The Forensic Nurse

If you test positive for HIV, the sooner you take steps to protect your health, the better. Early medical treatment and a healthy lifestyle can help you stay well. Prompt medical care may delay the onset of AIDS and prevent some life-threatening conditions. There are a number of important steps you can take immediately to protect your health:

• See a licensed health care provider, even if you do not feel sick. Try to find a health care provider who has experience treating HIV. There are now many medications to treat HIV infection and help you maintain your health. It is never too early to start thinking about treatment possibilities.
• Have a TB (tuberculosis) test. You may be infected with TB and not know it. Undetected TB can cause serious illness, but it can be successfully treated if caught early.
• Smoking cigarettes, drinking too much alcohol, or using illegal drugs (such as methamphetamines) can weaken your immune system. There are programs available that can help you stop or reduce your use of these substances.
• Get screened for other sexually transmitted diseases (STDs). Undetected STDs can cause serious health problems. It is also important to practice safe-sex behaviors so you can avoid getting STDs.

There is much you can do to stay healthy. Learn all that you can about maintaining good health.

Not having (abstaining from) sex is the most effective way to avoid transmitting HIV to others. If you choose to have sex, use a latex condom to help protect your partner from HIV and other STDs. Studies have shown that latex condoms are very effective, though not 100%, in preventing HIV transmission when used correctly and consistently. If either partner is allergic to latex, plastic (polyurethane) condoms for either the male or female can be used.

In most cases the EIA (enzyme immunoassay), used on blood drawn from a vein, is the most common screening test used to look for antibodies to HIV. A positive (reactive) EIA must be used with a follow-up (confirmatory) test such as the Western blot to make a positive diagnosis. There are EIA tests that use other body fluids to look for antibodies to HIV. These include:

• Oral Fluid Tests – use oral fluid (not saliva) that is collected from the mouth using a special collection device. This is an EIA antibody test similar to the standard blood EIA test. A follow-up confirmatory Western Blot uses the same oral fluid sample.
• Urine Tests – use urine instead of blood. The sensitivity and specificity (accuracy) are somewhat less than that of the blood and oral fluid tests. This is also an EIA antibody test similar to blood EIA tests and requires a follow-up confirmatory Western Blot using the same urine sample.

Rapid Tests:

A rapid test is a screening test that produces very quick results, in approximately 20 minutes. Rapid tests use blood from a vein or from a finger stick, or oral fluid to look for the presence of antibodies to HIV. As is true for all screening tests, a reactive rapid HIV test result must be confirmed with a follow-up confirmatory test before a final diagnosis of infection can be made. These tests have similar accuracy rates as traditional EIA screening tests. Please visit the rapid HIV testing section for details.

Every year over a million women and children become enslaved into a world of sexual slavery. This problem is not just a problem in developing countries of the world, but very much a problem here in the United States as well. By some estimates between 150,000 and 300,000 are sold for sex here in the US.

On January 25, 2010 actors Demi Moore and Ashton Kutcher launched a new charity organization called DNA aimed at putting an end to the global sex trafficking trade.

For More information visit http://demiandashton.org/

Victims Assistance Services of WestCOP, Inc. in collaboration with Barbara Rome, RN, SANE-A will be providing a four-day, 40-hour Adult/Adolescent SANE training course based on the New York State DOH protocol, the National protocol and the IAFN standards for SANE education.

Victims Assistance Services coordinates the Westchester County SANE Program.  This training will take place at their main office in Elmsford from 8am-6pm, on January 28^th, 2010 through January 31^st, 2010.  If you are a RN, NP or PA interested in taking this training, in order to specifically work as a SANE in our county-wide program, please send a cover letter and resume via email to mlaaksonen@westcop.org or via fax to 914-345-3513 to the attention of Michele Laaksonen, Sexual Assault Program Manager I.    The training fee is $250.  The deadline for training registration is January 1^st, 2010.  Due to space limitations, we will be accepting a restricted number of applicants.   

 About the trainer:  Barbara Rome is an Assistant Professor at Westchester Community College and emergency room nurse and nursing supervisor at Northern Westchester Hospital.  She is a nationally and New York state certified Sexual Assault Nurse Examiner and has been practicing as a SANE in both Putnam and Westchester County for over ten years.  Barbara has been called to testify in criminal trial and before the grand jury on numerous occasions.  She holds a Master of Science degree from Mercy College.  

Victims Assistance Services is a component of Westchester Community Opportunity Program Inc., a private not-for-profit, multipurpose social service agency dedicated to helping people and changing lives.

