Victims of sexual assault carry a life long trauma.  Their first step to healing occurs with the hospital staff and forensic nurses.  Most of these nurses are referred to as SANE nurses or Sexual Assault Nurse Examiners.  They not only look to help the person physically but they are there also emotionally.  While they may not play a later role in counseling, their warm smile and understanding eyes can help forward the uncomfortable process of collecting evidence and treating injuries.   Many encounter not only those who were raped but also abused domestically, or even in other cases, those who are victims of human trafficking.

The position not only involves high level of training and empathy towards others but also a reserve within one’s own soul to face evil directly everyday.  Seeing the dark side of humanity everyday can be a difficult job for many and being able to remain strong for others and still keep an optimistic view on life can be challenging.  Hence, nurses who become SANE are not only a special breed but also heroes to countless of victims.

These front line nurses battle sexual assault and help others heal through their professional service, discreet silence, and soothing words.  The article, “How To Care For Sexual Assault and Human Trafficking Victims as a Nurse” by Chaunie Brusie looks closer at how SANE and Forensic Nurses help others who are victims of sexual abuse.  The article reviews a recent podcast with a Forensic Nurse who deals with sexually assaulted and human trafficking victims.   For those looking to begin a career in Forensic Nursing, the article states,

“Nurses who are interested in becoming a FNE/SANE can first turn to their state SANE program, many of which are government-funded and offer free training to all RNs. It is important to do your state program because each state has different laws and procedures about reporting and collection options.”

“How To Care For Sexual Assault and Human Trafficking Victims as a Nurse”. Chaunie Brusie. June 13th, 2023. Nurse.org.

To read the full article, please click here

For those seeking additional training beyond SANE status, AIHCP also offers a Forensic Nursing Certification which can help prepare nurses for SANE and the duties of a sexual examiner nurse.

Commentary

Sexual assault is a heinous crime that leaves survivors traumatized and vulnerable. In the aftermath of such an ordeal, it is crucial to have professionals who are trained to provide comprehensive care and support. This is where Sexual Assault Nurse Examiners (SANEs) play a vital role. As a SANE, I am passionate about empowering survivors and helping them navigate the difficult journey towards healing and justice.

The Role and Responsibilities of a Sexual Assault Nurse Examiner

As a sexual assault nurse examiner, my primary responsibility is to provide compassionate and evidence-based care to survivors of sexual assault. This involves conducting thorough forensic examinations, collecting and preserving evidence, and documenting injuries. Additionally, I offer emotional support and guidance throughout the entire process. A SANE’s role extends beyond the immediate aftermath of the assault, as they may also provide expert testimony in court proceedings.

Importance of SANEs in Supporting and Empowering Survivors

SANEs play a crucial role in supporting and empowering survivors of sexual assault. By providing comprehensive care, we help survivors regain a sense of control over their lives and facilitate their healing process. Our presence reassures survivors that they are not alone and that their experiences are valid. SANEs also act as advocates, ensuring that survivors’ rights are protected and that they have access to the resources they need. Through our work, we contribute to breaking the cycle of silence and stigma surrounding sexual assault.

Training and Qualifications Required to Become a Sexual Assault Nurse Examiner

Becoming a sexual assault nurse examiner requires specialized training and qualifications. Registered nurses who wish to pursue this career path must complete a SANE certification program, which includes both didactic and clinical components. The program covers topics such as forensic evidence collection, trauma-informed care, and legal considerations. In addition to the certification, it is essential for SANEs to keep abreast of the latest research and advancements in the field through continuing education.

Once licensed, some nurses also prefer to earn various certifications in Forensic Nursing, such as from AIHCP.

The Process of a Sexual Assault Examination

A sexual assault examination is a meticulous and sensitive process that requires the utmost care and professionalism. When a survivor arrives at the healthcare facility, I begin by establishing rapport and ensuring their comfort and safety. The examination itself involves a head-to-toe assessment, including the collection of forensic evidence. This may include swabs from various body areas, photographs of injuries, and the documentation of any relevant physical findings. Throughout the examination, I provide clear explanations and reassurance, ensuring that the survivor is involved in the decision-making process.

