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.
Our primary purpose is to provide statewide SANE/SAFE education, clinical education, and technical assistance to all 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, education of multidisciplinary Sexual Assault Response Team (SART) members will occur.
By using both web-based and live education we will be able to assist SANE and other medical professionals in maintaining the skills necessary to care for sexually assaulted patients and to maintain sustainable programs.
Project offerings and resources
2025 project offerings
- Technical assistance via phone or email consultation and postings on our website.
- A 64-hour SANE/SAFE Adult/Adolescent and Pediatric Didactic Education, which can be free of charge for Colorado providers and military personnel practicing in Colorado with valid, unencumbered licenses.
- Simulation clinical skills lab education at the UCHealth Community Education Center in Colorado Springs, using highly-skilled and experienced Forensic Nurse Examiners, as well as live Gynecological Teaching Associates (GTAs).
- Medical Response to Sexual Assault Patients: Best Practice Education for Medical Professionals.
- Two one-hour SART (Sexual Assault Response Team) series education quarterly available to anyone who may provide services to those affected by sexual assault.
- Twice yearly virtual SANE-A and SANE-P Certification Review courses.
- A preceptorship program for Colorado SANE trained RNs affiliated with a SANE program in Colorado.
- Telehealth support for selected rural programs in the state.
- 40-Hour Adult/Adolescent Didactic Education: The 40-Hour Adult/Adolescent Didactic Education is a live, five consecutive day training held via Microsoft Teams. This is the same course content that is within the 64-hour SANE/SAFE Adult/Adolescent and Pediatric Didactic Education, but while the 64-hour SANE/SAFE Adult/Adolescent and Pediatric Didactic Education includes all patient populations, this course only includes content on adult/adolescent patients.
- 40-Hour Pediatric Didactic Education: The 40-Hour Pediatric Didactic Education is a live, five consecutive day training held via Microsoft Teams. This is the same course content that is within the 64-hour SANE/SAFE Adult/Adolescent and Pediatric Didactic Education, but while the 64-hour SANE/SAFE Adult/Adolescent and Pediatric Didactic Education includes all patient populations, this course only includes content on pediatric patients.
Resources
- Colorado Sexual Assault Evidence Collection Protocol (2022)
- Colorado Suspect Evidence Collection Protocol (2016)
- LE/Medical Consent Form 2023 (English)
- LE/Medical Consent Form 2023 (Spanish)
- Anonymous Consent Form 2023 (English)
- Anonymous Consent Form 2023 (Spanish)
- Kit Incident Form
- Medical Forensic Exam Payment Request Form (SAVE) 2019
- Colorado Domestic Violence Fatality Review 2024 Annual Report
- 2024 Colorado Domestic Violence Fatality Review Board Key Findings
- A National Protocol for Sexual Assault Medical Forensic Examinations Adults/Adolescents
- Starting Wednesday, August 9, 2017, House Bill 1322 regarding mandatory reporting for intimate partner violence went into effect. Please download the following documents to review the law and synopsis: House Bill 1322 and Synopsis. This law only pertains to those over the age of 18 and under the age of 69.
An algorithm was developed for Colorado which allows medical providers to understand their reporting options in the state of Colorado. Adult patients have the three following options:
- Full law enforcement report
- Medical report
- Anonymous report
The algorithm is available for download: Reporting Algorithm
Additionally, a short (30-minute) education video outlining each of the reporting options is available to help alleviate any confusion regarding reporting options in Colorado: Reporting Options video
Upcoming education opportunities
Comprehensive Sexual Assault Forensic Examiner Program
The Colorado SANE/SAFE Project offers 64 hours of adult, adolescent, and pediatric SANE/SAFE Education adhering to the IAFN Educational Guidelines for best national practices in caring for the sexually assaulted patient. The format for the Comprehensive SAFE Education is online and can be accessed from any computer that has high-speed internet access. The entire education is done online without requiring any travel from those that are enrolled in the program.
2025 course dates:
Sexual Assault Forensic Examiner (SAFE) Clinical Skills Lab Education 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 Education Program. Participants will receive clinical practice and demonstration using live model patients in a simulation laboratory with clinical preceptors. Space is very limited, and enrollment is done on a first come, first served basis. Registrations 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 that 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.
