ED Pathway for Evaluation/Treatment of Children with Sexual Abuse Concerns

General PE

WEAR GLOVES DURING THE EXAMINATION
Place SART Cart at bedside

Labeling Forensic Evidence

Patient identification sticker
Date, time, location of collection
Forensic examiner’s signature

Photographs

See Photodocumentation

Clothes for Evidence for Acute Assault

Collect clothes that were worn during the acute abuse / assault

Collect underwear/diaper even if patient has changed

PE

(Use the anatomic drawing on the Sexual Assault Examination Form)

Bite marks

Photograph
Use Debris Envelope from Rape Kit
Moisten swab and rub over the bite mark
Allow to dry, label, place in Debris Envelope
Mark envelope “Saliva”

Inspect hands

Swab fingernails if there are dried secretions
Allow to dry, label, place back in Debris Envelope

Oropharyngeal lesions