Pediatric emergency medicine trisk 4222 4222
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review and improvement, and significant institutional resources.
OVERVIEW OF APPROACH
Team Composition
SART is a multidisciplinary team of specially trained professionals devoted
to the care of pediatric victims of sexual assault. Team composition includes,
but is not limited to, members of the ED, general pediatrics, child abuse and
HIV subspecialists, trauma surgery, social work, pharmacists, and child life
specialists. Collaboration between all team members is best accomplished by
designating a team coordinator and a lead support person from each clinical
area. The multidisciplinary nature of the team allows for sharing of best
practice and current evidence, provides a common mental model for patient
care, organizes communication, supports important processes such as inhouse 24/7 coverage for victims of sexual assault, and provides a forum for
continued quality improvement. In settings where a dedicated SART is not
available, a multidisciplinary team approach, based on available resources, is
ideal.
Training
Recruitment and initial and ongoing training of all team members (social
work, child life specialists, nursing, medical) are critical steps in building an
effective SART. Identifying team members who have a passion for serving
the special needs of this unique patient population adds to the success of the
program. Specialized training and simulation sessions prepare practitioners
to respond to the acute sexual assault pediatric victim and include
educational hours spent in didactics and mentored clinical experience. In
settings without a SART, attention to specific training, with ongoing review
of cases and skills, remains essential.
Assessing and Maintaining Competency
Ongoing updates, refresher workshops with simulation, and real-time
feedback are critical to continued SART training. Throughout the year, realtime chart reviews including photo documentation of each case allow for
timely feedback and targeted education. Debriefing immediately following
an examination can promote communication and feedback within the team.