2025 dates:
Caring for the Sexually Assaulted Patient When There is No SANE in Sight: An Education for ALL Healthcare Providers
This two-hour, online, free education from the International Association of Forensic Nurses (IAFN) is intended for clinicians who are expected to care for patients who have experienced sexual violence yet have not received formal education to do so. Communities who do not have access to sexual assault nurse examiners (SANEs) , or who need to supplement the SANE schedule for emergency staffing needs may find benefit from this course. In addition, it can be a useful recruitment tool for nurses to assess their interest prior to committing to the full 64-hour course. Covering the neurobiology of trauma, coordinated community response, the medical forensic examination and courtroom testimony, this education was collaboratively created by a team of national experts from various disciplines and is intended to fill the education gap for all clinicians about sexual assault and the unique needs of this complex patient population.
Advanced Forensic Nurse Examiner Education
The Colorado SANE/SAFE Project is now offering a 24-hour Advanced Forensic Nurse Examiner (AFNE) education online through our ULearn learning management system. This education is designed to expand the scope of patients seen in programs to include: child abuse and neglect, intimate partner violence, strangulation and elder abuse.
To be eligible to participate, you must hold an unencumbered RN or advanced practice licensure and you must have successfully completed a didactic portion of SANE education and be able to provide a certificate of completion.
The following dates are available for registration in 2025. Choose a date below for details:
- January 8 - March 5, 2025
- February 12 - April 9, 2025
- March 12 - May 7, 2025
- April 9 - June 4, 2025
- May 14 - July 9, 2025
- June 11 - August 6, 2025
- July 9 - September 3, 2025
- August 13 - October 8, 2025
- September 10 - November 5, 2025
- October 8 - December 3, 2025
- November 12, 2025 - January 7, 2026
Cost: Free of charge for Colorado providers and military personnel practicing in Colorado with valid, unencumbered licenses.
Colorado SANE/SAFE Project Preceptorship Program
The Colorado SANE/SAFE Project is now offering a preceptorship program with the UCHealth Memorial Hospital 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 health care in Colorado.
- Affiliated with a program in Colorado.
- Have had SANE/SAFE education and can provide a certificate of completion.
- MMRx2 vaccine or titer.
- Negative TB test in last 365 days.
- Varicella vaccine or titer.
- HepB Series, titer or waiver.
- Flu vaccine (during flu season).
- Copy of valid driver’s license.
- Copy of current BLS or ACLS certification.
- All of these items must stay current during your time at Memorial Hospital. It is your responsibility to ensure that if any of the above expires during your time with us, you must update them immediately or you will not be able to continue with us.
- Clinical Skills education through the Colorado SANE/SAFE Project (highly recommended).
- Updated resume or CV.
- Signed Letter of Agreement.
- Completed registration form.
Only a small number of nurses will be accepted into the preceptorship 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.
***If you are an out-of-state SANE who is interested in a preceptorship, please email [email protected] for information about the out-of-state preceptorship program.***
40-Hour Adult/Adolescent Didactic Education
The 40-Hour Adult/Adolescent Didactic Education is a live, five consecutive day training held via Microsoft Teams. This is the same course content that is within the 64-hour Comprehensive Sexual Assault Forensic Examiner Program, but while the 64-hour Comprehensive Sexual Assault Forensic Examiner Program includes all patient populations, this course only includes content on adult/adolescent patients.
This course is offered:
- Course dates and registration coming soon
40-Hour Pediatric Didactic Education
The 40-Hour Pediatric Didactic Education is a live, five consecutive day training held via Microsoft Teams. This is the same course content that is within the 64-hour Comprehensive Sexual Assault Forensic Examiner Program, but while the 64-hour Comprehensive Sexual Assault Forensic Examiner Program includes all patient populations, this course only includes content on pediatric patients.
This course is offered:
- Course dates and registration coming soon
SANE-A Certification Review Course
The SANE-A Certification Review Course is a live comprehensive course reviewing key concepts and practice test questions to help prepare the SANE sit for the SANE-A certification exam.
The 2025 virtual review courses will be held on the following dates:
- March 6, 2025 (Registration closes on March 1)
- August 14, 2025 (Registration closes on July 1)
SANE-P Certification Review Course
The SANE-P Certification Review Course is a live comprehensive course reviewing key concepts and practice test questions to help prepare the SANE sit for the SANE-P certification exam.
