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Understanding the Sexual Assault Exam


This training will help advocates learn more about the role of the sexual assault nurse examiner and better understand the sexual assault medical exam. Included will be help in understanding general anatomy, medical findings and forensic evidence collection. Additionally, this training will include information on the collaborative roles of advocates and SANE nurses in the care of sexual assault patients.

Learning Objectives:

  1. Understand the role of the SANE nurse in the care of sexual assault patients
  2. Gain an increased understanding of what occurs in a sexual assault forensic exam
  3. Develop increased knowledge of normal anatomy and medical findings in sexual assault exams
  4. Discuss key aspects of the collaborative roles of the sexual assault advocate and SANE.
  5. State important follow up considerations for patients including follow up medical exams, referrals for counseling and support, and safety planning.

Recording & Materials

Presenters' Bios:

Terri Stewart, RN, BSN. Harborview Center for Sexual Assault and Traumatic Stress

Terri Stewart has been a Sexual Assault Nurse Examiner (SANE) since 2002 and took over as SANE program coordinator in 2011. She has been the medical training coordinator for the Harborview Center for Sexual Assault and Traumatic Stress since 2009, training nurses across the state of Washington. In addition she works as the Nurse Coordinator for the Foster Care Clinic at Harborview and is a Nurse Care Coordinator at Seattle Children’s hospital. Terri received her BSN degree from the College of St. Benedict, St. Joseph, MN in 1989. Since graduating she has focused her career on the care of children and adolescents working in a variety of settings including inpatient, outpatient primary care, public health nursing and school nursing.

Cheryl Graf, ARNP, MSN, MBA. FMG/TeamHealth

Cheryl Ann Graf has devoted her professional career to many aspects of Emergency Patient Care over the past 25 years. This has included Director of Emergency Services at Mason General Hospital in Shelton, WA and Clinical Coordinator of the SANE program at Harrison Memorial Hospital in Bremerton, WA where she developed and coordinated the SANE program and performed acute and chronic care examinations on sexual assault victims of all ages. Cheryl also had the privilege of directing the Mary Bridge Children’s Emergency Department and Child Express concept in Tacoma, Washington.

Ms. Graf works in the training department at Harborview Center for Sexual Assault and Traumatic Stress (HCSAT ) as a nurse practitioner in the Community Training Program and co-authored the first SANE trainings in WA State with Dr. Sugar. She continues to work closely with HCSAT to further the development of the SANE Core Training course in WA and the guidelines for care of sexual assault victims. Ms. Graf continues her nurse practitioner practice in the Emergency Department through her ARNP role with TeamHealth and works for the FMG at the Gig Harbor Prompt Care.

Reviewed: April 12th, 2016