Interventions with 2. Explain every assessment procedure that will be conducted 3. Ledray (2001) suggested the following fi 1. It is important to communicate the following to the victim of ments instill trust and validate self-worth.The woman who has been sexually assaulted fears for her life and must be reassured of her safety. She may also be over-whelmed with self-doubt and self-blame, and these state- b. “I’m sorry that it happened.” c. “I am very glad you survived.” d. “It is not your fault. No one deserves to be treated this in the emergency department: e. “You did the best that you could.”is conducted in a caring, nonjudgmental manner a. b. nents of a forensic examination of the sexual assault survivor sexual assault:and why it is being conducted. Ensure that data collection a. “You are safe here.”fear and anxiety and increase trust.and the subsequent contamination of the evidence.Maintaining the proper chain of evidence.way.”Treatment and documentation of injuries.men, hair, and finot plastic, bags, from accumulation of moisture inside the plastic container, Selected Rationales ngernail scrapings should be sealed in paper, to prevent the possible growth of mildew Forensic Nursing Samples of blood, se- ve essential compo- Samples must be to decrease ●^361
2 2506_Ch22_358-369.indd Sec1:361 506 Ch 22 358 - 369 .indd 4. In the case of other types of trauma (e.g., gunshot victims; Sec 1 automobile/pedestrian hit-and-run victims), d. e. c. : 361 obtain the individual’s permission to allow a counselor to call her to make a follow-up appointment.and kept under observation or properly locked until ren-eral tests and interventions are available for prophylactic treatment of certain STDs.proper chain of evidence and freshness of the samples.Pregnancy risk evaluation and prevention.dered to the proper legal authority mens are 97% to 98% effective if started within 24 hours of the sexual attack and are generally only recommended within 72 hours (Ledray, 2001).Treatment and evaluation of sexually transmitted diseases Crisis intervention and arrangements for follow-up counseling.(STDs).Because a survivor is often too ashamed or fearful to seek follow-up counseling, properly labeled, sealed, and refrigerated when necessary If conducted within 72 hours of the attack, sev-it may be important for the nurse to in order to ensure the Prophylactic regi-ensure that any^ 10/1/10 9:38:15 AM 10 / 1 / 10 9 : 38 : 15 AM