The 2025 virtual review courses will be held on the following dates:
- March 13, 2025 (Registration closes on March 1)
- August 14, 2025 (Registration closes on July 1)
SART Series Education
SART (Sexual Assault Response Team) Series education sessions are broad-reaching to meet the needs of those who respond to sexual assault in Colorado. The target audience includes healthcare providers, law enforcement, first responders, advocates, prosecutors, and defense attorneys. This education is updated quarterly, adding two hours of new content each time. These education sessions are broad-reaching to meet the needs of those who respond to sexual assault in Colorado. Each SART Series education is pre-recorded and available upon registration.
Quarter 4, 2024
- New! Understanding Medical Forensic Exams Payment and Billing Process / Flyer > / Register >
- New! Injury Identification and Documentation / Flyer > / Register >
Quarter 3, 2024
- New! Reproductive Equality / Flyer > / Register >
- New! Care of the Male Patient / Flyer > / Register >
Quarter 2, 2024
- Mandatory Reporting in Colorado / Flyer > / Register >
- Sexual Behavior in Children / Flyer > / Register >
Quarter 1, 2024
- Photodocumentation / Flyer > / Register >
- Vicarious Trauma / Flyer > / Register >
Enduring offerings
- How to Complete a Cranial Nerve Assessment? / Flyer > / Register >
- Indigenous Solutions: Working with Native American Survivors of Sexual Assault / Flyer > / Register >
- Extragenital Testing for Chlamydia and Gonorrhea / Flyer > / Register >
- IPV Protocol / Flyer > / Register >
- Who is the Forensic Patient? / Flyer > / Register >
- Strangulation for First Responders / Flyer > / Register >
- Adult/Adolescent History Taking / Flyer > / Register >
- Syphilis Updates for an Informed Practice / Flyer > / Register >
- The Forensic Interview / Flyer > / Register >
- Strangulation Case Studies / Flyer > / Register >
- Limited English Proficiency / Flyer > / Register >
- Sexual Assault Case Studies / Flyer > / Register >
- Documenting Injuries Objectively and Accurately for Victims of Violence / Flyer > / Register >
- Strangulation and the Forensic Patient / Flyer > / Register >
- HIV nPEP After Sexual Assault / Flyer > / Register >
- Best Practices for the Pediatric Medical Forensic Examinations / Flyer > / Register >
- Ano-Genital Exam Techniques / Flyer > / Register >
- STIs: What’s New with Old Diseases / Flyer > / Register >
Intimate Partner Violence Skills Education
This two-day course will prepare SANEs and Advanced Practice RNs to take their forensic nursing practice to the next level by learning how to perform assessments designed specifically for the IPV patient. Participants will be able to practice with a live model how to obtain a history, perform a detailed physical assessment, photo-documentation, evidence collection, and safety considerations.
New in 2023: To be eligible to participate, you must hold an unencumbered RN or advanced practice licensure and you must have successfully completed a didactic portion of SANE education and be able to provide a certificate of completion and finish an 8-hour online education prior to attending the live course.
2025 education dates
- May 16, 2025 (Registration closes April 17)
- September 12, 2025 (Registration closes on August 26)
Technical Assistance
The Colorado SANE/SAFE Project offers 24/7 clinical technical assistance to any SANE program or healthcare provider throughout the state of Colorado by calling 719.365.8333.
For less urgent clinical needs, class enrollment questions or ULearn assistance, email the Colorado SANE/SAFE Project by email at [email protected].
Resources
Colorado Bureau of Investigation (CBI)
https://www.colorado.gov/cbi
Division of Criminal Justice, Colorado
http://dcj.state.co.us/
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
https://www.niwrc.org/
Tribal Forensic Healthcare
https://www.ihs.gov/forensichealthcare/
You Have the Right Colorado (reference to find SANE Programs in the state of Colorado)
https://youhavetherightco.org/support-services-2-2/
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 SAFE 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 by clicking here. There is no legislation 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, the performance of specific tasks, the knowledge and understanding of the topic, and the personal characteristics necessary for a job. In nursing, competency is determined at the local (clinical) level.
Contact us
Program email: [email protected]
Program phone: 719.365.8371
Jennifer Degner, BSN, RN, CA-SANE, SANE-A
Colorado SANE/SAFE Project Instructor
[email protected]
Erica Keller
Project Support Admin
[email protected]
Brandy Swennes, BS, CHCP
Project Manager
[email protected]
Megan Lechner, DNP, APRN, CNS, SANE-A, SANE-P
Forensic Nursing Program Manager and SANE/SAFE Project Director
[email protected]
After-hours technical assistance: 719.365.8333
Social Media
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