| Team Members |
- ED social worker leads the interview in the presence of:
- ED HP, SART RN, ED Attending as able
- Team members hold questions until SW finished
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| Communication Strategies |
- Children
- Interview child/guardian individually as appropriate
- Use open-ended questions
- Identify child's preferred “body part” language
- Adolescents
- Discuss confidentiality
- Review SSHADESS
- Identify adolescent’s preferred “body part” language
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| HPI |
- What?
- Date, time, location, use of threats, force, restraint
- Memory loss, LOC, drugs/alcohol exposure
- Contact:
- Oral, digital, vaginal, rectal, ejaculation, condom use
- Bleeding, pain, concern for foreign body, any other trauma
- After the event:
- Bathed, changed clothing, ate, mouthwash, barrier contraceptive device
- Who?
- Perpetrator identification, age, relationship
- Current location
- When
- Initial contact, last contact or last possible contact
- Where
- Location
- Evaluation, reports for this episode
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| Symptoms |
- Genito-anal complaints
- Vaginal irritation, bleeding, discharge
- Dysuria, urinary frequency, enuresis
- Rectal pain, bleeding
- Last void, stool
- Behavioral problems
- Recent “acting out,” hyperactivity, withdrawn
- Sexually explicit behavior inappropriate for age
- Nightmares or recent change in sleeping habits
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| PMH |
- Menarche, LMP
- Sexual history
- STI, pregnancy, birth control
- Recent antibiotics
- HPV, hepatitis B vaccination
- Medications
- Past medical hospitalizations, surgeries
- Health issues
- Previous police or social services reports
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