Forensic Nurses. IAFN International Conference on Forensic Nursing Science and Practice. October 21-24, 2013 Disneyland Hotel Anaheim, California

Transcription

1 I n t e r n at i o n a l A s s o c i at i o n o f Forensic Nurses IAFN International Conference on Forensic Nursing Science and Practice October 21-24, 2013 Disneyland Hotel Anaheim, California

2 IAFN Foundation Event! Wednesday, October 23 4:00 pm 8:00 pm See page 21 for further details IAFN STAFF Carey Goryl Chief Executive Officer Bonnie Barsa Program Support Specialist/Chapter Liaison Andrea Cavanagh Administrative Assistant Kim Day SAFE Technical Assistance Coordinator Carol Dunn Meetings & Events Planner Kathleen Maguire Certification and Education Director Jen Pierce-Weeks Project Director, SAFE Web-Based Training Marisa Raso Membership Director Stacy Mihalko Robertson Office Manager Sarah Tucker Project Manager, SANE Sustainability 2013 IAFN CONFERENCE PLANNING COMMITTEE Stacy Garrity, Chair Angela Amar Alison Colbert Kim Day Stacy Drake Carol Dunn Sonja Eddleman Dee Krebs Jennifer Pierce-Weeks Lynda Tiefel Polly Campbell, Board Liaison HOME OFFICE 6755 Business Parkway Suite 303 Elkridge, Maryland FAX / Dear Colleagues: Welcome to the Magic! Disneyland The Happiest Place on Earth Site of the 21st Gathering of Forensic Nurses from Around the World. I hope you will join me and hundreds of our colleagues at the International Conference on Forensic Nursing Science and Practice. We have a new name for our annual assembly and a lower registration fee, but the fabulous scientific sessions remain, along with a fantastic array of specialized clinical workshops on Monday, October 21 preceding the opening session, exciting keynote speakers, and special offerings. Nurses from all areas of forensic practice will find valuable and relevant information to enhance their clinical and scientific knowledge. For the first time in many years we will offer a preconference day of clinical, handson training, featuring simulated sexual assault medical/forensic examinations (with preceptors and live models); clinical forensic nursing evaluations of intimate partner violence, abusive head trauma in children, motor vehicle accident victims, and strangulation; criminal trial testimony; resiliency training for compassion fatigue; advanced anorectal examination including anoscopy; and digital photography. Check out the IAFN website for more information and consider taking advantage of these offerings. Beyond the educational sessions, the conference provides ample opportunity to network with colleagues, one of the benefits of attendance I find so very valuable. It is a time for renewing and building friendships, mentoring new forensic nurses, cultivating new leaders, enjoying local restaurants, getting a spa treatment, or visiting Disneyland. Release your inner child and take advantage of our location! Most importantly, I hope we all leave refreshed, reinvigorated, and renewed. I ll see you there! Best regards, Polly Campbell, President, IAFN The Purpose of the conference is to propel state-of-the-art science into action and create best practices for forensic nursing across the world and across the lifespan. Objective 1 Apply knowledge of forensic nursing care across the lifespan. Objective 2 Identify resources for supporting forensic nursing care across the lifespan. Objective 3 Recognize sources of knowledge for evidence-based practice. Objective 4 Compare and contrast innovative forensic nursing practice skills and strategies. Objective 5 Support the advancement of global forensic nursing practices. 2

3 Opening Keynote Luncheon Presentation Tuesday, October 22 9:00 am Building a Culture of Healthcare Excellence By inspiring leaders and motivating employees, you enable them to satisfy patients and their families, drive financial results, and sustain years of referred business. This type of organizational environment can create transformative patient and employee relationships, consistently exceed expectations of patients and their families, and drive a reputation for service excellence. You will learn the five most powerful lessons in business lessons carefully developed by the Disney organization in its never-ending pursuit of excellence. These universal assets of a successful business are the links in the renowned Chain of Excellence. Engaging Disney Institute professional facilitators will share with you the Disney strategies and philosophies used by its businesses all around the world, and how those key insights have been applied to numerous organizations in the healthcare industry. We invite you to learn how you can create a sustainable culture of service that can lead to a competitive edge for your healthcare organization. Adapt time-tested Disney business strategies and practices to improve your healthcare organization. Structure a vision that inspires dedication and commitment among all levels of staff. Adapt key elements of Disney s Approach to Selection, Training & Engagement to strengthen your operational culture. Develop an organizational environment that supports consistent delivery of exceptional quality service, both internally for employees and externally for your patients and their families. Foster a collaborative environment that draws on the ever-present resources of your entire employee base. Explore time-tested principles for building and fortifying loyalty and quality of reputation. Wednesday, October 23 11:45 am 1:15 pm Healing Neen Presenter: Tonier Cain Tonier Cain has received 83 arrests, 66 convictions, and hundreds of requests to serve as the keynote speaker in front of audiences that include the United Nations, the President and Commander in Chief of the United States, government agencies, teachers, community and civic organizations, and convicted felons. She is featured in the documentary Behind Closed Doors: Trauma Survivors and the Psychiatric System, and the subject of the award-winning film Healing Neen. After surviving a childhood of unspeakable abuse, unrelenting violence, and betrayal by systems that were charged with helping, Ms. Tonier Cain stands before her audiences today, a testimony to the resiliency of the human spirit exemplifying the innate human instinct to survive. Currently Ms. Cain serves as the team leader for the National Center for Trauma-Informed Care with the National Association of State Mental Health Program Directors; a consumer advocate who speaks all over the world on trauma, incarceration, and recovery; and a case manager and Director of Advocacy Services for a private, non-profit agency in Annapolis, Maryland. 3WORKSHOPS Keynote Addresses Closing Keynote Thursday, October 24 3:15 pm The Neurobiology of Trauma Presenter: Rebecca Campbell, PhD Dr. Rebecca Campbell is a Professor of Psychology at Michigan State University. She holds a PhD in community psychology with a concentration in statistics, also from Michigan State University. For the past 20 years, she has been conducting victimology research and evaluation, with an emphasis on violence against women and children. Her work examines how the legal, medical, and mental health systems and rape crisis centers respond to the needs of adult, adolescent, and pediatric victims of sexual assault. Her current work, funded by the National Institute of Justice, focuses on Sexual Assault Nurse Examiner (SANE) programs and the criminal justice system. She has published more than 80 scientific papers and two books on these topics, and has conducted over 175 presentations at state, national, and international conferences. During her career, she has received more than 7.5 million dollars in research funding from the National Institute of Mental Health, the Centers for Disease Control and Prevention, and most recently, the National Institute of Justice. She has received numerous research and teaching awards, including the 2008 Early Career Award from the American Psychological Association for Distinguished Contributions to Psychology in the Public Interest.

4 Preconference Clinical Workshops These workshops are not included in the Main Conference registration rate and require separate registration. Preconference registration includes breakfast and lunch. See page 23 for further details. WORKSHOPS Monday, October 21, 8:00 am 12:00 pm Sexual Assault Clinical Skills Laboratory (Code 100) The first 50 registrants will be accepted. Please include proof of SANE adult/adolescent training (certificate of completion). This is a session designed for already trained Sexual Assault Nurse/Forensic Examiner s who have had difficulty obtaining training in the performance of speculum exams or precepted adult/adolescent sexual assault examinations. Five students will be paired with an experienced preceptor and live gynecological teaching associates (GTA) to be trained and practice hands-on performance of an external genital assessment, speculum examination, Foley catheter technique for hymen visualization, culture collection, and sexual assault evidence recovery. An excellent opportunity for rural and tribal SANEs to practice their technique, and learn some new ones. Presenters: Barbara Covey Maine General Medical Center, Waterville, ME Kim Day IAFN Elkridge, MD Sheila Early British Columbia Institute of Technology, Burnaby, BC Jen McConnell St Anthony s Summit Medical Center, Frisco, CO Jennifer Meyer Providence Alaska Medical Center, Anchorage, AK Stacey Mitchell Harris County Hospital District, Houston, TX Jennifer Pierce-Weeks IAFN, Elkridge, MD Janane Saunar Centura Health, Littleton, CO Diana Schunn Child Advocacy Center of Sedgwick County, Wichita, KS Clinical Forensic Nursing Evaluation of the Intimate Partner Violence Victim (Code 200) This advanced session in intimate partner violence will provide clinically practicing forensic nurses with a foundation of knowledge in the health implications of IPV, completing and documenting a thorough IPV assessment, using the Danger Assessment in a clinical setting, utilizing a strangulation assessment tool, and effective safety planning strategies. Presenters: Kimberly Nash Memorial Health System, Colorado Springs, CO Nancy Duke TESSA (Trust, Education, Safety, Support, Action), Colorado Springs, CO Clinical Forensic Nursing Evaluation of Abusive Head Trauma in Children (Code 300) This advanced session in the health evaluation of abusive head trauma in children will build on current skills and competencies of clinically practicing forensic nurses to improve the health care response and forensic management of the patient. Abusive head trauma (previously termed Shaken Baby Syndrome) is a spectrum of injury, ranging from mild injury from sub-lethal abuse to the most severe injury leading to coma and/or death. These serious injuries in infants or young children are rarely the result of accidents and are one of the most serious categories of abuse in terms of morbidity and mortality. This course will provide case examples of skill expansion opportunities for forensic nurses to perform as an integral component of the healthcare team in the identification and treatment of various forms of pediatric abusive head trauma. The forensic nurse from the beginner level to the advanced level has a role that can have a direct positive influence on the outcome of the patient, the family system response, the legal & protective investigations as well as the outcome in the judicial system. The forensic nurse will understand the impact of a thorough physical assessment with gold standard documentation. The forensic nurse will learn recommended laboratory as well as imaging tests that are indicated for accurate diagnosis and treatment of this patient population. The forensic nurse will also be exposed to possible evidence collection opportunities for these patients along with some advanced injury documentation techniques. There will also be a discussion of the forensic nurses role in preventive strategies through several education programs. Participants should leave with a better understanding of how to contribute to positive patient outcomes and safety. Presenters: Sonja Eddleman Driscoll Children s Hospital, Corpus Christi, TX Jamie Ferrell Memorial Hermann Health System, Houston, TX Forensic Nursing Application of Criminal Trial Testimony (Code 400) This workshop is aimed at developing and improving testimony skills grounded in nursing science, current practice standards, and existing research. Discussions and exercises will examine the breadth of the role of the nurse expert in preparing for and providing testimony at the criminal trial, including pretrial consultation, expert report writing, and ethical and effective testimony. The workshop will also include conversations about working with both prosecution and defense; creating a fee schedule for services; and unique issues related to the military court martial. Participants should expect a highly interactive session. Presenter: Jenifer Markowitz Alexandria, VA Resiliency Training for Compassion Fatigue in the Forensic Nursing Specialty (Code 500) This session will allow participants to summarize the causes, effects, treatments, and preventions of compassion fatigue as it applies to the forensic nursing population, including burnout, secondary traumatic and caregiver stress. Forensic nurses will be able to identify the five antibodies for compassion fatigue, implement skills for successful self-regulation as well as simple, yet powerful strategies to prevent the symptoms of compassion fatigue and allow for longevity in the forensic nursing profession. Presenter: Kathleen Flarity Memorial Health System, Colorado Springs, CO Clinical Forensic Nursing Evaluation in the Motor Vehicle Accident Patient (Code 600) The accurate determination of an occupant s role, driver or passenger, in a criminal investigation is critical to the criminal justice system. Before criminal charges are filed, an occupant s position within a vehicle must be determined by forensic science. This workshop will assist the forensic nurse in the analysis 4

