jane doe rape kit act:
DESCRIPTION
Jane Doe Rape Kit Act:. Meeting the Challenge. Objectives:. Gain a better understanding of the Violence Against Women Act thru Historical perspective Overview of evidence collection for “Jane Doe” Current legislative direction in Texas Discuss the effects of VAWA and its recent changes - PowerPoint PPT PresentationTRANSCRIPT
Jane Doe Rape Kit Act:
Meeting the Challenge
Objectives:
Gain a better understanding of the Violence Against Women Act thru Historical perspective Overview of evidence collection for “Jane Doe” Current legislative direction in Texas
Discuss the effects of VAWA and its recent changes Options for victims
Return to your communities and assist with implementing a plan of care to address these special needs patients.
Violence Against Women Act of 2005
Directed towards provision of services Education Crisis Services Funding for certain services Victims rights Military provisions Protocol for evidence collection
Violence & Trauma in Texas: 2006
120 persons lost their lives to domestic violence/ trauma
186,868 documented family violence events
16,968 children required emergency shelter (not counting those sent to other family members)
Sexual Assault Response Teams
Law enforcement Hospitals SANE’s Advocacy (Rape
Crisis) Prosecution Victims Assistance
Evolution of “Jane Doe”
Military Response Required training of
combined military forces
Use of SARC Restricted vs. Non-
Restricted reporting
“Anonymous Reporting”
Victim has the right to a medical forensic exam at NO cost to the victim.
They are not required to notify or cooperate with law enforcement.
Effects on the Emergency Department
Must have a written plan to provide for services
Patient does not have to be transferred if SANE is not available
Who will perform the forensic medical exam in the absence of a SANE?
Who will pay if law enforcement does not? How will the evidence (Kit and clothing) be
stored and monitored?
One plan shared
Williamson County Sexual Assault Response Team (SART)
Began discussions in February 2008 Stakeholders represented different interests Team approached task with victims in mind December 2008: Protocol written and
approved January 16, 2009 first “Jane Doe” case
presented to local ED.
Lessoned learned
Importance of establishing common goal
Communication All stakeholders
hold equal vote Victim, patient,
survivor centered
Plan
Sexual assault algorithm Training for ED nurses and doctors Provision for caring for SA patients Involvement of Rape Crisis Center Dual registration
Medical record Forensic record
Cold storage with security measures Chain of custody Limitations on storage
Shared experience 45 days in
Many more victims than expected More likely to have exam with
evidence collection if they don’t have to report to LE.
Failure to report to LE leave nurse with the emotional responsibility
Law enforcement key component to successful closure.
In Closing
Carefully consider how these trauma victims will be managed
If you do not have a SANE program, insure that you are in Federal compliance
Failure to comply could cost Texas millions in STOP Grant funding.
Questions:
512-422-8502
Vangie Barefoot RN, BSN, CA-CP SANE, CEN, SANE-A, CFN, CMI-II