PEDIATRIC (PREPUBERTAL) FORENSIC MEDICAL EXAMINATION FORM ACUTE 72 HOURS Initial to indicate copies are made and distributed. COPY COPY ORIGINALCrime Lab (place in kit) Law Enforcement (place in envelope.
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How to fill out the NE Pediatric (Pre-Pubertal) Forensic Medical Examination Form_DSA online
Filling out the NE Pediatric (Pre-Pubertal) Forensic Medical Examination Form_DSA online is a critical process for documenting the medical evaluation of young individuals after a suspected incident of abuse. This guide will provide clear and detailed steps to assist users in completing the form accurately and efficiently.
Follow the steps to complete the online form with confidence.
- Press the ‘Get Form’ button to acquire the examination form and open it in your online editor.
- Begin by filling out the general information section. Enter the patient's name, address, age, and date of birth. Ensure that you provide accurate details to avoid issues later.
- In the agency information section, indicate your city and state, along with the arrival and discharge dates. Include the patient's ethnic background and the contact details of the involved agencies if applicable.
- Consent for the forensic examination is crucial. Read the options thoroughly and select 'yes' or 'no' based on the patient's or guardian's preferences regarding consent and the release of evidence.
- Fill out the patient history section accurately, providing details about any medical history, developmental concerns, or any prior incidents that may inform the current examination.
- Describe the assault or abuse history in detail, including the assailant's information, the relationship to the patient, and any known circumstances regarding the incident.
- Ensure that all relevant information regarding tests performed during the forensic examination is documented. Indicate which tests were administered and provide specifics where necessary.
- Complete the body diagram section to indicate any injuries or findings during the examination. Use the legend to mark the types of findings clearly.
- Final review is essential. Double-check all entries for accuracy and completeness before saving your progress.
- Upon completion, you can save changes, download the form for your records, print it, or share the document as required.
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Who performs forensic exams?
The Forensic Nurse will perform the forensic exam, collecting evidence of the sexual assault. You can choose to have the Victim Advocate or other support person with you in the room. The police officer will not attend the medical exam and will wait outside.
What is a forensic and medical exam on a child?
The exam is like the physical exam your child gets with his/her primary care provider, including height, weight, and blood pressure; listening to the heart and lungs; and looking in the ears, mouth, and eyes. When sexual abuse has been alleged, a genital exam will be needed.
What do they do at forensics medical exam?
A Medical Forensic Exam is a process in which a trained nurse gathers physical evidence from a victim/survivor following an assault. This can include collecting DNA, documenting injuries, recording the victim/survivors account of the assault, and providing any needed testing or medications.
What does a forensic medical exam consist of?
Documentation of biological and physical findings; Collection of evidence from the victim's body; Information, treatment and/or referrals for sexually transmitted infections, pregnancy and other non-acute medical concerns; and.
In what cases is a forensic medical examination order?
All children who are suspected victims of child sexual abuse are entitled to a specialized medical evaluation, called a forensic medical exam.
What is a pediatric sane exam?
The examination is a thorough physical evaluation, similar to an annual pediatric well-check visit. The examination is typically painless. It will include an examination of the genital and anal area. A speculum will not be used.
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