5 of injury patterns, occupant kinematics, vehicle dynamics, and collection of trace evidence in complex motor vehicle collisions. The benefits of inclusion of the forensic nurse as a member of the investigative team will be reviewed in case studies. Presenters: Bill Smock Memorial Health System, Louisville, KY Sally Sturgeon Bellarmine University, Louisville, KY Advanced Anorectal Evaluation of the Sexual Assault Patient with Clinical Skills Laboratory (Code 700) This advanced session in the clinical anorectal evaluation of the sexual assault patient is designed for already trained Sexual Assault Nurse/Forensic Examiners who seek advanced assessment skills in the anorectal region. A thorough review of anatomy and physiology, literature regarding anorectal injury post sexual assault, and use of anoscopy as an assessment tool will occur. Presenter: Tara Henry Forensic Nurse Services, Anchorage, AK Monday, October 21, 1:00 pm 5:00 pm Sexual Assault Clinical Skills Laboratory (Code 800) The first 50 registrants will be accepted for this repeat of the morning workshop. Please include proof of SANE adult/ adolescent training (certificate of completion). Presenters: Barbara Covey Maine General Medical Center, Waterville, ME Kim Day IAFN, Elkridge, MD Sheila Early British Columbia Institute of Technology, Burnaby, BC Jen McConnell St Anthony s Summit Medical Center, Frisco, CO Jennifer Meyer Providence Alaska Medical Center, Anchorage, AK Stacey Mitchell Harris County Hospital District, Houston, TX Jennifer Pierce-Weeks IAFN, Elkridge, MD Janane Saunar Centura Health, Littleton, CO Diana Schunn Child Advocacy Center of Sedgwick County, Wichita, KS Clinical Forensic Nursing Evaluation of the Intimate Partner Violence Victim (Code 900) This is a repeat of the morning workshop. Presenters: Kimberly Nash Memorial Health System, Colorado Springs, CO Nancy Duke TESSA (Trust, Education, Safety, Support, Action), Colorado Springs, CO Clinical Forensic Nursing Application of Digital Photography (Code 1000) This advanced session in the clinical use of digital photography will provide practicing forensic nurses actual examples to apply in the health assessment setting to capture the best image. While body map documentation is the foundation of injury depiction, photography is also an integral part of capturing injury details specifically to portray wound characteristics. Acknowledging that there is tremendous variation in practice, forensic nurses use the nursing process to diagnose and complete comprehensive medical records that will often include photo-documentation. Today s digital cameras, with a variety of menus and settings, require significant training to get the most appropriate images. Photography is a beneficial tool that allows others to understand what has been observed. Taking into account that many disciplines will be reviewing the photographs it is imperative to assure that it provides an accurate visual record. This session will give the forensic nurse techniques (tools in the toolkit) to better capture high quality images that give an accurate depiction on what was visualize on the head to toe assessment of the patient. Often the pediatric population presents the forensic nurse with many unique opportunities surrounding their provision of care that encompass patient safety, patient consent, patient assistance with photo documentation and the ever important skill of distraction. Presenters: Sonja Eddleman Driscoll Children s Hospital, Corpus Christi, TX Jamie Ferrell Memorial Hermann Health System, Houston, TX Forensic Nursing Application of Criminal Trial Testimony (Code 1100) This is a repeat of the morning workshop. Presenter: Jenifer Markowitz Alexandria, VA Resiliency Training for Compassion Fatigue in the Forensic Nursing Specialty (Code 1200) This is a repeat of the morning workshop. Presenter: Kathleen Flarity Memorial Health System, Colorado Springs, CO Clinical Forensic Nursing Evaluation in the Strangulation Patient (Code 1300) Strangulation is an act of interpersonal violence. The depriving the brain of oxygen results in injuries which can be fatal. The medical and forensic evaluation of a victim of strangulation is critical to the successful criminal prosecution of strangulation cases. This presentation will assist the forensic nurse in understanding the physiological effects of strangulation, documentation of the signs and symptoms, and recent advancements in the medical and forensic evaluation of these patients. Best practices for the written, photo- and videographic documentation of these victims will be discussed. The importance of collaboration between healthcare and law enforcement to improve patient safety and criminal prosecution is critical in the evaluation and investigation of strangulation. Presenters: Sally Sturgeon Bellarmine University, Louisville, KY Bill Smock Memorial Health System, Louisville, KY Advanced Anorectal Evaluation of the Sexual Assault Patient with Clinical Skills Laboratory (Code 1400) This is a repeat of the morning workshop. Presenter: Tara Henry Forensic Nurse Services, Anchorage, AK 5WORKSHOPS

6 Conference Agenda October 20 4:00 pm-7:00 pm Check-in/Registration Open MONDAY, October 21 Preconference (separate registration required) 7:00 am-7:00 pm Check-in/Registration Open (continental breakfast provided from 7-8 am) 12:00 pm-1:00 pm Lunch Provided 7:00 pm-9:00 pm Exhibit Hall Grand Opening/New Member Reception (open to all registrants) TUESDAY, October 22 Main Conference 8:00 am-5:30 pm Check-in/Registration Open AGENDASUNDAY, WORKSHOPS WORKSHOPS 8:00 am-12:00 pm 1:00 pm-5:00 pm Sexual Assault Clinical Skills Laboratory (Code 100) Clinical Forensic Nursing Evaluation of the Intimate Partner Violence Victim (Code 200) Clinical Forensic Nursing Evaluation of Abusive Head Trauma in Children (Code 300) Forensic Nursing Application of Criminal Trial Testimony (Code 400) Resiliency Training for Compassion Fatigue in the Forensic Nursing Specialty (Code 500) Clinical Forensic Nursing Evaluation in the Motor Vehicle Accident Patient (Code 600) Advanced Anorectal Evaluation of the Sexual Assault Patient with Clinical Skills Laboratory (Code 700) Sexual Assault Clinical Skills Laboratory (Code 800) Clinical Forensic Nursing Evaluation of the Intimate Partner Violence Victim (Code 900) Clinical Forensic Nursing Application of Digital Photography (Code 1000) Forensic Nursing Application of Criminal Trial Testimony (Code 1100) Resiliency Training for Compassion Fatigue in the Forensic Nursing Specialty (Code 1200) Clinical Forensic Nursing Evaluation in the Strangulation Patient (Code 1300) Advanced Anorectal Evaluation of the Sexual Assault Patient with Clinical Skills Laboratory (Code 1400) 8:00 am-5:30 pm Posters Available for Viewing 8:00 am-9:00 am Exhibit Hall Open/Coffee (breakfast not included) 8:00 am-9:00 am Chapter Officers Meeting (by invitation only) 9:00 am-10:45 am Awards Ceremony/Keynote Address Featuring a speaker from the renowned Disney Institute Building a Culture of Healthcare Excellence 10:45 am-11:15 am Exhibit Hall Open 6 Crime Lab Tour: Monday, October 21, 5:15 pm - 8:00 pm The Orange County Crime Lab (OCCL) provides all public law enforcement agencies in Orange County with services for the recognition, collection, and evaluation of physical evidence from crime scenes. OCCL is the only full-service, internationally accredited laboratory providing forensic analyses to all law enforcement and fire protection agencies in Orange County. A nationally recognized leader in the forensic science community, they were the first local law enforcement DNA lab in the Western United States, began the first local automated fingerprint identification system in California, and are leading the way in DUI enforcement with the introduction of portable breath alcohol testing devices. OCCL s forensic scientists and specialists, supported by a dedicated and hardworking support staff, are skilled and knowledgeable experts using their talents in various forensic science specialties to serve the needs of the criminal justice community and bring nationally recognized quality forensic services to the citizens of Orange County. Cost $25 (includes transportation) Registration on page 23. Limited to 100 registrants. Must bring picture ID and wear closed-toe shoes. Buses leave from Main Hotel Lobby at 5:15 pm sharp.