Providing Emotional Support to Survivors as a Sexual Assault Nurse Examiner

Emotional support is a fundamental aspect of the care provided by a sexual assault nurse examiner. Survivors often experience a range of emotions, including fear, shame, and anger. As a SANE, I offer a non-judgmental environment where survivors can express their feelings and concerns. Active listening, empathy, and validation are integral to establishing trust and facilitating the healing process. Additionally, I provide information about available resources, such as counseling services and support groups, to help survivors on their journey towards recovery.

Collaboration with Law Enforcement and Legal Professionals

Collaboration between sexual assault nurse examiners, law enforcement, and legal professionals is essential for a comprehensive response to sexual assault cases. As a SANE, I work closely with these stakeholders to ensure that survivors’ rights are protected and that the evidence collected is admissible in court. This collaboration involves sharing information, attending case conferences, and providing expert testimony. By bridging the gap between healthcare and the legal system, we contribute to a more efficient and victim-centered approach to addressing sexual assault.

Challenges Faced by Sexual Assault Nurse Examiners

Being a sexual assault nurse examiner can be emotionally and physically demanding. The nature of the work exposes us to the trauma experienced by survivors, which can take a toll on our mental well-being. Additionally, the long hours and unpredictable schedules can lead to burnout. Furthermore, the criminal justice system’s reliance on forensic evidence places a heavy burden on SANEs, as we must ensure meticulous documentation and follow stringent protocols. Despite these challenges, the sense of purpose and the positive impact we make on survivors’ lives serve as a driving force in our commitment to this vital work.

The Impact of Sexual Assault Nurse Examiners on Survivors and Communities

The work of sexual assault nurse examiners has a profound impact on both individual survivors and the larger community. By providing compassionate care and support, we empower survivors to reclaim their lives and rebuild their sense of self. Our role in the multidisciplinary response to sexual assault cases leads to higher conviction rates and a greater sense of justice for survivors. Moreover, the presence of SANEs contributes to the destigmatization of sexual assault, creating a safer and more supportive environment for survivors to come forward.

Conclusion: The Vital Role of Sexual Assault Nurse Examiners in Empowering and Supporting Survivors

Sexual Assault Nurse Examiners (SANEs) play a vital role in the journey towards healing and justice for survivors of sexual assault. Through their expertise, compassion, and advocacy, SANEs empower survivors and provide them with the comprehensive care they need. The impact of their work extends beyond individual survivors, contributing to the creation of safer communities and a more victim-centered approach to addressing sexual assault. As a SANE, I am honored to be part of this crucial work and to contribute to the empowerment and support of survivors.

AIHCP also offers a Forensic Nursing Certification for nurses looking to help survivors of sexual assault and human trafficking.  The program is online and independent study and open to qualified professionals seeking a four year certification in Forensic Nursing.

Additional Resources

“What Is a SANE Exam?”. Elizabeth Boskey, PhD. August 10th, 2022. VeryWellHealth. Access here

“How Nurses Can Recognize and Report Human Trafficking”. March 3rd, 2023. Nurse Journal.  Access here

“Caring for Victims of Violence: Forensic Nurses Are on the Front Line”. November 10th, 2017.  Cleveland Clinic.  Access here

“Domestic Violence: What Can Nurses Do?”. September 23rd, 2011. Crisis Prevention Institute.  Access here

The horrendous crime of sexual assault leaves physical and emotional wounds.  Initially those physical wounds and evidence of them need to be documented.  Forensic Nurses who work as Sexual Assault Nurse Examiners or SANE play a key role on the front line in protecting women, children and victims of all gender, race and age in sexual and physical abuse cases.  They play an important role in examining, collecting and preserving critical evidence of a crime.  AIHCP offers a four year certification in Forensic Nursing to help SANE nurses earn more educational background.

In addition to treating and supporting victims and collecting evidence during sexual assault or abuse, SANE and Forensic Nurses also supply expert testimony in many cases that go to court.  Their on site knowledge of the situation with the victim can be used in testimony and presented to a jury to help convict and put dangerous sexual predators behind bars.   In this way, SANE and Forensic Nurses also work in close connection with the police and prosecutor’s office in sexual abuse and rape cases.

