Case Study Feedback

Check out the bulletin board in the exam room for feedback on the most recent case study.  The photo of injuries is posted with suggestions for documentation.  Please write any feedback on it - it is always good to have a discussion!!

VERY IMPORTANT ANNOUNCEMENT

                                                    AMAZING EVENT FOR YOU!


Friday, May 17 - 8am 2 pm will be our SDFI Camera System training day!!

Attendance is MANDATORY, and there is no make-up day.

The room will be announced later.  Come prepared to spend the morning with your SANE BFF's and a hot new camera.  You will learn to assemble and disassemble the equipment, take awesomely focused and composed shots, troubleshoot the set up, and be thoroughly amazed at what you can do with a tripod and remote control!

March Staff Meeting Minutes

MUSC SANE Staff Meeting

Agenda

March 26, 2013

1.       People (Fostering employee pride & loyalty)

a.       Patient satisfaction kudos to Nancy and Whitney - great job on working with victims, you both have received very positive comments.  The work you did really made a difference!

b.    Please join us at Take Back the Night - it will be celebrated at Brittlebank Park on April 4 at 6pm.  Chief of Charleston Police Department will be there, so please join us with a good SANE turnout. 

2.       Quality (Providing quality patient care in a safe environment)

a.       Competency Assessments – Will begin during the July 2013-May 2014 time period.  The results will be used to calculate your raise.  Your "home" unit managers will be asked to support the expectation of meeting your SANE competencies as well as other unit competencies.  Competencies will be broken down by 3 categories:

                                                               i.      Technical aspects (such as use of new camera system, evidence collection)

                                                             ii.      Critical thinking (such as decision making in unusual situations)

                                                            iii.      Interpersonal skills (ability to develop rapport with advocate, ED, patient)

                            

                        The case studies we are doing are perfect examples of the unique area and issues that need to be addressed.  Ideas for competency assessments were discussed.  Please forward any suggestions to me.

b.      When giving Flagyl to patients for “take home” – Rx must be signed by ED physician and returned to Accu-dose.

c.       Peer Review - 5 cases were reviewed.  Please be aware that you each have cases that have been reviewed and you are welcome to see those results at any time.

3.       Growth (Growing to meet the needs of those we serve)

a.       Suspect exam process - we did 3 suspect exams in one week!  Clarification: can either do an exam under a search warrant or with patient consent.  When a search warrant is used, it is NOT necessary to also ask for a subpoena to receive those records.  The warrant entitles law enforcement to the evidence and records.  We are running short of kits, but will be getting more soon.  Kits will be placed in the "to go" bag.

FYI: the Spa night at janet's was cancelled due to insufficient interest:(

Neurobiology of Sexual Assault

Please take some time this weekend to watch/listen to this presentation from Dr Rebecca Campbell, sponsored by the National Institute of Justice, on the neurobiology of sexual assault.  It will reveal why (physiologically) some of our victims seem so calm, or unable to put all the pieces of the assault together, or give a consistent time frame for the assault.  Listen all the way to the end for a powerful statement from a survivor.  This is CRITICAL information that we must understand well enough to explain to our patients and our law enforcement partners.  As the health care providers, we have a unique opportunity and authority to use this information to improve the system of sexual violence response in our community.  It is our role, and it is essential.

http://nij.gov/multimedia/presenter/presenter-campbell

February Staff Meeting Minutes

MUSC SANE Staff Meeting

Feb. 26, 2013

Minutes

I.             People (Fostering employee pride & loyalty)

a. Call calendar issues – please check the calendar file you are saving your call time to.  It should say “MUSC SANE” and not your name. 

b.  Makeover night – March 29 at Janet’s, 6pm – this is “gift” to us, sponsored by Melissa Milnick from the NCVC.  She is also a Mary Kay Distributor and has donated numerous items to our department for patient use, as well as My Sister’s House.  We will gather for a night of fun and relaxation, to rejuvenate our spirits!  Hope to see everyone there.

II.            Service (Serving the public with compassion, respect & excellence)

a.       Take Back the Night – April 4, 6pm at Brittlebank Park.  PAR has partnered with the SANE program to present this annual, nation-wide event.  There will be family-oriented activities, music and speakers.  Please come out to support our team and work with PAR.  Nancy and Kathy’s hubbies will help manage the parking – so it is a family event!

b.      “To go” bag – the suitcase is in the exam room under the counter.  It contains a swab dryer, kit, chart documents, extra swabs and other items you may need in an exam.  It is to be used when going off site (out of the exam room).  Please restock the suitcase after you use it. 

