Sexual Assault / SANE

Question 1

1 / 2 reasons for not reporting sexual assault

Answer 1

Judgment

Fear of not believing

Question 2

Screening questions

Answer 2

• Does anyone control you or tell you want to do?
• Are you safe right now?
• Has a person pressured you to do something you weren’t comfortable with?
• Have you exchanged sex for food / place to stay / other basic needs?
• What happens if you say no to sex?

Question 3

Red flags for abuse / trafficking (5)

Answer 3

Older partner, accompanied by controlling partner, cigarette burns on body, frequent STI checks, repeat runaways.

Question 4

Mandatory reporting rules in WI

Answer 4

• Must report for pediatrics, but not 18+
• Px can decide if they want to involve the police or not.
• Can hold onto DNA samples for a while in case px wants to involve the police later too.
• Don’t need to report physical abuse to police unless there is a stab wound, GSW, or “significant injury”, which is blurry.

Question 5

Parts of SANE exam

Answer 5

• History / interview including gynecological history, sexual history, and what happened during assault.
• Record any activities that may have compromised / destroyed evidence, such as bathing, douching, brushing teeth, changing clothes, peeing, pooping, tampons, condoms
• Physical exam including genital exam w/ speculum / anoscope. Document all injuries (shape, size, color). May use black light.
• May collect evidence up to 120 hrs
• Asses risk of pregnancy, STI’s, HIV
• Prophylactic meds
• Refer to RCC / other support services
• Follow up