Sexual Abuse Clinical Pathway — Emergency Department

Documentation

Tips

Be descriptive
Describe physical findings in detail, refer to photodocumentation
Use quotation marks when documenting patient/family statements about event details

SART RN	Document in Epic using SART Nursing Note Template
ED HP	ED Sexual Assault SART Epic note Special attention to physical examination findings
PEM Attending	Reviews, signs the ED Sexual Assault Epic note Responsible for completing or assigning required Evidence Consent Form
Social Work	Consult note, complete Child Line Report and Police Report Mental Health Assessment
Lead PSR or Designee	Complete, submit VCAP form Bring evidence consent form to Attending or designee Upload signed evidence consent form to media manager

Sex Trafficking Screen

ED SART Note Template	Was this patient assessed via history and physical for possible sex trafficking? Yes/No
Outcome	Screen Positive Screen Negative Screen Negative but high concern for trafficking
Social Worker	Document with dot phrase

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.