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

Triage

1 Critical 2 Acute 3 Urgent 4 Urgent
 
  • Acute assault
    within 72 hours

  • Trauma

  • Abdominal pain

  • GU complaints

    • Vaginal bleeding
    • Dysuria
    • Rectal pain
  • Return for positive cultures
  • Minor physical complaints
  • Time from last abuse unknown
  • Psychosocial concerns
  • Caretaker concern

    • No history
    • No physical complaints

Important Information to ask all patients

Patients eligible for evaluation in our ED

All females, males < 16 years of age
All female and males age or > 16 years of age requiring a medical evaluation.

Documentation

Any statements made by the caretaker and / or patient during triage must be documented with quotation marks.

Patient Instructions

Page Social Work

To screen the patient in triage

Referring patients ineligible for evaluation in CHOP ED

Patients ≥ 16 years of age who require medical evaluation will be evaluated at The Children’s Hospital of Philadelphia after they are screened by the CHOP triage nurse, social worker and attending physician.

Asymptomatic patients ≥ 16 years of age who present to CHOP ED following an acute sexual assault and require evidence collection will be referred to The Special Victims Unit.

  • The CHOP social worker will call and inform The Special Victims Unit of all patients referred to The Special Victims Unit at phone number 215-685-3251 or 215-685-3252.
  • If the patient is accompanied by an adult, the patient will be offered a cab voucher with the pre-scripted address to The Special Victims Unit.
  • If the patient is accompanied by a responsible adult and the patient denies the need for a cab voucher, the patient will be provided with the address and phone number of The Special Victims Unit.
  • If the patient is alone and/or not accompanied by a responsible adult, the social worker will contact the Philadelphia Police to escort the patient to The Special Victims Unit.

Directions to The Special Victims Unit from CHOP Main Hospital

The Special Victims Unit
300 E. Hunting Park Ave
Philadelphia, PA, 19125

Google Maps directons to The Special Victims Unit

Special Victims Unit Telephone Number:
215-685-3251
215-685-3252
215-685-3253

CARE Clinic

Non-acute assault in patients < 16 years of age

CONSIDER NEED FOR FILING POLICE/CY 47 REPORTS BASED ON HISTORY, EVEN IF PATIENT IS BEING REFERRED AWAY.

Summary of Guidelines for Triage:

Acute episode and/or symptoms SART Team
Acute psychosocial needs or more in depth evaluation ED Team
Chronic abuse, > 72 hours, no symptoms CARE referral

The SART TEAM can be called in at anytime during the patient's evaluation.