Presentation on theme: "SAN FRANCISCO TRAUMA RECOVERY/RAPE TREATMENT CENTER"— Presentation transcript:
1SAN FRANCISCO TRAUMA RECOVERY/RAPE TREATMENT CENTER A Very Brief Overview of Managing SEXUAL ASSAULTSJessica Dodge, MMSc., PA-CKara Duffy, MMSc., PA-C
2Case PresentationA 38 yof presents to outpatient clinic with upper respiratory symptoms. She also mentions that she was sexually assaulted 5 days prior. She reports no injuries, pain, or bleeding related to the assault.What are your responsibilities and what should you do for this patient?
3What should you do for this patient? Treat the patient for her medical complaintMake a mandated reportSame as child/elder abuse, always make a mandated report for any reasonable suspicion of a sexual assaultRefer, Refer, Refer
4Trauma Recovery/Rape Treatment Center Trauma Recovery/Rape Treatment Center (TRC/RTC) medical providers are Nurse Practitioners (NPs) and Physician Assistants (PAs) who are specially trained to provide complete medical and forensic services to clients who have been sexually assaulted.
5Services include: Medical Care: Forensic Evidence Collection: Comprehensive medical examinationSTD, HIV, and pregnancy prophylaxis & testingFollow up medical appointmentLink to primary care providerForensic Evidence Collection:Evidence collection & documentation (DNA, toxicology, photographs)With or without police involvementMental Health & Case Management ServicesShort-term trauma focused therapyInformation about The California Victim Compensation Program (CalVCP)Assistance navigating the legal systemAssistance accessing other community services
7When Should I Consult? Any suspicion of a sexual assault Patient is interested in speaking with the police and or collecting evidencePatient is interested in STD / pregnancy prophylaxis and or an exam to check for injuryPatient is interested in trauma focused mental health therapy – as with all sexual assault based care, there is no charge in San FranciscoYou are interested in hearing about our standard medical care over the phone, to be certain you offering the patient appropriate services
8How do I make a consult? RTC providers are available 24/7 To speak to a provider directly, contact SFGH Emergency Department and ask for the RTC provider pagerPatients may also call the RTC / TRC during regular business hours, and patients may self refer (mental health services)2727 Mariposa, Suite 100 (x Bryant & Florida)415/ (front desk)415/ (fax)
9ReferencesNational Protocol for Sexual Assault Medical Forensic Examinations – Adults/Adolescents, SeptemberAntiretroviral Postexposure Prophylaxis After Sexual, Injection Drug Use, or Other Nonoccupational Exposure to HIV in the United States -Post Exposure Prophylaxis – May 2010, good summary of data on post exposure prophylaxis from AVERT, an international AIDS charity -HIV prophylaxis following Non-Occupational Exposure Including Sexual Assault – information on transmission of HIV as wells as Hepatitis B/C