Victims Assistance Services (VAS) of WestCOP, Inc. coordinates the Sexual Assault Nurse Examiner (SANE) Program. The SANE has the responsibility to respond to any one of our nine participating hospitals in Westchester County to provide direct-services to victims of sexual assault, ages 12 and older. The SANE provides immediate, specialized, patient-centered medical care and performs comprehensive forensic medical examinations, including evidence collection, health-related education, and referrals; the SANE may also be called to testify in court as an expert witness regarding the quality of the evidence he/she collects, documentation, and the preservation and custody of physical evidence. The SANE utilizes an interdisciplinary approach through collaboration with hospital staff, advocates, law enforcement, and the DA’s office. The SANE will also attend mandatory continuing education trainings and case review meetings. 

Other Information About This Job:  SANEs will provide on-call services for at least three full shifts a month (shifts are weekdays and weekends, 8am-5pm or 5pm-8am) and commit to the program for a minimum of one year.  The nurses in our SANE program work in all different fields of nursing and choose to work as a SANE during their free time – in order to give back to their communities.  While they do receive a flat stipend per case, our SANEs volunteer their on-call time.  To apply for this position, please send a cover letter and resume via email to mlaaksonen@westcop.org or via fax to 914-345-3513 to the attention of Michele Laaksonen, Sexual Assault Program Manager I.   

* State only pays for abortions when necessary to protect the woman’s life.

Source: Guttmacher Institute 2009

Source: http://www.ncsl.org/programs/health/aborlaws.htm

Just a reminder to those of you who have or are planing to signup for the SANE-A training course in May 2009. There is a exam testing date on October 25. 2009 in Atlanta.  This is immedately following the 17th Annual Scientific Assembly  of the IAFN.

Current Exam sites:

Background on the National Sex Offenders Registry Our Crimes Against Children Unit at FBI Headquarters coordinated the development of the National Sex Offenders Registry (NSOR) and continues to lead its implementation.

The Pam Lychner Sexual Offender Tracking and Identification Act of 1996 (Lychner Act) required the Attorney General to establish a national database at the FBI to track the whereabouts and movements of certain convicted sex offenders under Title 42 of the United States Code Section 14072. The National Crime Information Center (NCIC) run by the FBI enables the NSOR to retain the offender’s current registered address and dates of registration, conviction, and residence.

The Lychner Act imposed two major obligations on the FBI that became effective October 3, 1997:

1. To establish a national database that tracks the location and movements of each person who has been convicted of a criminal offense against a victim who is a minor, has been convicted of a sexually violent offense, or is a sexually violent predator.

2. To register and verify the addresses of sex offenders who reside in states without a “minimally sufficient” sex offender registry (SOR) program. Today, all 50 states have minimally sufficient SOR programs.

Under the Act, the FBI may release relevant information to federal, state, and local criminal justice agencies for law enforcement purposes only. Public notification will only be made if it is necessary to protect the public. However, the Act specifically states that in no case shall the FBI release the identity of any victim of an offense that required registration of a sex offender.

The legislation also made it a criminal offense for a registered sex offender to move to another state and knowingly fail to notify the FBI and authorities in the new state. Notification to the FBI and state authorities must be made within 10 days upon moving to a new state and/or establishing residence following release from prison or placed on parole, supervised release, or probation. Upon release, each sex offender is notified of their lawful duty to register with the FBI and appropriate local authorities.

The Jacob Wetterling Crimes Against Children and Sexual Violent Offender Registration Program, enacted in 1994, provides a financial incentive for states to establish registration programs for persons who have been convicted of certain sex crimes.

Megan’s Law, enacted in May 1996, amended the Wetterling Program legislation to give states broad discretion to determine to whom notification should be made about offenders, under what circumstances, and about which offenders.

North Georgia College, on of the partners in the upcoming Adult SANE Training  at Northside Hospital Forysth in May 2009, is announcing another training opportunity.

Course: The Investigation of Mass Fatalities & Human Identification

When: March 16-17 2009

Where: North Geogia College campus

Overview: Topics to be covered will be mass fatality incident response, processing and management of mass fatality scenes, critical stress management for responders, human facial reconstruction, DNA applications for human identification, and forensic odontological identification methodologies.

Learn from experts who have worked at many major national and international disasters as they share their first-hand experiences and explain how this information can benefit you in your daily work.

Presenters:

Human Facial Reconstruction
Mary Manhein
Professor Mary H. Manhein will discuss the role of the forensic
anthrolopologist in a mass fatality event and the utilization of digital
resources in the identification of skeletonized human remains.
Manhein has handled more than 1,000 forensic cases and works with
law enforcement agencies all over the country. She is the author of
The Bone Lady: Life as a Forensic Anthropologist and Trail of Bones.
Manhein has over 27 years of experience as a forensic anthropologist.
She is also the director of the FACES Lab at Louisiana State University,
director of the Louisiana Repository for Unidentified and Missing
Persons Information Program, and professional in residence at LSU.