7 TUESDAY, October 22 (continued) BLOCK 1 11:15 am-12:45 pm SANE Abbreviation Key ADMIN / LEADER = ADMINISTRATIVE AND LEADERSHIP GEN FOR / LEGAL = GENERAL FORENSIC AND LEGAL SANE = SEXUAL ASSAULT NURSE EXAMINER IPV = INTIMATE PARTNER VIOLENCE PSYCH / CORR = PSYCHIATRY AND CORRECTIONS DEATH INVEST = DEATH INVESTIGATION PEDIATRICS = PEDIATRICS A Review of HIV Post-Exposure Prophylaxis Treatment for Sexual Assault Patients (Code 2) GEN FOR/LEGAL Addressing National Disparities in Access to SANE Services Through Partnership and Telemedicine (Code 3) PSYCH/CORR Web-Based Disclosure and Follow-Up Preferences in Rape Victims Results of Pilot and Follow-Up Studies (Code 4) PEDIATRICS Forensic Nurses in Swaziland (Code 5) ADMIN/LEADER Getting Through the Doctoral Program: Challenges of Studying Forensic Nursing (Code 6) IPV Strangulation in Domestic Violence: What More Can Be Done? (Code 7) SANE Physical Examination Findings and Children s Understanding of Anogenital Anatomy in Cases of Child Sexual Abuse (Code 8) GEN FOR/LEGAL Pioneering Altenative Light Source Technology in the Assessment of Victims of Strangulation (Code 9) DEATH INVEST You Say Munchausen, I Say Murder (Code 10) 12:45 pm-2:00 pm Lunch on Your Own / Exhibit Hall Open SANE Helping Tribal Communities Instill the Trust of SANEs Through the SAFESTAR Project (Code 11) GEN FOR/LEGAL Innovations in Community Forensic Mental Health Services in Sydney (Code 12) SANE Mitigating Barriers to Essential Health, Community, and Legal Services for Vulnerable Populations (Code 13) GEN FOR/LEGAL Navigating Military Justice: The Forensic Nurse s Role as Witness and Expert Consultant (Code 14) PEDIATRICS Pediatric SANEs: Self-Perceived Competence, Certification, Facilitating Factors, and Barriers (Code 15) IPV Injuries in African American and African Caribbean Women: The Role of Intimate Partner Violence (Code 16) GEN FOR/LEGAL Strangulation He More Than Just Choked Her (Code 17) DEATH INVEST Sudden, Unexpected Infant Death: Is It SIDS or Infanticide? (Code 18) ADMIN/LEADER What Happens After the Emergency Room for Victims of Domestic Violence and Sexual Assault? A New Model of Care (Code 19) 3:30 pm-4:00 pm Exhibit Hall Open PEDIATRICS Advocacy on Wheels (Code 20) SANE Challenges & Barriers in Providing Care to Remote Canadian First Nations (Code 21) GEN FOR/LEGAL Competencies for Clinical Forensic Nurses in South Africa (Code 22) PEDIATRICS Differentiating Accidental from Abusive Trauma and Examining Abusive Head Trauma and Shaken Baby Syndrome (Code 23) IPV Female Aggression and Related Injuries in Elder Abuse (Code 24) ADMIN/LEADER Strengthening Multi-Level Accountabilities for Hospital-Based Sexual Assault Services in Ontario (Code 25) GEN FOR/LEGAL The Justice Gap for Sexual Assault Victims: What Are We Going to Do About It? (Code 26) SANE Work With Me! The Benefits of Collaboration Between Forensic Nurses and Forensic Scientists (Code 27) GEN FOR/LEGAL Writing an Expert Report for Legal Proceedings (Code 28) BLOCK 2 BLOCK 3 2:00 pm-3:30 pm 4:00 pm-5:30 pm 7AGENDA

8 Conference Agenda October 23 8:00 am-4:00 pm Check-in/Registration Open 8:00 am-4:00 pm Posters Available for Viewing 9:00 am-10:00 am Poster Presentations SANE IPV FOR/LEGAL SANE ADMIN/LEADER PSYCH CORR 11:30 am-12:00 pm Exhibit Hall Open SANE AGENDAWEDNESDAY, 8:00 am-10:00 am Exhibit Hall Open/Coffee (breakfast not included) BLOCK 4 BLOCK 5 10:00 am-11:30 am 1:30 pm-3:00 pm Client Satisfaction with Nursing-Led, Hospital-Based Sexual Assault and Domestic Violence Treatment Centre Services Examining the Intersection Between Domestic Violence and Human Trafficking (Code 29) (Code 30) GEN FOR/LEGAL Abusive Head Trauma: Current Controversies and Opposing Theories (Code 31) Improving Client Outcomes: Embedding Forensics in Undergraduate Simulation (Code 32) DEATH INVEST Murder or Overdose? A Case Study of Death by GHB (Code 33) PEDIATRICS Panel Presentation: The Child Death Review Process (Code 34) Raped or Seduced? How Language Helps Shape Our Response to Sexual Violence The Importance of Incorporating Forensic Nursing Principles and Practices into All Levels of Nursing Education When Caring for Perpetrators Becomes a Sentence: Recognizing Vicarious Trauma (Code 35) (Code 36) (Code 37) 11:45 am-1:15 pm Luncheon Keynote - Tonier Cain - Healing Neen GEN FOR/LEGAL Human Trafficking: What Forensic Nurses Need to Know (Code 38) Community Partnership in Response to HIV PEP with Sexual (Code 39) Assault Patients PEDIATRICS Evaluating Images in Child Pornography (Code 40) SANE Fifty Shades of Grey: Normalized Violence or Private Pleasure? (Code 41) IPV It Hurts when You Hit Me: Intimate Partner Violence (Code 42) PEDIATRICS Pediatric Potpourri: Child Sexual Maltreatment Case Studies (Code 43) GEN FOR/LEGAL The HIPAA in the Room: Everything Forensic Nurses Must Know (Code 44) About Court Orders and Legal Testimony ADMIN/LEADER The Impact of the Forensic Nurse on Photo-Documentation as a Result (Code 45) of the Education of Frontline Nursing Staff SANE A National Protocol for Sexual Assault Second Edition (Code 45A) 3:00 pm-3:30 pm Exhibit Hall Open 4:00 pm-8:00 pm Free Time to Use Disney Twilight Tickets (See page 21 for details) *See page 21 for details 8

9 THURSDAY, October 24 8:00 am-4:00 pm Check-in/Registration Open 8:00 am-12:00 pm Posters Available for Viewing 8:00 am-10:00 am Exhibit Hall Open/Coffee (breakfast not included) 8:00 am-9:00 am Chapter Meetings (schedule to be posted in Anaheim) GEN FOR/LEGAL The IOM Report on the Commercial Sexual Exploitation and Sex Trafficking of Minors in the US (Code 46) DEATH INVEST Autoerotic Deaths: Challenges for Death Investigation (Code 47) PEDIATRICS Child Sexual Abuse: Consequences and Implications (Code 48) IPV Documentation for IPV Cases: Tipping the Scales (Code 49) GEN FOR/LEGAL I ve Got an Idea! Taking the Journey from Idea to Presentation to Publication (Code 50) SANE IAFN s Online Adult/Adolescent SAFE Training and Clinical Program (Code 51) PEDIATRICS Interpretation of Skin Injuries in Children (Code 52) ADMIN/LEADER Redefining Your SANE Program: The Philadelphia Experience (Code 53) PSYCH/CORR Developing and Implementing a Nursing-Based Support Group for Incarcerated Women Survivors of Childhood Sexual Assault (Code 54) 11:30 am-12:15 pm Exhibit Hall Open (Exhibits close at 12:15 pm) Chain of Custody Announcements and Silent Auction Closing at 11:45 am 12:15 pm-1:15 pm Lunch on Your Own 12:15 pm-1:15 pm Annual Business Meeting SANE (N)PEP Rallies for Prevention: Case Studies in Post-Assault HIV Risk Stratification (Code 55) GEN FOR/LEGAL Case Review Conversations: Viewpoints from the Crime Lab and the SAE (Code 56) GEN FOR/LEGAL Crime Scene Investigation for the Health Care Provider (Code 57) GEN FOR/LEGAL Enhancing Testimony in Sexual Assault Cases: How Testimony Institutes Can Build Knowledge and Skill (Code 58) SANE Enhancing the Role of the Forensic Nurse Examiner through Employment Restructuring (Code 59) PEDIATRICS Incorporating the Joyce Adams Criteria into Your Practice (Code 60) ADMIN/LEADER SANE Sustainability: Lessons Learned from an Online Training Initiative (Code 62) 3:15 pm-4:45 pm Closing Keynote - Rebecca Campbell - The Neurobiology of Trauma BLOCK 6 BLOCK 7 10:00 am-11:30 am 1:30 pm-3:00 pm 9AGENDA

