What is the CDC approved timeframe in which PEP, HIV prophylaxis medication, may be taken by survivors after a sexual assault?
24 hours
36 hours
72 hours
120 hours
Name the five situations where a survivor would likely be at a higher risk for contracting HIV in the context of sexual assault.
Offender is a known to be HIV+
Offenders is acquaintance
The assault involved oral penetration
The assault involved anal penetration
The assailant is unknown to the survivor.
The assault involved multiple assailants.
Date rape
The assailant is known to engage to same-sex sexual intercourse.
The assault involved excessive physical force.
The assailant has recently traveled abroad.
Most hospitals provide a “starter pack” of PEP ranging from 3-5 days’ worth of the medication. What is the full duration of the regimen of PEP?
28 days
14 days
7 days
5 days.
If a survivor does not receive the full regimen of PEP in the ER, what do they need to receive upon discharge?
A prescription for the remainder of the medication and means to obtain the medication free of charge or a referral to a clinic, such as the CORE center, where the medication can be obtained without cost to the survivor
A strict regimen of food that they can and cant eat in order to avoid nausea.
A notification that they are at risk for HIV and should be tested during the appropriate times.
A recommendation to follow up with their primary care physician when possible to get the pills.
How long after unprotected sex can emergency contraception be taken and still have some chance of preventing pregnancy?
100 hours
What is the time frame in which the emergency contraceptive will be MOST effective?
48 hours
What is the age of consent in Illinois to terminate a pregnancy?
17
16
none
13
Parents of minors must provide consent for a termination of pregnancy.
If a minor was sexually assaulted by a parent/grandparent and became pregnant as result of the assault, the requirement for parental notification may be voided.
If a minor does not wish to notify a parent of a termination of pregnancy, they may petition for a judicial bypass where the notification requirement can be voided.
How late may a woman terminate a pregnancy in the state of Illinois?
1 weeks
23.5 weeks
4 weeks
4.5 weeks
19 weeks
How late into the pregnancy may be abortion pill be taken to terminate an unwanted pregnancy?
2-6 weeks
4-8 weeks
5-10 weeks
List the STI/STD’s most typically treated in the emergency department after a sexual assault under SASETA.
HIV
Chlamydia
Gonorrhea
Bacterial Vaginosis
Trichomoniasis
HPV
Herpes
Select all the boxes that might indicate a red-flag that would lead you to believe a survivor may have been a victim of drug facilitated sexual assault?
Patient reports that they were unusually drunk in comparison to the content that they believe they had consumed
Patient reports discovering torn clothing or missing clothing with no memory of how this could have occurred
Patient reports waking up naked next to someone without knowledge of how they could have gotten there
Patient reports gaps in memory and expresses that they like someone had sex with them
It is important that a survivor understands that a tox screen will show:
How long ago the sexual assault took place.
Only the drugs that an assailant gave to them.
Whether they are pregnant
All the toxins present in one’s urine which might all other substances they may have consumed.
Whether they were sexually assaulted or not.
If it is believed that a survivor has been a victim of drug facilitated sexual assault and they have expressed interest in doing the ISPECK (evidence collection), a urine sample should be collected and sent where?
To the hospital lab
To RVA lab
Only with the ISPECK to the state lab
With survivor
What is the purpose of the “voucher”?
To cover the cost of travel arrangements (taxi)
To cover the cost of follow up care related to the assault 90 days post original ER visit. It can also be used to pay for counseling, termination of pregnancy and medication.
Compensate the survivors for the crime.
To pay for housing costs.
Which patient groups are eligible to receive a voucher before leaving the ER?
All patients who are not on public aid
All patients who are on public aid
Patients with insurance
Patients without insurance
If a survivor is eligible to receive a voucher but one is not available at the time of the ER visit, you should:
Communicate this with your 3rd level
Find out who is responsible for printing out the voucher at this location by asking your 3rd level and check in with this specific person
Indicate that no voucher was provided in your RVA intake form
Discuss with the survivor the option to return to the ER to pick up the voucher during regular business hours
Discuss with the survivor the option to have the voucher mailed to him/her/them
Discuss with the survivor the option to have a staff medical advocate from RVA follow up with the hospital to facilitate attainment of the voucher
All answers listed her indicate what steps you should follow.