III.           Quality (Providing quality patient care in a safe environment)

a.       Flagyl is available in a pre-packaged dose from the pharmacy for dispensing when a patient           cannot immediately take it. –Reminder!!

b.      SANE chart update – no suggestions were made for any changes to the new SANE assessment.  Discussion took place about this and several additions were recommended at the meeting.  The changes have been made and the form is to go before the forms committee at the end of March.

c.       SANE competencies – JCH requires all departments to show how nurses demonstrate competency.  These case studies must be completed and turned in.  Case studies and cv’s  are still missing from Cagney, Whitney  and Mel. 

d.      Feb. cases: 8 cases were reviewed.  Nurses need to  see these review sheets for feedback.  Reviewed exams were done by:

a.       Nancy – 2

b.      Stephanie - 1

c.       Janet - 3

d.      Whitney - 1

e.      Kathy - 1

Educational Opportunities:
"Bringing Medicine to Court: The Medical Provider's Role in Child Abuse Cases",  High Point, NC.  9:00 - 5:00 (8:15-9:00, check-in);  $90 (postmarked by 4/22), $100 (postmarked after 4/22)

Attorney General’s Training Sessions:

·         Domestic Violence, Sexual Assault, Human Trafficking and the Law
March 15
Orangeburg, SC

·         Domestic Violence, Sexual Assault, Human Trafficking and the Law
April 16
Columbia, SC

·         Domestic Violence, Sexual Assault, Human Trafficking and the Law
May 17
Rock Hill, SC 

·         Domestic Violence, Sexual Assault, Human Trafficking and the Law
August 7
North Charleston, SC

SANE Fun Night

Isn't it great that someone has volunteered to give the MUSC SANEs a little love!!  Melissa Milanik is going to provide us with a "Mary Kay makeover" on March 29.  Janette will be hosting us at her lovely home, and we will have some yummy treats and beverages.  This is a wonderful chance for us to just relax and enjoy each other in a beautiful surrounding.  In case you didn't know, Janet has acquired two household members.  She said they are so pretty in their black fur and diamond collars!  Maybe we will be graced with their little furry footsteps.  Perhaps some kitty pink nails for them too??

Did you know the Mary Kay Foundation has been a long time supporter of many initiatives that fight violence against women?  Every October the Foundation awards funds to a domestic violence shelter in every state.  In 2012 they supported over 150 shelters in the US.  This is a truly amazing organization that has a committment to break the cycle of violence, and puts up the money for the work.  Please join us, in appreciation, for all the company has done for our sisters, mothers, aunts and daughters.  You are not asked to buy anything, just be there! :)

Interviewing Sex Offenders

I have been working on the June 3-7, 2013 SANE/SART course, to be held at the Citadel.  One of the tasks is to review the reference list, and in doing so I came across an interesting article on the sex offender's thinking in the suspect interview process.  It reminded me of the opportunity I had several years ago to stand behind the two-way glass and observe a detective interview a suspect - and I was fascinated!  The detective clearly had a good grasp of the techniques in this article.  The first thing she said was "Now I know that you did not really do this and I am not worried about that.  This is just routine, can I get you anything, a cup of coffee, a glass of water?"  Of course being a naive nurse, I was clueless about the process that was unfolding.   Over the course of 1 hour she went from putting the man at ease to handcuffing him.  To this day she is one of my heroes.

So take a look at the article.  It describes the strategies to be used when interviewing sex offenders.  The author calls them "the five trademarks of the suspect interview":
1.  The offender will diminish the severity of the offense.
2. The offender will blame the victim to some degree.
3. The offender will attempt to control the interview.
4.  The offender will never give 100% of the information regarding the offense.
5. The offender will never talk about crimes the investigator does not already know about.

A copy is in the exam room, or you can locate it from the MUSC on line journal collection. 
Howell, D. (2013). The five trademarks of sex offenders. Sexual Assault Report, 16(3), 33,44-46.

Have You Thought About SANE Certification?

Applications are now being accepted at IAFN for the SANE-A certification test.  The test is offered from May 1, 2013 through May 31, 2013.  You can look at the application, guidelines and get further information at:   http://www.iafn.org/displaycommon.cfm?an=4

I recommend each SANE consider taking the test.  Certification indicates you have achieved a high level of competence, can problem solve various situations in our specialty area.  Certification also reflects well upon the Medical Center, since it is acknowledged in the Magnet application.  It would be great to have 50% of our SANEs certified!

