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Colorado State SANE/SAFE Project

Colorado SANE.SAFE Project  

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  1. Comprehensive Sexual Assault Forensic Examiner Program
  2. Sexual Assault Forensic Examiner (SAFE) Clinical Skills Lab Training Program
  3. Colorado SANE/SAFE Project Preceptorship Program
  4. SART Series
  5. Past SART Series Trainings
  6. Technical Assistance
  7. Resources
  8. Contact Us



Comprehensive Sexual Assault Forensic Examiner Program State of Colorado Sexual Assault Nurse Examiner / Sexual Assault Forensic Examiner (SANE/SAFE) Project

Beginning in January of 2013, through a competitive grant offered through the Division of Criminal Justice, UCHealth's Memorial Hospital assumed responsibility for the Colorado state SANE/SAFE Project. This project was previously administered through the University of Colorado at Colorado Springs.

Our primary purpose is to provide statewide SANE/SAFE education, clinical training, and technical assistance to all of the programs in the State of Colorado based on the International Association of Forensic Nurses (IAFN) SANE Education Guidelines.  

Because not all communities have access or support for SANE/SAFE programs, the project will also train health facilities and providers without SANE programs. Additionally, training of multidisciplinary Sexual Assault Response Team (SART) members will occur.

We believe that through the use of web based and live training we will be able to assist SANE and other medical professionals in maintaining the skills necessary to care for the sexually assaulted patient, and run sustainable programs.

2015 project offerings:

  • Technical assistance via phone or email consultation and postings on our web site
  • A 64-hour SANE/SAFE Adult, Adolescent and Pediatric didactic training, free of charge to properly licensed Colorado providers and properly licensed military personnel practicing in Colorado.
  • Simulation lab trainings in the CADETS simulation lab at Memorial, using highly skilled and experienced Forensic Nurse Examiners as well as live Gynecological Teaching Associates (GTAs).
  • A preceptorship program for Colorado SANE trained RNs affiliated with a SANE program in Colorado.

Colorado SAFE/SANE Project News

Colorado SAFE/SANE Program at UCHealth
It is with great pride that the Colorado SANE/SAFE Project announces the release of the updated Colorado Sexual Assault Evidence Collection Protocol. The protocol was revised over the last two years by healthcare professionals, in concert with other disciplines who are a part of the multidisciplinary response to sexual assault in Colorado.

This updated protocol was modeled after national best practices with patient centered, trauma-informed care in mind.  The purpose is to assist providers with the consistent and complete collection of the sexual assault evidence collection kit, which is one part of a comprehensive medical forensic response to sexual assault patients. 

Releasing this protocol in April has special significance as it coincides with Sexual Assault Awareness month.  It is our sincere hope that this revised protocol will be a well-utilized resource that will maximize the continuity of care for patients who have experienced sexual assault.  

The protocol addresses both consent forms.  In addition, the Colorado SANE/SAFE Project website will be hosting free online trainings.  We plan to have the first training, addressing the new protocol, up in a week or two.  We plan to have an additional training addressing the anonymous reporting option (designed to educate medical professionals as well as law enforcement) up soon after. 

Feel free to download and share this protocol with your community partners.  Find also the updated consent form for law enforcement and medical reports as well as the new anonymous consent form. Please keep in mind and educate your fellow healthcare providers that only one consent form should be utilized for each kit that is opened. There is never a situation where both consent forms would be appropriate for one patient.

We hope you find that the updated protocol becomes a resource for you in your practice.  A sincere thank you for all that you do for patients in Colorado.

Additionally, Kim Nash the Colorado SANE/SAFE Trainer has developed an algorithm for Colorado reporting options.  It is intended to assist medical providers with understanding Colorado reporting options.  Adult patients will have three options:
  1. Full law enforcement report
  2. Medical report
  3. Anonymous report
The algorithm is available for download below:



The Colorado SANE/SAFE Advisory Board has begun the process of updating the Colorado Suspect Evidence Collection Protocol and will announce when there is a release of the document. In the meantime, you can download the suspect exam steps below:



Upcoming training opportunities

1. Comprehensive Sexual Assault Forensic Examiner Program

The Colorado SANE/SAFE Project offers 64 hours of adult, adolescent and pediatric SANE/SAFE training adhering to the IAFN educational guidelines for best national practices in caring for the sexually assaulted patient. The format for the Comprehensive SAFE training is online and can be accessed from any computer that has high-speed internet access. The entire training is done online without requiring any travel from those that are enrolled in the program.


Download the program flyer

The Colorado SANE/SAFE Project will be offering 64 hours of adult, adolescent and pediatric SANE/SAFE training adhering to the IAFN educational guidelines for best national practices in caring for the sexually assaulted patient.

2015 offerings

Online Comprehensive Sexual Assault Forensic Examiner Training available on the following dates in 2015:

  • April 5 - June 1
  • June 7 - Aug. 1 
  • Aug. 2 - Sept. 26
  • Sept. 27 - Nov. 21

Cost: Free to properly licensed healthcare providers and military personnel practicing in Colorado.

  • $400 for properly licensed out of state RNs
  • $500 for properly licensed out of state physicians


Register Now


2. Sexual Assault Forensic Examiner (SAFE) Clinical Skills Lab Training Program

The Colorado SANE/SAFE Project offers the following schedule of live two-day SAFE clinical skills laboratories for nurses having completed the Sexual Assault Nurse/Forensic Examiner didactic training program.  Space is very limited for the two-day clinical skills lab, and enrollment is done on a first come, first serve basis. Registration will be accepted through the registration deadline or until the course fills up.  If the course you wish to attend is full, you can place your name on a waitlist and if there is a cancellation, you will be contacted in the order your name is listed.  If you wish to be added to another course date, you will need to register for that date.  Your name will not be automatically moved to the next course date in the event that there is no cancellation for your preferred date.   The nurse wishing to complete this training would choose one of the dates listed. 