Mass Fatality Incident & Scene Management
Cotton Howell
Cotton Howell will give insight into all facets of command and
control of mass fatality events. Howell has been deployed to
numerous recent disasters such as the floods in North Carolina,
Egypt Air crash, Alaska Air crash, the World Trade Center on
Sept. 11, 2001, the crematory incident in Georgia in 2002, and
Hurricane Katrina. He has been featured in the Discovery Channel
documentary on disaster response teams.
Howell is a Certified Emergency Manager (CEM) and has been the
director of the York County (SC) Office of Emergency Management
since 1983. He is a registered nurse and a member of the
Department of Homeland Security, Federal Emergency Management
Agency, and the Disaster Mortuary Operational Response Team, of
which he is the commander of DMORT Region 4.

Mass Fatalities & Post-mortem Dental Examination
Dr. Richard A. Weems
Dr. Richard A. Weems will discuss dental identification in a major
loss of life event. He will share his experience in conducting dental
identification at the site of the World Trade Center disaster.
Weems is a forensic odontologist and assistant professor of
dentistry at UAB. He has been a dental consultant to the Alabama
Department of Forensic Sciences since 1987. In this time, he has
investigated over 100 cases involving criminal human bitemark
analysis and victim identification through dental remains resulting
from homicide and accidental death.
Critical Incident Stress and PTSD
Dr. Grady Bray
Dr. Grady Bray brings over 30 years of experience to the lectern
regarding critical stress debriefing of police, fire, and emergency
workers at the scenes of mass fatality events. Additionally, Bray
possesses a unique expertise in the recognition and diagnosis of
PTSD in mass fatality workers.
Bray established the Family Assistance and Training program for
Kenyon International Emergency Services, where he served as vice
president from 2000 to 2006. During this period, he responded to
many major world disasters, including the 9/11 attacks on the World
Trade Center, the tsunami in Thailand, Hurricane Katrina, and the
Helios Airways crash in Athens, Greece.
HAZMAT and Bio Terrorism Response
FBI Hazardous Materials Response Unit
Experts from the FBI’s Hazardous Material Response Unit (HMRU)
will address attendees regarding federal response and coordination in
the event of chemical and bio-hazard fatalities. The HMRU responds
to criminal acts and incidents that involve hazardous materials. The
unit also develops technical proficiency and readiness for crime
scene and evidence-related operations in cases involving chemical,
biological, and radiological materials and wastes, as well as training
US and international law enforcement in these skills.
Applications of DNA for Human Identification
Dr. Mark Wilson
Dr. Mark Wilson will discuss identification through the utilization
of state of the art DNA techniques. Wilson is an internationally
recognized expert on the topic of mitochondrial DNA and human
identification. He is also the director of the forensic science program
at Western Carolina University. Wilson is a retired special agent in
charge with the FBI’s DNA Laboratory.

Full Brochure Download: http://www.theforensicnurse.com/FS_NGSCU_2-10-09.pdf

Northside Hospital in coordination with TheForensicNurse.com and North Georgia College is offering a 40 hour Adult / Adolescent Sexual Assault Nurse Examiner Training at Northside Hospital Forsyth, located just outside of Atlanta Georgia.

The SANE program at Northside hospital has grown from infancy to one of the most highly respected in the state of Georgia. They not only service Forsyth county, but serveral of the other surrounding counties at well. The program also is the only facility in the state that uses the SDFI telemedicine system for advanced digital forensic evidence collection.

Class Information: 

 Date: May 18 - May 22 (5 days)

Location:

1200 Northside Forsyth Drive

Cumming GA, 30041

Cost: $350.00

Registration Website: http://www.theforensicnurse.com/atlanta_georgia_sane_training.cfm

Northside Hospital is an approved provider of continuing nursing education by the Georgia Nurses Association, an accredited approver by the American Nurses Credentialing Centers Commission on Accredidation.

Course Material Outline

• Overview and History of Forensic Nursing
• Myths and Barriers
• Rape Trauma Syndrome
• Roles of SANES
• Continuum of Care
• Crime Lab Kit
• Photography
• Medical Forensic History
• Head to Toe Assessment
• Genital Anatomy / Variations
• STD’s
• Trauma Identification
• Death Investigation
• Evidence Collection
• Serology & DNA Analysis
• Drug Facilitated Sexual Assault
• Multi Disciplinary Team Concept
• Advocate / Police Roles
• Profiling of Sex Offenders
• Special Populations
• Sexual Assault / Domestic Violence
• Clinical Requirements
• Documentation and Testimony
• Expert Witness Testimony
• Judicial System and Laws