January Staff Meeting Minutes

Thank you to all who attended the staff meeting last night.  The tootsie rolls were great, as was the info provided by SANE Ward.  Always helpful!  Good feedback on the peer review and good discussion on DV screening issues.  I really do appreciate it when the SANEs discuss our processes - and make recommendations!  It is such a good sign of a strong program:) .  Here are the minutes!!

In attendance: Brooke Bae, janet Ward, Nancy Hall, Cagney Lauderman, Stephanie Green, Whitney Simpson, Kathy Gill-Hopple.

January 29, 2013 Staff Meeting

1.       People (Fostering employee pride & loyalty)

a.       Thank you to Janette for hosting a terrific Christmas party.  

We should get together for dinner and/or drinks.  need someone to set that in motion!

2.       Service (Serving the public with compassion, respect & excellence)

a.       Reminder: please use Patient Satisfaction Cards

 Patient satisfaction cards in each order set with an envelope, to make it easy to hand to patient and ask for anonymous feedback.  Some cards have had nice comments, all patients have been very satisfied with the care they received.  It is important for us to be able to demonstrate our attentiveness to patient care this way, for the hospital and for any grant reports.  Please be sure to hand them out.

3.       Quality (Providing quality patient care in a safe environment)

a.       Homework - Stephanie, Nancy and Janet turned in their homework.  Others still need to do this.  Nancy emailed the next 2 months "homework" yesterday: one for Feb and one for March.  Please do them, this is good practice for injury assessment and documentation.

b.      Documentation draft - A new form has been developed to provide the SANE with an organized place to document physical assessment, vitals, genital injuries etc.  A draft will be in the exam room throughout Feb.  for you to make comments on.  This form will replace the MUSC genitalia assessment and be in addition to the SLED forms.  We discussed the importance of adding a DV assessment to it, and the implications of this from the hospital wide perspective.  The safety assessment has been added.

c.       PAR process - A new group of advocates has received training.  Hospital advocacy will continue, the hot line phone number is still being answered and patients can call there for concerns and questions.  That is all for now.

d.      Bilingual advocates - PAR has 2 bilingual advocates, and if needed the hot line number is the way to get in touch with them.  MUSC Interpreter Services is still available during regular business hours.

e.       Peer Review - Will be done monthly, we will see if we can do all charts or just a portion.  A  Mandatory Elements of the SANE chart "template" was passed out.

The completed individual peer review forms have been distributed.  So if you had a chart reviewed, you would have received a form by email.  We will do this every month - so eventually everyone will be reviewed.  Please feel free to comment on the process or the content of the review form, this is to help all of us!  

4.       Growth (Growing to meet the needs of those we serve)

a.       Patient Support Group Project - We are working with the College of Nursing on an interim project to provide a support group for sexual assault patients.  We will be discussing this with PAR representatives to build collaboration to provide the best we can for our patients under the current circumstances.  It is still in the development phase, more info will be shared as it progresses.

b.      Community presentations - We are meeting with a different Law Enforcement Agency/jurisdiction each month, doing some brief training and asking officers to pass out our palm cards to anyone they believe may benefit from the info.  In January we presented to North Charleston Police Department Roll Call (all uniformed officers) and to the Charleston Police Department New Recruit class.  In Feb we will be at the Charleston County Sheriff's Office Roll Call.

5.       Anything you want to address?  No concerns, other than discussion on the DV assessment.

REMINDERS & UPDATES

The next staff meeting is January 29, 2013.  Please complete and bring the second case study.  We will begin our monthly peer review process, as a way to get more experience with looking at photos and reviewing documentation.  This is to be a LOW stress event, and will help all of us to get better at providing excellent care to our patients. 

We are still expecting to get our new camera system in a month or so.  You will be required to attend a day long training session.  There will be plenty of notice on this, so stay tuned!

Several projects are underway to help our patients increase their access to our services.  In January we will be providing training to the new recruit class of the Charleston Police Department, and to the monthly  roll call of the North Charleston Police Department. 

We have broken our "slow streak", and already done as many exams this month as all of December.  Thanks to everyone who is picking up their required call time, plus extra.  It truly does take all of us to make this department strong and a force to be reckoned with!  Does that make us all Wonder Women?

MUSC SANEs are the best!!