Forensic Pediatric Assessment

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Pediatric forensic exams should be at a designated Pediatric SART facility. Forensic exams are difficult at best, but with the addition of the pediatric patient suddenly difficult takes on new meaning. Too many times in my 35 yr ED nursing career, I have seen pediatric forensic exams poorly handled by ED physicians pressed for time in a busy ED. Even if a SANE was available the physician would argue the fact with the attitude that they were in charge and ultimately responsible. Clearly some physicians do not understand the role of a SANE. SARTS should review current policies and every attempt should be made to have a designated Pediatric Forensics facility. Children would then be brought there where professionals skilled in the art of Pediatric and Forensic care, to minimize the already traumatized child while still performing competent evidence collection.

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