The article, “Sexual Assault Nurse Examiner: How to Get Help When You Need It Most” by Courtney Battaglia looks closer at the critical role of SANE nurses  and how one can find the important help they provide after sexual assault or any type of abuse.  The article looks at what SANE nurses do, the SANE exam and how they SANE nurses can play an important role in advocacy in protecting the victim and finding justice for the victim.  The article states,

“There can be long-term effects of rape and sexual violence. Seeking help when a violent crime has happened to you can be scary, and having the right person performing the exam can be crucial for your well-being. A SANE can provide the sexual assault victim with compassionate care and expert testimony. The SANE exam has increased the number of convictions, potentially helping the community by removing another perpetrator from the street.”

“Sexual Assault Nurse Examiner: How to Get Help When You Need It Most”. Courtney Battaglia. February 24th, 2023. HealthNews.

To read the entire article, please click here

Commentary for Forensic and SANE nurses

In the wake of the #MeToo movement, there has been an increased focus on the safety of those affected by sexual assault. One of the key elements of the movement is to ensure that victims are able to access the necessary services and resources to help them through their healing journey. One such service is the role of a Sexual Assault Nurse Examiner (SANE), which is a specialized medical professional that provides medical care and forensic evidence collection during a sexual assault examination. In this article, we will explore the role of a Sexual Assault Nurse Examiner (SANE) in examining victims, their qualifications, the process of a sexual assault nurse examination, aftercare for victims of sexual assault, the benefits of having a SANE, the legal rights of victims of sexual assault, and resources for victims of sexual assault.

A Sexual Assault Nurse Examiner (SANE) is a specially trained nurse with advanced skills in providing medical care and forensic evidence collection to survivors of sexual assault. The SANE program is a specialized service that provides comprehensive care to victims of sexual assault, including physical, emotional, and legal support. The SANE program is a multi-disciplinary approach that includes nurses, social workers, law enforcement, and prosecutors.  Many SANE nurses are also Forensic Nurse Certified.

The SANE program is designed to provide a safe, non-judgmental environment for victims of sexual assault to receive medical care and forensic evidence collection. The SANE program is also designed to ensure that victims have access to the necessary services and resources to help them through their healing journey.

Qualifications of a Sexual Assault Nurse Examiner (SANE)

In order to become a Sexual Assault Nurse Examiner (SANE), one must be a registered nurse (RN) with at least two years of experience in a related field. The SANE program also requires that nurses have completed specialized training in forensic evidence collection and sexual assault examination. The SANE program also requires that the nurse complete continuing education to stay up-to-date on the latest developments in the field.

The SANE program also requires that the nurse have excellent communication skills, as they must be able to interact with victims in a non-judgmental and sensitive manner. Additionally, the SANE program requires that the nurse have an understanding of the legal system and the criminal justice system.  Many SANE nurses are also Forensic Nurse Certified as well.

The role of a Sexual Assault Nurse Examiner (SANE) is to provide comprehensive medical care and forensic evidence collection to victims of sexual assault. The SANE is responsible for providing physical, emotional, and legal support to victims of sexual assault.

The SANE is responsible for providing medical care, which includes conducting a physical examination, collecting evidence, and providing treatment for any physical injuries. The SANE is also responsible for providing emotional support, which includes providing a safe and non-judgmental environment for victims to express their feelings, providing information about the legal process, and providing referrals to other resources.

The SANE is also responsible for collecting forensic evidence, which includes collecting biological evidence, photographing injuries and other evidence, and documenting the findings. The SANE is also responsible for providing expert testimony in court proceedings, if necessary.

Easy to see then that it takes a special type of nurse to become SANE and enter into Forensic Nursing.  The individual must not only be highly intelligent in nursing and healthcare  but also a detective in many ways that is not scared away from gruesome sexual assault stories.  These stories can bring many in the criminal justice system to a dark place and it takes an individual able to rise about that and give victims the help they need.

Preparing for a Sexual Assault Nurse Examination

Before a Sexual Assault Nurse Examination (SANE) can be conducted, there are certain steps that need to be taken to ensure that the examination is conducted in a safe and comfortable manner.

First, the SANE will assess the physical and emotional condition of the victim, to ensure that the victim is in a safe and comfortable environment. If necessary, the SANE will provide emotional support to the victim to help them feel more comfortable.

Second, the SANE will explain the process of the examination to the victim, to ensure that they understand the process and are comfortable with it. The SANE will also explain the legal rights of the victim and the resources available to them.

Third, the SANE will provide the victim with all the necessary materials for the examination, such as gowns, swabs, and slides. The SANE will also provide the victim with any necessary medications or treatments, if needed.

