Stable survivors may be brought here preferentially.  When such a survivor is identified,

he/she should be brought into a private area (Urgent Care A, either GYN or Peds GYN), immediate needs assessed

and SAVI, the SAFE, AND social work are called via AMAC 24/7.  The SAVI is the patient advocate and provides emotional support and info on options post discharge; the social worker assesses for immediate social needs, safety, clothing, etc.

 

The SAFE on call will perform the evaluation and documentation on the Comprehensive SA Form and photos, evidence collection as per the patient’s wishes.  The SAFE will make every effort to limit the nursing time involved with evidence collection.

SAFE will present their findings to the supervising Attending in the area.  Unless the SAFE on call also is a MSH ED physician or PA,, the ED Attendings/residents or PAs would write med orders and lab orders using the order sets and complete the PICIS SA eval .  If there is no SAFE on call (per AMAC and /or schedule posted in Urgent Care) then the ED MD/PA does the exam per protocol. Explicit instructions on collection of evidence are in the kit.

 

The check sheet (attached) can be used as a quick guide to timelines, chain of custody, post exposure

prophylaxis, referrals. This has been updated to include with option of Suprax or cefixime 400 mg oral for GC in lieu of

ceftriaxone IM. (now stocked in the ED and Urgent Care, thanks, Scot) and a reminder about the photo policy.(thanks, Ari)

 

Thanks for your attention to quality improvement for our survivors.

Barbara Richardson, MD

Medical Director, SAFE Program at Mount Sinai