Sexual Assault Algo Older Than 12 years v1

  • Age > 12 years
    • No
    • Yes
      • Report or concern of sexual abuse/assault that occurred within past 120 hours (5 days)? Contact SW if Yes OR no
        • No
          • Steps
            • Call BARCC advocate 24-hour hotline: 617-492-7273
            • File 51A
            • Provide Contact info for CAC
          • Discharge planning/follow-up:
            • SW consults with CPT and follows up with patient, DCF and CAC if indicated.
            • Social work and CPT involved with 51A and safety planning
            • Prescriptions as needed
        • Yes
          • Is patient medically cleared?
            • No
              • Exit EBG
            • Yes
              • Does patient consent to SANE services
                • Yes
                  • Page SANE 1-617-647-0710 (BARCC will receive page simultaneously)
                    • Is SANE available?
                      • No
                        • Steps
                          • Forensic evidence collection performed by ED provider if patient consents (see Box A)
                          • Determine need for HIV prophylaxis (see Box B)
                          • Offer STI prophylaxis and emergency contraception if indicated (see Box C)
                        • Discharge planning/follow-up:
                          • SW consults with CPT and follows up with patient, DCF and CAC if indicated.
                          • Social work and CPT involved with 51A and safety planning
                          • Prescriptions as needed
                      • Yes
                        • Exam and evidence collection by SANE:
                          • Steps
                            • SANE performs exam/evidence collection/mandated reporting
                            • ED Physician acts as ED liaison for SANE (locate equipment, obtain/administer medications, draw blood, provide extended observation of patient for medical concerns as necessary)
                          • Discharge planning/follow-up:
                            • SW consults with CPT and follows up with patient, DCF and CAC if indicated.
                            • Social work and CPT involved with 51A and safety planning
                            • Prescriptions as needed
                • No
                  • Discharge planning/follow-up:
                    • SW consults with CPT and follows up with patient, DCF and CAC if indicated.
                    • Social work and CPT involved with 51A and safety planning
                    • Prescriptions as needed

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