Finally, the SANE will take photos of the victim and any evidence that may be present. The SANE will also take swabs, slides, and other samples as necessary.

The Process of a Sexual Assault Nurse Examination

Once the SANE has prepared the victim for the examination, the actual examination can begin. During the examination, the SANE will collect physical evidence and document any findings.

First, the SANE will conduct a physical examination, which includes checking for any physical signs of injury, such as bruises, scratches, or tears. The SANE will also collect any biological evidence, such as swabs, slides, and other samples.

Second, the SANE will take photos of any evidence or injuries that are present.

Third, the SANE will document any findings in a detailed report. The report will include any physical evidence, photos, and other relevant information.

Finally, the SANE will provide the victim with any necessary medical treatment or medications, if needed.

Aftercare for Victims of Sexual Assault

After the examination is complete, the SANE will provide the victim with aftercare to ensure that they are safe and supported. The SANE will provide information about the legal process and rights of the victim, as well as referrals to other resources and services.

The SANE will also provide emotional support to the victim to help them cope with the trauma of the assault. The SANE will provide a safe and non-judgmental environment for the victim to express their emotions and feelings. The SANE will also provide referrals to counseling services and other resources to help the victim cope with the trauma.

The Benefits of Having a Sexual Assault Nurse Examiner (SANE)

Having a Sexual Assault Nurse Examiner (SANE) available to victims of sexual assault provides numerous benefits. The SANE program is designed to provide comprehensive care to victims of sexual assault, including medical care and forensic evidence collection.

The SANE program also provides a safe and non-judgmental environment for victims to receive medical care and forensic evidence collection. The SANE program also provides victims with access to the necessary services and resources to help them through their healing journey.

The SANE program also ensures that victims have access to expert testimony in court proceedings, if necessary. The SANE program also ensures that victims have access to legal rights and resources to help them through the legal process.

Legal Rights of Victims of Sexual Assault

It is important for victims of sexual assault to be aware of their legal rights. Victims of sexual assault have the right to seek medical care, receive evidence collection and forensic examination, and access legal services.

Victims of sexual assault also have the right to receive information about the legal process and their rights and to access resources to help them through their healing journey. Victims also have the right to confidentiality and privacy in all matters related to their assault.

Resources for Victims of Sexual Assault

There are numerous resources available for victims of sexual assault. These resources include crisis hotlines, counseling services, support groups, and legal services.

Victims of sexual assault can also access websites and online forums to connect with other survivors and to find resources and services to help them through their healing journey. Additionally, victims of sexual assault can access educational materials to learn more about the legal process and their rights.

Conclusion

The role of a Sexual Assault Nurse Examiner (SANE) is an important one in ensuring that victims of sexual assault receive the necessary medical care and forensic evidence collection. The SANE program is a specialized service that provides comprehensive care to victims of sexual assault, including physical, emotional, and legal support. The SANE program is also designed to provide a safe and non-judgmental environment for victims to receive medical care and forensic evidence collection.

The SANE program also ensures that victims have access to the necessary services and resources to help them through their healing journey. The SANE program also ensures that victims have access to expert testimony in court proceedings, if necessary. The SANE program also ensures that victims have access to legal rights and resources to help them through the legal process.

If you or someone you know has been a victim of sexual assault, there are resources available to help you through the healing journey. If you need help or support, please reach out to a local SANE program or to a crisis hotline

Nurses who are SANE can also earn a Forensic Nursing Certification to boost their knowledge in the area of forensics.  AIHCP offers a four year certification in Forensic Nursing for those who are already SANE or are looking to potentially enter into the SANE field.  The program is online and independent study and open to qualified professionals seeking a four year certification in Forensic Nursing.

Additional Resources

“How to Become a Sexual Assault Nurse Examiner (SANE)”. Kathleen Gaines. Nurse.org. Access here

“What Is a SANE Exam?”. Elizabeth Boskey. August 10th, 2022. VeryWellHealth. Access here

“Sexual Assault Nursing Care Plan”. Paul Martin. March 1st, 2023. Nurselabs. Access here

“After a sexual assault, where can you get a medical and forensic exam?”.  Adiel Kaplan, Wilson Wong, Alexa Keyes and Catie Beck. December 28th, 2020. NBC News.  Access here