Sexual Abuse Clinical Pathway — Emergency Department

Documentation

Tips

  • Be descriptive
  • Describe physical findings in detail, refer to photodocumentation
  • Use quotation marks when documenting patient/family statements about event details
SART RN Document in Epic using SART Nursing Note Template
ED HP
  • ED Sexual Assault SART Epic note
  • Special attention to physical examination findings
PEM Attending
  • Reviews, signs the ED Sexual Assault Epic note
  • Responsible for completing or assigning required Evidence Consent Form
Social Work
  • Consult note, complete Child Line Report and Police Report
  • Mental Health Assessment
Lead PSR or Designee
  • Complete, submit VCAP form
  • Bring evidence consent form to Attending or designee
  • Upload signed evidence consent form to media manager

Sex Trafficking Screen

ED SART Note Template Was this patient assessed via history and physical for possible sex trafficking? Yes/No
Outcome
  • Screen Positive
  • Screen Negative
  • Screen Negative but high concern for trafficking
Social Worker Document with dot phrase