10 Abstract Descriptions ABSTRACTS 10 Tuesday, October 22, 11:15 am 12:45 pm SANE: A Review of HIV Post-Exposure Prophylaxis Treatment for Sexual Assault Patients (Code 2) Little data address HIV post-exposure prophylaxis (PEP) for patients of sexual assault who are seen in emergency departments. We will review the national statistics on sexual assault and the current Centers for Disease Control and Prevention PEP guidelines. Then, we will review current practices of HIV PEP administration for patients who have experienced sexual assault from a retrospective institutional review board-approved chart review of sexual assault cases at a SANE hospital. Finally, we will discuss the development of a Women s After Care Clinic at this hospital, including the use of texting to help coordinate care and an overview of the lessons learned from patientfocused outcomes. Kathleen Krause Brigham and Women s Hospital, Boston, MA Annie Lewis-O Connor Brigham and Women s Hospital, Boston, MA GENERAL FORENSIC & LEGAL: Addressing National Disparities in Access to SANE Services Through Partnership and Telemedicine (Code 3) This panel will review the National Sexual Assault TeleNursing Project, which was funded by the Office for Victims of Crime (OVC) in collaboration with the National Institute of Justice (NIJ) and the Office on Violence Against Women (OVW), and managed by the Massachusetts (MA) SANE Program of the MA Department of Public Health. Panel participants will share the goals of the Project and recap the first year s accomplishments, challenges, and lessons learned. Joan Meunier-Sham MA Department of Public Health, Boston, MA Cheryl Re MA Department of Public Health, Boston, MA Marnie Sheils Office for Violence Against Women, Washington, DC Ted Cross University of Illinois, Urbana, IL Other Authors: Kristina Rose National Institute of Justice, Washington, DC Cheryl Bartlett MA Department of Public Health, Boston, MA PSYCHIATRY & CORRECTIONS: Web-Based Disclosure and Follow-Up Preferences in Rape Victims Results of Pilot and Follow-Up Studies (Code 4) To determine the viability of an anonymous web-based disclosure format, this presentation examines disclosure preferences of a convenience sample of women (study 1) and a random sample of men and women (study 2) who reported having one or more unwanted sexual experiences. The presenter hypothesized that a large number of respondents would admit that participation in each of these separate studies was the first time they had ever disclosed their abuse. Findings supported this hypothesis, and further supported that this mechanism was overwhelmingly preferred for followup, compared with telephone or face-to-face disclosure. Carrie Carretta University of Medicine and Dentistry, Newark, NJ PEDIATRICS: Forensic Nurses in Swaziland (Code 5) In September 2012, in conjunction with USAID (United States Assistance for International Development), the International Association of Forensic Nurses (IAFN) sent consultants Megan Lechner and Kim Nash to Swaziland, Africa, for eight weeks. The mission was to visit healthcare sites across the country to develop a needs assessment, addressing the medical care of pediatric victims of sexual assault. The consultants then selected a healthcare site to mentor healthcare workers who serve these victims. Come hear the presenters discuss the project, the country of Swaziland and its unique culture, and the challenges and successes experienced while working in the country with the highest rate of the human immunodeficiency virus in the world. In addition to providing case examples, the consultants will share personal photographs and stories that highlight their lessons learned. Megan Lechner Memorial Hospital/UCH, Colorado Springs, CO Kimberly Nash Memorial Hospital/UCH, Colorado Springs, CO ADMINISTRATIVE/LEADERSHIP: Getting Through the Doctoral Program: Challenges of Studying Forensic Nursing (Code 6) Several recent publications note the challenges that forensic nurses face, including educational requirements, mentorship, and research. Although offering important insights, this information does not provide translatable solutions. Three doctoral students who have faced unique challenges studying violence-related phenomena from a forensic nursing perspective in a standard nursing program discuss the obstacles they encountered, including establishing forensic education requirements and obtaining targeted instruction, designing and conducting forensic research with limited mentorship, and identifying and obtaining funding opportunities at the pre-doctoral level. To assist current and future doctoral students who seek to pursue forensic nursing research, the presenters will address personal challenges and creative solutions. Carolyn Ziminski University of California, Los Angeles, Los Angeles, CA Alexa Benson University of California, Los Angeles, Los Angeles, CA Wendy Johnson University of California, Los Angeles, Los Angeles, CA INTIMATE PARTNER VIOLENCE: Strangulation in Domestic Violence: What More Can Be Done? (Code 7) Strangulation is one of the most lethal forms of domestic violence (Strack and Gwinn, 2011). At least one study states that a victim who is strangled by his or her partner is 700% more likely to die as a result of domestic-related homicide (Glass et al, 2007). In 2010, Arizona designated aggravated assault by strangulation in domestic violence as a Class 4 felony (ARS B). Yet, from 2010 through 2011, the Maricopa County Attorney s Office (MCAO) evidenced only a 14% filing rate. Recognizing a need, the County collaborated with the Scottsdale Healthcare Forensic Nurse Examiners to create a 24/7 multidisciplinary team response to victims of domestic

11 violence strangulation. In addition, the County initiated improved training for first responders and prosecutors. During a six-month pilot program in 2012, 71 patients consented to an examination by the Scottsdale Healthcare Forensic Nurse Examiners. These cases produced a conviction rate of 64%; a 50% increase compared to previous years. As of June 1, 2012, the program has been implemented in all law enforcement agencies in Maricopa County. This presentation will discuss the partnership of the MCAO, Scottsdale Healthcare, and law enforcement. The panel will review the steps in establishing this unique program and how it facilitated the sustainability of the Scottsdale Healthcare Forensic Nurse Examiner Program. Karyn Rasile Scottsdale Healthcare, Scottsdale, AZ Jill Rable Scottsdale Healthcare, Scottsdale, AZ Blaine Gadow Maricopa County Attorney s Office, Phoenix, AZ Cindi Nannetti Maricopa County Attorney s Office, Phoenix, AZ Chris Boyle City of Phoenix Police Department, Phoenix, AZ Dan Rincon City of Scottsdale Police Department, Scottsdale, AZ SANE: Physical Examination Findings and Children s Understanding of Anogenital Anatomy in Cases of Child Sexual Abuse (Code 8) This presentation reviews the preliminary findings of a prospective study of 1500 female children (birth to 17 years of age) with concerns of sexual abuse/assault. The primary aim of the study was to examine the association between physical findings and the medical history in the context of a child s understanding of genital anatomy. A secondary aim was to determine the prevalence of abnormal physical findings in the study population. Enhanced understanding of what a child communicates improves the healthcare provider s ability to reconcile a normal examination when a child describes sexual contact that includes penetration. Lisa Dupree Nashville General Hospital, Nashville, TN Hollye Gallion Vanderbilt University Medical Center, Nashville, TN GENERAL FORENSIC & LEGAL: Pioneering Alternative Light Source Technology in the Assessment of Victims of Strangulation (Code 9) Alternative light source technology reveals soft tissue injuries that are not visible to the naked eye in victims who report strangulation. This presentation will detail the mechanisms of strangulation, cite published methods of describing forensic injury, define alternative light source technology, and provide case study outcomes that support judicial success, including a successful Frye Reid hearing. This presentation also supports newly published research by a forensic nurse examiner program in a metropolitan setting. Debra Holbrook Mercy Medical Center, Baltimore, MD Daniel Sheridan Institute for Johns Hopkins School of Nursing, Baltimore, MD DEATH INVESTIGATION: You Say Munchausen, I Say Murder (Code 10) In June 2009, a 38-year-old mother in Saint Louis was convicted of poisoning her two children, one of them fatally, with her antihypertensive medication. This case presentation examines the circumstances and investigation of the crime and the clues and behavior of the mother that finally led medical personnel to suspect her. During the trial, the prosecution used Factitious Disorder by Proxy to establish motive and explain the events. Because Factitious Disorder by Proxy is rarely recognized by medical personnel until severe disability or death occurs, the presenters will discuss trauma-focused interventions for healthcare providers and child survivors. Cathy Koetting Saint Louis University, St Louis, MO Nancy Duncan St Louis Children s Hospital, St Louis, MO Tuesday, October 22, 2:00 pm 3:30 pm SANE: Helping Tribal Communities Instill the Trust of SANEs Through the SAFESTAR Project (Code 11) The purpose of this session is to provide SANEs with an enhanced understanding of sexual assault in the American Indian/Alaska Native (AI/AN) communities, why AI/AN women suffer in silence by not reporting or speaking about victimization, and how the SAFESTAR Project empowers women in Tribal communities to combat sexual assault. Historically, AI/AN peoples experience with mainstream healthcare systems has resulted in distrust in the system s ability to provide them with confidential and culturally competent care. Distrust may derive from misunderstanding the role of modern medicine versus traditional healing or failure to understand the effects that historical trauma, its impacts, and its modes of transmission across generations has imposed on the AI/AN communities. This session will help SANEs to recognize that each survivor of sexual assault experiences both the abuse and the healthcare system in a culturally specific way. Jennifer Pierce-Weeks IAFN, Elkridge, MD Kim Day IAFN, Elkridge, MD Hallie Bongar-White Southwest Center for Law and Policy, Tucson, AZ Cordelia Clapp Southwest Center for Law and Policy, Tucson, AZ Arlene O Brien Southwest Center for Law and Policy, Tucson, AZ GENERAL FORENSIC & LEGAL: Innovations in Community Forensic Mental Health Services in Sydney (Code 12) Mental health and forensic nurses in inpatient facilities and community settings are ideally suited to manage patients who have major mental illness and disorders safely and effectively. The Problem Behaviours Model incorporates structured risk assessment and individual management strategies to reduce the propensity for future violence in high-risk/high-need patient (continued on page 12) 11ABSTRACTS

