when the crime scene is a living body: understanding sexual assault care
TRANSCRIPT
When the crime scene is a living body
Our journey to understand sexual assault care
# D6 Working Together to Improve Care 1
Disclosure Slide
We were unable to identify any potential conflict of
interest and have nothing to disclose
Additionally,
We are not Forensic Nurse Examiners (FNEs), we
are Nurses, but not that kind….
• Critical Care
• Mental Health
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Why did we do this?
Canadian Statistic Show:
• A woman is sexually assaulted every 2 minutes
• 60% of sexual assaults are under the age of 17
• Out of every 100 incidents of sexual assault only
6 are reported to the police
• Violence against aboriginal women is 3x’s higher
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Why else did we do this?
Background:
• Restructuring of the organization
• A series of unfortunate events
Aim/Goal:
• Review current state of FNE activities anywhere
they were being provided across Island Health
• Develop recommendations for improvement… do
we need to standardize?
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Now for the hard part…..How?
It started with a conversation…….
Decision to map the current state of FNE programs
• modified value stream…
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What assumptions did we make?
• That we would not be received well by local
programs
• Made basic assumptions about general health care
practices (i.e. document meds that are given,
physicians write orders)
• That this is a health care program (and nothing
more…)
• There would be agreed standards of competency
i.e. who can do this work
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Where did it take us?
Developed a clinical expert group
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The single biggest change
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Triggered an immediate response, a FNE network
started to form within Island Health
Local programs reached out for help with:
• Process support
• Emotional support/ Vicarious trauma
• Program initiatives
Our most significant lesson learned:
• VSM - more than a process map
• Power of connection
• Condensing findings - risks losing the nuance
• Sexual assault care is complex!
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Next Steps:
1) Get the stakeholders to the table - regional/provincial level
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Next steps con’t
2) Finalize our recommendations
3) Bring forward through our Clinical Governance
Structure
The vision…
A coordinated, comprehensive, and compassionate
system that supports patients (and nurses) regardless
of where they present.
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Questions?
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Contact Information
• Carrie Homuth
Regional Manager, Trauma Services
• Nicola Piggott
Consultant - Quality, Safety & Improvement
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