Download: SAFE Clinical Skills Lab Training Program

2015 Clinical Skills Lab Dates:

  • June 25/26 2015 This class is full.
  • Sept. 24/25 2015 This class is full.
  • Nov. 19/20 This class is full.


Space is limited and registration is only accepted for the first 8 registrants.  

Register Now

 

3. Colorado SANE/SAFE Project Preceptorship Program

The Colorado SANE/SAFE Project is now offering a precepting program with the Memorial Hospital-University of Colorado Health Forensic Nurses Examiners program. Nurses wishing to precept with the forensic nurses must meet the following criteria:

  • Have a valid and unencumbered Colorado nursing license/ practicing military healthcare practicing in Colorado
  • Have had SANE/SAFE training and can provide a certificate of completion
  • Completed Clinical Skills training through the Colorado SANE/SAFE Project
  • Signed Letter of Agreement (please read this letter carefully before signing as it outlines all of the legal obligations of both Memorial Hospital and the precepting nurse.)
  • Completed registration form
  • Affiliated with a program in Colorado

There are a small number of nurses that will be accepted into the precepting program through the Colorado SANE/SAFE Project, so any incomplete paperwork or not having completed the required criteria will automatically cause your application to be rejected.


 




4. SART Series

Education on the updates to the Colorado Sexual Assault Evidence Collection Protocol. No trainings are scheduled at this time.

 





5. Past SART Series Trainings:

  • Education on the updates to the Colorado Sexual Assault Evidence Collection Protocol (flyer)
  • SAVE Fund (flyer)
  • The Lethality of Pediatric Strangulation (flyer)


The Colorado SANE/SAFE Project offers 24/7 technical assistance throughout the state of Colorado by phone and for less emergent needs, by email. Any SANE program or healthcare provider can contact our the Forensic Nurse Examiner’s program at Memorial Hospital: University of Colorado Health by calling (719)-365-8333. To reach the Colorado SANE/SAFE Project trainer by email, you can email your questions to kim.nash.co@gmail.com


Please check back for updates:

 



Resources


Registered nurses, advanced practice nurses, physicians, and physician assistants who serve American Indian/ Alaska Native patients are invited to join the Tribal Forensic Healthcare for a variety of free trainings to learn the elements of conducting comprehensive medical forensic examinations. More details are on the attached flyers or at TribalForensicHealthCare.org

 Resources

Starting July 1, 2015, Colorado Bureau of Investigation Forensic Services will offer forensic toxicology, alcohol and drug testing services for Denver, Pueblo, Grand Junction and the Northern Region Forensic Laboratories.  Information can be found online at CBI’s website or by calling the Laboratory Directors of the following labs:

Denver: 
Kathleen Fetherston
(303)239-4303

Grand Junction:
Lance Allen
(970)248-7500

NCRFL:
Ron Arndt
(970)356-4015 ex. 3638

Pueblo:
Shawn West
(719)542-1133


Division of Criminal Justice, Colorado 
dcj.state.co.us/ovp/

International Association of Forensic Nurses
 
www.ForensicNurses.org/

Sexual Assault Forensic Examiner Technical Assistance Project (SAFEta)
 
safeta.org/

Forensic Health Online 
www.forensichealth.com/

National Indigenous Women's Resource Center 
www.niwrc.org/ ​

Definitions

SANE: A Sexual Assault Nurse Examiner is a Registered Nurse who has been trained in the comprehensive care of the sexually assaulted patient, has the ability to conduct a medical/forensic examination with or without evidence collection, and is capable of testifying as an expert witness in a legal proceeding. The SANE may care for the adult/adolescent population, the pediatric population, or both.

SAFE: A Sexual Assault Forensic Examiner is a Registered Nurse or advanced practice provider such as a physician assistant, physician or Nurse Practitioner who has been trained in the comprehensive care of the sexually assaulted patient, has the ability to conduct a medical/forensic examination with or without evidence collection, and is capable of testifying as an expert witness in a legal proceeding. The SANE may care for the adult/adolescent population, the pediatric population, or both.

The only difference between SANE and SAFE is that SANE only refers to nursing as the provider, SAFE may be nursing or other properly trained advanced practice providers.

SANE-A: Is the IAFN nationally recognized certification credentials when the appropriately trained SANE has successfully passed the adult/adolescent certification examination.

SANE-P: Is the IAFN nationally recognized certification credentials when the appropriately trained SANE has successfully passed the pediatric certification examination.

Certification: Is through the International Association of Forensic Nursing (IAFN). Information on certification can be found at http://www.forensicnurses.org/?page=certification. There is no legislatively or otherwise mandated Colorado certification requirements.

Competency: is broadly defined as a person's ability or capacity to do a job. It applies to many professionals, and involves physical abilities or skills, performance of specific tasks, knowledge and understanding of the topic and the personal characteristics necessary for a job. In nursing, competency is determined at the local (clinical) level.

7. Contact Us

Shay Ramirez
Project Manager
shamaree.ramirez@uchealth.org
719-365-8345

Kim Nash, BSN, RN, SANE-A, SANE-P
SANE Trainer
kim.nash.co@gmail.com
 
Megan Lechner RN, SANE-A, SANE-P
Project Director
Megan.lechner@uchealth.org
719-365-8544 
 


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