12 Abstract Descriptions ABSTRACTS groups. Learn how to analyze violent behavior and formulate a safer and more successful treatment and case management plan for patients with mental illness from an Australian perspective. Presenter: Erica Harvey Justice Health, North Parramatta, NSW, Australia SANE: Mitigating Barriers to Essential Health, Community and Legal Services for Vulnerable Populations (Code 13) An interdisciplinary team of clinicians from academic, health, community, and legal sectors will explore innovative ways to mitigate the barriers that vulnerable populations face when accessing essential services. The team will explore current research and illustrate the issue through a case study involving serial sex crimes against street-based sex workers. The presentation will provide an opportunity to apply new knowledge to your own clinical work. Lynn Gifford Surrey Memorial Hospital, Surrey, BC, Canada Corrine Arthur Surrey Women s Center, Surrey, BC, Canada Elaine Alpert University of British Columbia, Vancouver, BC, Canada Wendy vantongeren Harvey Crown Counsel, New Westminster, BC, Canada GENERAL FORENSIC & LEGAL: Navigating Military Justice: The Forensic Nurse s Role as Witness and Expert Consultant (Code 14) The United States military justice system is unlike the civilian criminal justice system in many ways. Forensic nurses encounter a variety of rules and procedures that differ from what they may experience in civilian courts. The purpose of this session is to provide a comprehensive look at the military justice system and review the role of the forensic nurse as a fact witness or an expert consultant and witness for either the prosecution or the defense. Furthermore, the presenters will discuss the foundation for providing ethical and effective testimony in Article 32 hearings and courts martial, and examine methods for strengthening communication between forensic nursing programs and military counsel. Jenifer Markowitz Alexandria, VA Sasha Rutizer United States Army, Ft Belvoir, VA PEDIATRICS: Pediatric SANEs: Self-Perceived Competence, Certification, Facilitating Factors, and Barriers (Code 15) This presentation presents the development and results of a Doctor of Nursing Practice capstone inquiry project that explored how SANEs who evaluate children who have been sexually abused rate their own competence and identify factors that facilitate or hinder competence. In addition, the presenter will explore the relationship between national and state certification and competence. Hannah Pressler Simmons College, Boston, MA INTIMATE PARTNER VIOLENCE: Injuries in African American and African Caribbean Women: The Role of Intimate Partner Violence (Code 16) Women experiencing intimate partner violence (IPV) suffer unique injury patterns and use healthcare services at higher rates than women who are not abused. This study uses a sample of women of African descent to examine the effect of IPV on a variety of injury outcomes. Clinicians are advised to assess for IPV in all settings, but particularly in the case of patients who present with traumatic injuries. Jocelyn Anderson Johns Hopkins University School of Nursing, Baltimore, MD Other Author: Jacquelyn Campbell Johns Hopkins University School of Nursing, Baltimore, MD GENERAL FORENSIC & LEGAL: Strangulation He More Than Just Choked Her (Code 17) Strangulation is an important indicator of lethality in domestic violence cases and is often present in sexual assault cases. Healthcare professionals tend to poorly understand the lethality and pathophysiology of strangulation. For a patient who has sustained a near-fatal strangulation, healthcare professionals must pay particular attention to the patient s history and physical examination. Of equal importance is an appreciation of a potential lack of physical findings. This presentation will discuss the significance of strangulation and the vital role of the forensic nurse examiner in patient evaluation and management. Ralph Riviello Drexel University College of Medicine, Philadelphia, PA Gael Strack National Family Justice Center Alliance, San Diego, CA DEATH INVESTIGATION: Sudden, Unexpected Infant Death: Is It SIDS or Infanticide? (Code 18) Properly trained forensic nurses play a pivotal role in differentiating SIDS from infanticide. In such cases, caregiver history may be ambiguous, inadequate, or fabricated, thus complicating the determination of the manner and/or cause of the child s death. Additionally, some physical findings are not obvious at the time of death, may not develop because of a lack of perfusion at death, or may be inconclusive despite an autopsy. Forensic nurses who possess an indepth understanding of anatomy and physiology, knowledge of child growth and development, and an expert ability to acquire a comprehensive history are uniquely positioned to help differentiate between SIDS and infanticide. Pamela Tabor University of Arkansas for Medical Sciences, Little Rock, AR 12

13 ADMINISTRATIVE/LEADERSHIP: What Happens After the Emergency Room for Victims of Domestic Violence and Sexual Assault? A New Model of Care (Code 19) The evidence on the incidence, prevalence, and health consequences related to sexual and domestic violence is compelling. The Institute of Medicine has recommended that domestic violence screening and counseling be covered under the Affordable Care Act. Advancing practice through research is the gold standard. Patient Centered Outcome Research is a design whereby the patient is actively engaged in the process. This presentation will outline an evolving model of care that has been informed by the patient. Preliminary data reveals improved outcomes. Annie Lewis-O Connor Brigham and Womens Hospital, Boston, MA Tuesday, October 22, 4:00 pm 5:30 pm PEDIATRICS: Advocacy on Wheels (Code 20) A child advocacy center in a frontier area has developed an innovative service delivery system by accessing victims of abuse via mobile units. Serving 27 partnered counties, these mobile units travel to the victims, instead of having the victims travel miles seeking service. Eldonna Sylvia Western Kansas Child Advocacy Center, Leoti, KS SANE: Challenges & Barriers in Providing Care to Remote Canadian First Nations (Code 21) Remote Canada has a unique environment, culture, and demographic. Numerous geographic and pragmatic barriers and challenges complicate the delivery of competent forensic care. To foster strong, committed relationships, an understanding of culture is imperative; clients and healthcare providers must understand each other to create open, equal, and respectful partnerships. This presentation addresses how one such organization strives to achieve this goal. Deb Toppozini MenoYaWin Health Centre, Sioux Lookout, ON, Canada Other Author: Carol Maxwell MenoYaWin Health Centre, Sioux Lookout, ON, Canada GENERAL FORENSIC & LEGAL: Competencies for Clinical Forensic Nurses in South Africa (Code 22) This presentation will discuss the development of the framework of competencies for clinical forensic nurses in South Africa. Sinegugu Duma University of Cape Town, Cape Town, South Africa Tania De Villiers University of Cape Town, Cape Town, South Africa PEDIATRICS: Differentiating Accidental from Abusive Trauma and Examining Abusive Head Trauma and Shaken Baby Syndrome (Code 23) Properly trained pediatric and forensic nurses play a pivotal role in differentiating accidental from abusive trauma. Presenting essential content for pediatric nurses, the speaker begins with the premise that most pediatric fatalities reveal a prior injury wherein a healthcare professional failed to act. The majority of homicides reveal abuse, with abusive head trauma (AHT) as the leading cause of fatal injury. The presenter will identify the indicators associated with abuse and suspicious bruising characteristics and explore the physical, psychological, and behavioral characteristics of victims and perpetrators. Finally, participants will have to opportunity to scrutinize the various types of AHT, including an indepth analysis of shaken baby syndrome and a comprehensive examination of AHT case studies. Pamela Tabor University of Arkansas for Medical Sciences, Little Rock, AR INTIMATE PARTNER VIOLENCE: Female Aggression and Related Injuries in Elder Abuse (Code 24) One of every 10 older adults is a victim of elder abuse; older adult women are the most frequent victims. Women, often daughters, are frequent perpetrators. To date, research on the causal factors of elder abuse has focused on individual characteristics, such as caregiver stress or substance abuse, overlooking the role of gender in aggression. Other areas of violence research have identified gender differences in expressed aggression, including among same-sex couples, but these differences in elder abuse are yet to be examined. This presentation will discuss findings on gender differences in elder abuse from two projects. First, results from a qualitative study in which abusive daughters described acts of aggression used against their older adult mothers will be reviewed. Second, findings from a study that identified gender differences in the forensic marker of bruising in elder abuse will be presented. The knowledge on gender-specific abusive behaviors can guide the forensic nurse in his or her physical examination of elder abuse victims. Additionally, by understanding how a daughter expresses aggression and victimizes her older mother, a forensic nurse can begin to design effective interventions for victims and their families. Carolyn Ziminski University of California, Los Angeles, Los Angeles, CA Other Author: Linda Phillips University of California, Los Angeles, Los Angeles, CA 13ABSTRACTS

