotherapy etc
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12
Q

Forensic sample time frame - urine

A 
120 hours (5 days) - FFLM
- but if suspect drug facilitated sexual assault - 14 days
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13
Q

Forensic samples for toxicology time frame - hair

A

6 months

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14
Q

Toxicology screen time frames for blood, urine and hair

A

Blood - up to 3 days
Urine - up to 14 days
Hair - up to 6 months

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15
Q

How long from sexual assault can clothes be used as forensic evidence

A

Until washed, no time limit

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MFSRH Part 2 NK (5 decks)

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