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Clinical Pathways Home Emergency ICU Inpatient Outpatient Specialty Care Primary Care

Emergency Department Clinical Pathway for Evaluation/Treatment
of Children with Sexual Abuse Concerns

Goals and Metrics
Provider Resources
Sexual Abuse Concerns
Guidance for Referrals/Transport Requests for Sexual Assault
Forensic Examinations


King of Prussia Hospital Transfer Guidelines
Triage (Critical/Acute/Urgent)
Social Work Triage
ED Team/SART
Evaluation
ED Evaluation
ED Team Evaluation
RN Assessment

Complete History

General PE

Screening Tools for Sex Trafficking
  • Discuss Case with Attending/Consent
  • PA Forensic Examination Consent Form
Genital Exam with Attending/Fellow
Consider SCAN Consultation  
CONSIDER TRAUMA CONSULTATION
Forensic Evidence Video Resources
  • Intro, SART Activation, Setting Up the Kit  
  • Performing the Exam  
  • Sealing the Kit, Drug Scan Kit, Chain of Custody  
  • Pain Control
  • Documentation
  • Photodocumentation with Camera
  • Forensic Evidence
  • STI Screening
  • Pregnancy Testing
  • Drug Testing
  • Specimen Collection Information
  • STI Prophylaxis
  • HIV Risk Assessment
  • HIV Prophylaxis
  • Pregnancy Prophylaxis
Discharge Planning with
Social Work Consultation
  • Treatment if Genital Injury Present
  • Medical Follow up
  • Social Work
  • Psychological Support Service
  • Police Report
  • CPS Report
  • Chain of Evidence
Discharge
Follow-up Care

Posted: May 2008
Revised: April 2022
Authors: J. Lavelle, MD, J. Molnar, MSN, PNP-BC; C. Christian, MD, S. Frioux, MD; P. Scribano, DO
Evidence
  • Antiretroviral PEP after Sexual, Injection Drug Use, or Other Nonoccupational Exposure to HIV  
  • AAP Committee on AIDS. PEP in Children and Adolescents for Nonoccupational Exposure to HIV  
  • NY SDOH. HIV Prophylaxis Following Non-occupational Exposure Including Sexual Assault  
  • Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection
CHOP Program
  • Safe Place: The Center for Child Protection and Health  
Educational Media
  • SART Module
  • Primary Care Perspectives: Podcast for Pediatricians
    Episode 76: Identifying Signs of Child Abuse and Neglect
Related Links
  • National Clinician’s Post-Exposure Prophylaxis Hotline (PEPLine):
    1-888-448-4911
  • Sexually Transmitted Infections Treatment Guidelines, 2021  
  • Enhancing the Identification of Commercial Sexual Exploitation Among a Population of High-Risk Youths  
  • A Public Health Approach to Global Child Sex Trafficking  
  • A Short Screening Tool to Identify Victims of Child Sex Trafficking  

 

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway please contact us.

©2022 by Children's Hospital of Philadelphia, all rights reserved.
Use of this site is subject to the Terms of Use.

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.

 

 

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