14 Abstract Descriptions ABSTRACTS ADMINISTRATIVE/LEADERSHIP: Strengthening Multi- Level Accountabilities for Hospital-Based Sexual Assault Services in Ontario (Code 25) Many sexual assault nurse examiner (SANE)/sexual assault response team programs are challenged by nurse recruitment/ retention, sustainable funding, and ongoing organizational support. Although health and other governmental officials often publicly support these services, the challenges are too often left to the program manager/sanes to resolve. To ensure that services are maintained, higher level engagement of administrators/funders is required. Sheila Macdonald Women s College Hospital, Toronto, ON, Canada Other Author: Mary Dempsey Guelph General Hospital, Guelph, ON, Canada GENERAL FORENSIC & LEGAL: The Justice Gap for Sexual Assault Victims: What Are We Going to Do About It? (Code 26) For perpetrators, sexual assault is often a low-risk/high-reward crime. Rapists expect to get away with their crimes and victims expect that they will not be believed when they come forward. Too often, both are right. Many of the rape law reforms from the 1970s have not produced their intended effects. Although reporting rates continue to rise, conviction rates have remained relatively static, resulting in an increasing justice gap for victims of sexual assault. Why is this? Why, after spending millions of dollars to hire and educate law enforcement, prosecutors, judges, victim advocates, and medical providers, are we still seeing this justice gap? This interactive session will explore the concrete reasons why the justice gap exists for victims of sexual assault. More importantly, participants will discuss specific recommendations about how to close this gap. Claudia Bayliff Attorney at Law, Falls Church, VA SANE: Work with Me! The Benefits of Collaboration Between Forensic Nurses and Forensic Scientists (Code 27) Forensic nurses and forensic scientists have a dynamic, interactive relationship. The actions, methods, and procedures of each profession significantly affect the detection and identification of DNA in sexual assault cases. This presentation discusses the importance of developing a team approach to achieve best practices, which in turn results in optimal DNA identification. The presenters will discuss various measures to strengthen the relationship between forensic nurses and forensic scientists. With the advancement of DNA technology, the need for a strong working relationship between forensic nurses and forensic scientists is even more crucial. Finally, the presenters will explore the influence of new technology in DNA analysis methods on forensic nurse evidence collection. Julie Valentine Brigham Young University, Sandy, UT Suzanne Miles Utah Bureau of Forensic Services, Salt Lake City, UT GENERAL FORENSIC & LEGAL: Writing an Expert Report for Legal Proceedings (Code 28) Many forensic nurses engage with the legal system (criminal and civil) as experts in their field. The nurse s expertise with specific patient populations assists the judge and jury in understanding the issue at hand, and often results in the nurse providing expert testimony. Common issues in testimony for forensic nurses include the significance of genital injury following sexual assault, counterintuitive behaviors of victims of intimate partner violence, and understanding the lethality of strangulation. Despite the common practice of preparing and giving testimony in these cases, nurses have little experience writing evidence-based reports for legal proceedings. This session will examine the purpose of the written report, preferred methods of formatting, and topics that should be included when compiling an expert report. Participants will engage in both a review of expert reports as well as drafting their own expert report. Jennifer Pierce-Weeks University of Colorado Health, Colorado Springs, CO Jenifer Markowitz University of Colorado Health, Colorado Springs, CO Wednesday, October 23, 10:00 am 11:30 am SANE: Client Satisfaction with Nursing-Led, Hospital-Based Sexual Assault and Domestic Violence Treatment Centre Services (Code 29) This panel will summarize findings from a province-wide evaluation of Sexual Assault/Domestic Violence Treatment Centres (SA/DVTCs) in Ontario, Canada. Between April 2009 and July 2011, the presenters examined client use of and satisfaction with specialized hospital-based sexual assault and domestic violence services. Using a nurse-completed form, information collected prospectively from consecutive victims/survivors included: time to presentation, client sociodemographics, assailant characteristics, assault characteristics, physical health consequences, and service delivery and utilization. Client satisfaction with SANEs and overall care was collected using a self-report satisfaction questionnaire. The presentation will review the findings from all 29 participating centres, including a sub-analysis of two under-researched groups abused women aged 16+ with and without disabilities and adult male sexual assault victim/ survivors. Finally, the presenters will address the implications for policy and practice. Sheila Macdonald Ontario Network of Sexual Assault/Domestic Violence Treatment Centres, Toronto, ON, Canada Janice Du Mont Women s College Hospital, Toronto, ON, Canada Meghan White Ontario Network of Sexual Assault/Domestic Violence Treatment Centres, Toronto, ON, Canada 14

15 INTIMATE PARTNER VIOLENCE: Examining the Intersection Between Domestic Violence and Human Trafficking (Code 30) Historically, domestic violence and human trafficking have been conceptualized as separate entities rather than as intricately connected. Closer evaluation reveals that domestic violence and human trafficking share similarities that, if understood, may aid service providers in developing prevention-based strategies, identification, and intervention for survivors of these crimes. Tara Wilkie Fraser Health Authority, Surrey, BC, Canada Aimee Falkenberg Fraser Health Authority, Surrey, BC, Canada Larena Dodd Fraser Health Authority, Surrey, BC, Canada GENERAL FORENSIC & LEGAL: Abusive Head Trauma: Current Controversies and Opposing Theories (Code 31) Abusive head trauma (AHT) cases are complex in litigation and require a comprehensive knowledge of the pathophysiology of intracranial and retinal hemorrhages. Theories abound how these injuries occur both in the presence and in the absence of abuse. This presentation reviews the pathophysiology and current literature regarding AHT as well as two of the main theories of the cascade from trauma to injury. In addition, the presenter will review current information regarding shaken versus impact injuries, ground level falls, mimics, and other main factors in these cases. Tara Godoy University Park Legal Nurse Consulting, Inc., Saint Helena, CA GENERAL FORENSIC & LEGAL: Improving Client Outcomes: Embedding Forensics in Undergraduate Simulation (Code 32) This session presents an innovation in forensic nursing education, implemented through simulation scenarios in an undergraduate nursing program. Although many students express curiosity about forensic nursing, their interest is often shelved while pursuing graduation and taking boards. However, new graduates encounter forensic clients in every practice area. Faculty with a forensic background at an associate degree program collaborated with maternal/child faculty to embed introductory forensic principles in simulation exercises as a way to address elder abuse, domestic violence, and sexual assault. The challenge was not to add, but to enhance, the simulation experience in a way that was meaningful to the current curriculum and to the simulation objectives. The presenters will share student satisfaction and faculty reflection of the experience in addition to video clips of the scenarios and the educational tools. Patti McFadden Louisiana Tech University, Ruston, LA Tara Haskins Louisiana Tech University, Ruston, LA Tanya Sims Louisiana Tech University, Ruston, LA DEATH INVESTIGATION: Murder or Overdose? A Case Study of Death by GHB (Code 33) GHB is a unique, virtually invisible, and difficult-to-analyze drug. In death cases, it is particularly vexing to interpret. Using the Brian Randone murder trial in the death of girlfriend Felicia Lee as a case study, this presentation will highlight the facts about GHB in death cases, upon a backdrop of data from more than 400 GHB-related cases and more than 3,500 GHB addiction cases. Trinka Porrata Project GHB & Porrata Consulting, Mesa, AZ PEDIATRICS: Panel Presentation: The Child Death Review Process (Code 34) Based on the premise that factors associated with pediatric deaths are so multidimensional that the responsibility for death review cannot belong to any one discipline, this session will review the benefits of the multidisciplinary team approach in reviewing cases and conducting a comprehensive analysis of pediatric deaths to prevent future fatalities. The presenters will provide an overview of the child death review process, goals, and team member roles with an emphasis on the role of nurses. To illustrate the importance of data collection in determining and implementing evidence-based prevention strategies at the community level, the presenters will use case studies, case histories, and photographs. Pamela Tabor University of Arkansas for Medical Sciences, Little Rock, AR Therea Covington Michigan Public Health Institute, Detroit, MI Susan Rodriguez Texas Department of State Health Services, Austin, TX Roger Morris Washington County, Fayetteville, AR SANE: Raped or Seduced? How Language Helps Shape Our Response to Sexual Violence (Code 35) When discussing sexual violence, we often use the language of consensual sex to describe assaultive acts or use euphemisms, erotic, or affectionate terms to portray violent acts. This language implies consent and romance, rather than criminal acts. In addition, we tend to describe violence against women in passive terms, which allows the perpetrators of this violence to remain invisible and unaccountable. We also use language that objectifies or blames victims of sexual assault. This interactive session will explore the language of sexual assault: how we talk about and write about this crime. We will discuss specific examples of the language we use and explore how to discuss sexual assault in a way that more accurately depicts the crime. Claudia Bayliff Attorney at Law, Falls Church, VA 15ABSTRACTS

