Pediatric emergency medicine trisk 4223 4223
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This is a highly important reflective activity which includes group reflection
to improve future performance of care. Monthly team meetings, quarterly
skill-building sessions with simulations, literature review, and case review
are essential to advancing clinical care for the pediatric sexual assault victim.
Strong partnerships with local law enforcement, child advocacy, rape crisis
centers, and CPS include key stakeholders as part of the SART team ongoing
education and collaboration.
Professional development is strongly encouraged. Certification by the
International Association of Forensic Nurses (IAFN) is recognized as
validation of competency for sexual assault nurse examiners (SANE) with
the designation SANE-A for adult/adolescent specialization or SANE-P for
pediatric/adolescent specialization. Membership to a local chapter of IAFN
is also encouraged. Finally, board certification in pediatric emergency
medicine (EM) or child abuse pediatrics documents medical expertise.
Assessing and Maintaining Quality
Technologic advances in photo documentation and the increasing reliance on
telemedicine change rapidly; SART members must be informed and up to
date on trends and new developments in the specialty. Maintaining a
database of all patients’ cases, performing group literature reviews, and
meeting with key players within the local community allow the SART
mission and performance to be enhanced through collaboration and
advocacy across the community and its services. Significant institutional
support and strong leadership are required to put these processes into place.
KEY POINTS
Timely care for the victim of sexual assault is crucial; this
determines level and extent of care.
A multidisciplinary team approach is best; ongoing case review
and targeted education provide opportunities for continued quality
improvement.
Partnership with CPS, law enforcement, forensic crime laboratory,
and community services including child advocacy centers, rape
crisis centers, and other behavioral health agencies is important.