16 Abstract Descriptions ABSTRACTS ADMINISTRATIVE/LEADERSHIP: The Importance of Incorporating Forensic Nursing Principals and Practices into All Levels of Nursing Education (Code 36) Every year, violence is responsible for more than 1.5 million deaths worldwide and many more serious non-fatal injuries and chronic, life-altering consequences. From an economic perspective, violence costs countries billions of dollars in healthcare expenditures, extended law enforcement hours, and loss of workforce productivity. The World Health Organization, the United States government, The Joint Commission, and numerous publications promote various educational, awareness, and prevention campaigns to combat the devastating effects of violence. As a recognized specialty, forensic nurses need to become actively involved in promoting forensic education at the individual, hospital, and tertiary level. This presentation will suggest that such steps are viable. The tools provided in this presentation will assist every forensic nurse in advancing the profession and maximizing forensic patient care outcomes. Christine Michel University of Alaska, Anchorage, AK Georgia Pasqualone Fitchburg State University, Fitchburg, MA PSYCHIATRY & CORRECTIONS: When Caring for Perpetrators Becomes a Sentence: Recognizing Vicarious Trauma (Code 37) This presentation describes the results from a survey methods research study exploring the concept of vicarious traumatization among correctional health nurses. The presenter asked nurses to complete the Professional Quality of Life Scale along with a short demographic questionnaire. The sample consisted of 2000 correctional health nurses whose names appeared on the mailing list of the National Commission on Correctional Health Care. Tanya Munger University of Illinois-Chicago, Chicago, IL Wednesday, October 23, 1:30 pm 3:00 pm GENERAL FORENSIC & LEGAL: Human Trafficking: What Forensic Nurses Need to Know (Code 38) Despite much discussion about human trafficking, few people, including medical professionals, tend to recognize indicators that an individual is being trafficked. This presentation will provide forensic nurses with the tools they need to accurately identify possible victims and with knowledge of the action to take when they suspect someone may be a victim of trafficking. Donna Sabella, Drexel University, Philadelphia, PA SANE: Community Partnership in Response to HIV PEP with Sexual Assault Patients (Code 39) SANEs in a large metropolitan area identified a gap in their knowledge regarding HIV PEP. This presentation will describe how a nurse-driven initiative from multiple hospital systems and community partner agencies addressed the educational needs of the SANEs and developed a path for testing, referral, and accessing medication in the community. This presentation will include the pathophysiology and epidemiology of HIV, along with practical skills for SANEs and other healthcare professionals for offering HIV testing, educating the patient on the disease, exposure risks, and essential followup care. The presenters will explore lessons learned, and review challenges and opportunities for similar collaboration and program development. Diane Daiber Cleveland Clinic Hillcrest Hospital, Mayfield Heights, OH Janet Russell Pennsylvania Mid Atlantic AIDS Education and Training Center, Columbus, OH Janet Briggs Louis B Stokes Veteran s Administration Hospital, Cleveland, OH Kristin Englund Cleveland Clinic Main Campus, Cleveland, OH Elizabeth Flannery Louis B Stokes Veteran s Administration Hospital, Cleveland, OH PEDIATRICS: Evaluating Images in Child Pornography (Code 40) There are several steps involved when a provider is asked to view child pornography images including assessment of the quality of the images, lighting, size of image, and documentation. Some factors that are challenging to providers are the variability of children and their development. This presentation will provide tools and recommendations to the pediatric sexual abuse provider when he or she is asked to view child pornography and provide a written evaluation of the images he or she has viewed. Allyson Cordoni Department of Defense, Wiesbaden, Germany 16

17 SANE: Fifty Shades of Grey: Normalized Violence or Private Pleasure? (Code 41) This presentation will address concepts and themes from the book Fifty Shades of Grey that may be of concern for forensic nurses, including coercive consent, gendered violence, power and control, and normalized violence. As sadomasochistic practices have gained in popularity, concern has increased about the effects of these practices on adolescents and adults who have been prior victims of violence. The presenters will review the literature related to outcomes of sadomasochism and discuss the implications for forensic nurses. Anne Troy Children s Hospital CARE Center, New Orleans, MS Catherine Carter-Snell Mount Royal University, Calgary, AB, Canada INTIMATE PARTNER VIOLENCE: It Hurts when You Hit Me: Intimate Partner Violence (Code 42) This session will introduce a quality improvement project that was undertaken to increase awareness of IPV by educating nursing staff working in the healthcare setting. Informed nurses on IPV will have a better chance of identifying and helping these patients. Shemchia Choice University of Michigan, St Clair Shores, MI PEDIATRICS: Pediatric Potpourri: Child Sexual Maltreatment Case Studies (Code 43) This presentation will provide an assortment of pediatric sexual maltreatment case studies and address normal and abnormal genital-anal examination findings. Attendees will learn that normal does not indicate that abuse did not occur. In addition, the presenters will review a relatively new method of evidence collection for cases of child sexual fondling, discuss any available results from the touch DNA collection, and examine case studies of pediatric patients with sexually transmitted infections, including information on whether a sexually transmitted infection is diagnostic of child sexual maltreatment. April Denlinger Dayton Childrens Medical Center, Dayton, OH Janet Ellis Dayton Childrens Medical Center, Dayton, OH Susan Henry Dayton Childrens Medical Center, Dayton, OH GENERAL FORENSIC & LEGAL: The HIPAA in the Room: Everything Forensic Nurses Must Know About Court Orders and Legal Testimony (Code 44) This presentation, led by a licensed attorney, will explain from a legal standpoint what a forensic nurse needs to know to prepare for and participate in a court proceeding. The workshop will begin by explaining the proper way to document information so that the forensic nurse will be prepared to testify in court, if necessary. Then, the presentation will examine the difference between the four court-related processes that require forensic nurses to reveal otherwise confidential patient information: court orders, subpoenas, discovery requests, and patient express consent. Next, the presenter will explain how to prepare to testify in a case and the different situations in which a forensic nurse may be called to testify. The participants will examine the difference between testifying as a lay and expert witness, as well as the different expectations lawyers have for lay and expert witnesses. Finally, the presentation will explain how the participants can easily access all relevant information on this topic for future reference. Presenter: Marielle Dirkx National Indian Country Clearinghouse on Sexual Assault, Tucson, AZ ADMINISTRATIVE/LEADERSHIP: The Impact of the Forensic Nurse on Photo-Documentation as a Result of the Education of Frontline Nursing Staff (Code 45) In this session, the presenters will provide an overview of the advantages and limitations of photo-documentation in frontline patient care and discuss the role of the forensic nurse in training frontline staff. Finally, the presenters will discuss patient outcomes as a result of increased photo-documentation due to educating frontline nursing staff. Theresa Vietor St Elizabeth Healthcare, Edgewood, KY Missy Rittinger St Elizabeth Healthcare, Edgewood, KY SANE: A National Protocol for Sexual Assault Second Edition (Code 45A) In the nine years since A National Protocol for Sexual Assault Medical Forensic Examinations was initially released, the state of the art for forensic medical examinations has improved. This session will provide an overview on the second edition of the National Protocol. Kim Day IAFN, Elkridge, MD Marnie Rothschild Shiels Office on Violence Against Women, US Department of Justice 17ABSTRACTS

18 Abstract Descriptions ABSTRACTS Thursday, October 24 10:00 am 11:30 am FEATURED SPEAKER GENERAL FORENSIC & LEGAL: The IOM Report on the Commercial Sexual Exploitation and Sex Trafficking of Minors in the US (Code 46) Commercial sexual exploitation and sex trafficking of minors in the US are often overlooked, misunderstood, and unaddressed problems. The Office of Juvenile Justice and Delinquency Prevention (OJJDP) requested that the Institute of Medicine (IOM) convene a committee of experts to examine these problems and make recommendations to strengthen the nation s response. The information yielded from their study creates the most comprehensive picture of commercial sexual exploitation and sex trafficking of minors in the US to date and provides an overview of current approaches. The presentation will include findings from the report, which will be released in September 2013, and the role that forensic nurses can play in prevention, identification, and providing services to victims and survivors. Natalie McClain Boston College, Boston, MA DEATH INVESTIGATION: Autoerotic Deaths: Challenges for Death Investigation (Code 47) The death investigator s knowledge of the autoerotic death scene and decedent characteristics as well as controversial issues surrounding these cases provides for a well-processed case and the correct determination of the cause and manner of death. This presentation reviews the current literature on the characteristics and controversies of autoerotic deaths and discusses actual case presentations with reflection from the speakers and the audience. The presenters will share investigation strategies, pitfalls, and misconceptions from the literature and experience. The speakers for this session a forensic nurse and a certified death investigator will combine their perspectives to facilitate discussion of this often confounding topic. Tara Haskins Louisiana Tech University, Ruston, LA Katrina Wright Caddo Coroner s Office, Shreveport, LA PEDIATRICS: Child Sexual Abuse: Consequences and Implications (Code 48) This interactive session will use an audience response system so learners can participate in a discussion of sexual abuse consequences to children and the implications for the forensic nurse. Gail Hornor Nationwide Children s Hospital, Columbus, OH INTIMATE PARTNER VIOLENCE: Documentation for IPV Cases: Tipping the Scales (Code 49) Forensic nurses encounter victims and offenders as an underpinning to medico-legal responsibilities. The language used to document these encounters often determines subsequent admissibility in legal proceedings. Knowledge of verbiage in he-said, she-said statements contained in medical records and how the public and the court treat these statements can enhance documentation. Contextualization, clarity, legibility, and content of medical records is of utmost importance; the words documented in a medical record as related to intimate partner violence, for instance, can determine the admissibility of records and the related impact of expert testimony. Forensic nurses can improve prosecutorial success as experts by increasing their awareness of the legal framework governing the admissibility and, once admitted, the weight, of medical documentation. Aaron Holt Alaniz & Schraeder, Houston, TX Paul Thomas Clements Drexel University, Philadelphia, PA GENERAL FORENSIC & LEGAL: I ve Got an Idea! Taking the Journey from Idea to Presentation to Publication (Code 50) Creative ideas are the seed of scholarly work. Aspiring forensic nursing authors sometimes question whether an idea can flourish into a publishable outcome that contributes to the science. Unless ideas are generated and developed, opportunities for innovative scholarship is lost. Generating ideas and formulating these into a scholarly outcome can be a challenging, yet rewarding, experience. This workshop will engage participants in a journey through the process of idea generation and development to dissemination. Join the Journal of Forensic Nursing editor/ associate editor in the journey and bring your ideas! Cindy Peternelj-Taylor University of Saskatchewan, Saskatoon, SK, Canada Karen Neill Idaho State University, Pocatello, ID 18

19 SANE: IAFN s Online Adult/Adolescent SAFE Training and Clinical Program (Code 51) For more than a decade, many communities, particularly rural ones, have struggled to access high-quality adolescent/adult SANE/sexual assault forensic examiner (SAFE) training. When trainers are brought in, communities may or may not receive SANE/SAFE training that adheres to the IAFN SANE Education Guidelines. In 2011, IAFN was awarded a grant through the National Institute of Justice to provide online SAFE training with a clinical skills component in an effort to address this challenge in acquiring training. In 2012, IAFN launched three 40-hour online trainings over the course of 12 months, and sent the providers who completed the online component through a live 16-hour clinical skills laboratory. More than 200 registered nurses and advanced practice providers attended. This session will examine the online training, the clinical skills laboratory, and the evaluation findings gleaned from participation in this course. Jennifer Pierce-Weeks IAFN, Elkridge, MD Debra Patterson Wayne State University, Detroit, MI PEDIATRICS: Interpretation of Skin Injuries in Children (Code 52) This presentation will provide the knowledge that forensic nurses need to identify and interpret coetaneous injuries in children. The presenter will discuss injury patterns, developmental differences, and other conditions and disorders that cause bruising and various skin lesions. Donna Wright Cook Children s Medical Center, Fort Worth, TX ADMINISTRATIVE/LEADERSHIP: Redefining Your SANE Program: The Philadelphia Experience (Code 53) Sexual assault nurse examiners and the provision of healthcare are important components of a victim-centered community sexual assault response team program. This presentation will review how the City of Philadelphia identified a problem with its response to the forensic-medical needs of victims. The presenters will illustrate how the City changed from a hospitalbased program to a community-based, free-standing center and will outline the steps required to make such a change in one s own community. Ralph Riviello Drexel University College of Medicine, Philadelphia, PA Kathleen Brown University of Pennsylvania, Philadelphia, PA PSYCHIATRY & CORRECTIONS: Developing and Implementing a Nursing-Based Support Group for Incarcerated Women Survivors of Childhood Sexual Assault (Code 54) To address the trauma and the physical, mental, and emotional issues that can arise from being abused, the presenter developed a nursing-based support group for incarcerated women survivors of childhood sexual assault. This group differs from what therapists and advocates present to inmates; forensic nurses are well-positioned to address behavior and attitudes regarding sexual assault, and are able to speak knowledgeably about physiological attributes, sexual functions, and anatomy in a caring manner. A forensic nurse is equipped to educate how thoughts and behaviors can directly affect bodily responses, such as stress, anxiety, weight, and the ability to think and sleep. Paula Johns Regions Hospital, St Paul, MN Thursday, October 24, 1:30 pm 3:00 pm SANE: (N)PEP Rallies for Prevention: Case Studies in Post- Assault HIV Risk Stratification (Code 55) This interactive session will provide an overview of HIV transmission after sexual assault and available (N)PEP therapies. Using interactive case studies with risk stratification tools, participants will receive guidance regarding this difficult and potentially life-altering decision for their patients and clients. Lisa Simonian UPMC Hamot, Erie, PA Trisha Sheridan Texas A&M Health Science Center, College Station, TX GENERAL FORENSIC & LEGAL: Case Review Conversations: Viewpoints from the Crime Lab and the SAE (Code 56) A sexual assault examiner from Oregon and a crime laboratory technician from an Oregon state forensic laboratory will discuss a sexual assault case from each other s viewpoint. The participants will develop insight into the workings of the crime laboratory and how evidence is used. For forensic nurses who are not in close contact with their local crime laboratories, this presentation will introduce ideas for facilitating communication with those facilities. Robin Olafson Oregon Sexual Assault Task Force, Aloha, OR Kori Barnum Oregon State Forensic Laboratory, Clackamas, OR 19ABSTRACTS

20 Abstract Descriptions ABSTRACTS GENERAL FORENSIC & LEGAL: Crime Scene Investigation for the Health Care Provider (Code 57) Emergency department staff members are often the first to see victims of assault, abuse, and trauma. Historically, emergency nurses and physicians have treated the patient s injuries without considering any associated forensic issues. Lack of training in clinical forensics may result in errors that not only deny the criminal justice system of a suspect, but also deny the patient access to short-lived evidence of critical significance in subsequent criminal or civil proceedings. Jayne Batts Carolinas Medical Center - Carolinas HealthCare System, Charlotte, NC Angela Alexander Carolinas Medical Center - Carolinas HealthCare System, Charlotte, NC GENERAL FORENSIC & LEGAL: Enhancing Testimony in Sexual Assault Cases: How Testimony Institutes Can Build Knowledge and Skill (Code 58) Following a change in Minnesota law that allows for the use of expert testimony about adult sexual assault victim behavior, the Minnesota Coalition Against Sexual Assault developed Testimony Institutes to increase professional comfort and competency in the use of expert testimony. The Institutes bring together prosecutors, healthcare professionals, and sexual assault advocates to increase understanding of each other s roles in sexual assault cases, receive education and tools related to testifying, and have the opportunity to participate in mock testimony sessions. The format has been modified for use in the 40-hour SANE training course and has been presented twice in this format with a focus on fact testimony and the importance of documentation when conducting exams. Presenters will explain how this training can be replicated and incorporated into recurring SANE training programs. Melia Garza Minnesota Coalition Against Sexual Assault, St Paul, MN Caroline Palmer Minnesota Coalition Against Sexual Assault, St Paul, MN Ellen Johnson Regions Hospital, St Paul, MN Karine Zakroczymski Unity Hospital, Fridley, MN SANE: Enhancing the Role of the Forensic Nurse Examiner Through Employment Restructuring (Code 59) Casual, on-call employment status for SANEs contributes to turnover and raises concerns for maintaining competency. This presentation will describe the outcomes of restructuring the SANE team from on-call to on-duty. Sheila Macdonald Womens College Hospital, Toronto, ON, Canada Diane Daley Womens College Hospital, Toronto, ON, Canada Jessica Potvin Womens College Hospital, Toronto, ON, Canada PEDIATRICS: Incorporating the Joyce Adams Criteria into Your Practice (Code 60) A medical evaluation of a child with a history of suspected sexual abuse includes a detailed physical examination. The sexual assault nurse examiner (SANE) who examines children must be familiar with published research on findings in nonabused children, studies on the healing of injuries, and research documenting the association between sexual contact and the diagnosis of sexually transmitted infections in children. The Joyce Adams criteria are a result of more than 20 years of research in the field of child sexual abuse. This session will use images to review the Approach to Interpretation of Medical Findings in Suspected Child Sexual Abuse: 2009 by Joyce Adams, as well as discuss ways to use the criteria to enhance your SANE practice. Jan Wiebe Children s Mercy Hospital, Kansas City, MO ADMINISTRATIVE/LEADERSHIP: SANE Sustainability: Lessons Learned from an Online Training Initiative (Code 62) Sustainability challenges threaten the short- and long-term viability of many SANE programs, which detracts from our ability to provide optimal patient-centered care. The International Association of Forensic Nurses, in collaboration with the National Sexual Violence Resource Center (NSVRC) through a grant from the Office on Violence Against Women (OVW), has delivered a six-week online certificate course to representatives of SANE programs across the United States. The course provided education and skills-building on issues of program sustainability, including budgeting, staffing, and collaboration, as well as ongoing technical assistance and capacity-building to SANE program coordinators. Participants in this session will have the opportunity to witness some of the online components of the training, review the course content, participate in live group work based on the content, and review the evaluation data to date. Jennifer Pierce-Weeks IAFN, Elkridge, MD Jenifer Markowitz Alexandria, VA Other Author: Sarah Tucker, IAFN, Elkridge, MD 20