The forensic exam is a thorough, trauma-informed process that is conducted by a Sexual Assault Nurse Examiner (SANE). While it may feel overwhelming at first, it’s important to know that the exam is done in a respectful, supportive, and sensitive manner. Below is an overview of what you can expect during the exam:
1. Initial Intake
When you arrive, the SANE nurse will first talk with you to gather some basic information. This may include:
- A brief description of the event (you will not be forced to give any details you do not feel comfortable sharing).
- A medical history to ensure your care is tailored to your needs.
- Consent for the exam and evidence collection, which you can withdraw at any time.
This is also an opportunity for you to ask any questions you may have about the process, and to make sure you understand every part of the exam.
2. Physical Examination
Next, the nurse will perform a physical examination, which is done to gather evidence and check for any injuries. The exam may include:
- Visual Inspection: The nurse will check for visible injuries such as bruises, cuts, or scratches. This may include photographs of any injuries, if applicable, with your consent.
- Swabs: Special swabs will be used to collect samples (e.g., saliva, skin cells, hair) to preserve DNA evidence. These samples may be taken from different areas of your body, including places where there may be signs of contact with the perpetrator.
- Urine Sample: If relevant, a urine sample might be collected to check for drugs or alcohol that could be part of the evidence.
You will be asked to change into a gown or sheet for this part of the exam, and you can request a support person to be present, if desired.
3. Evidence Collection
Evidence may include clothing, hair, bodily fluids, or fibers, all of which could be used to help piece together what happened. Some items of clothing, such as underwear or outer clothing, may need to be collected, so it is important not to change clothes, shower, or brush your teeth before coming in for the exam if possible. If you’ve already changed or bathed, the exam can still be conducted, but some evidence may no longer be recoverable.
4. Medical Treatment
In addition to collecting evidence, the SANE nurse will also take care of your medical needs. This might include:
- Testing for sexually transmitted infections (STIs) and providing treatment if necessary.
- Offering emergency contraception (Plan B) if appropriate and available.
- Pregnancy testing, if relevant.
- Prescriptions for antibiotics or other medications to prevent infections.
5. Documentation of Injuries
If there are any visible injuries, the nurse will document them with detailed photographs, which could be important for any potential legal action in the future. This will always be done with your consent.
6. Emotional and Psychological Support
Throughout the entire process, the SANE nurse is trained to be understanding and compassionate. If at any time you feel overwhelmed, you can take breaks, ask questions, or even stop the exam entirely. Your comfort and emotional well-being are as important as the physical examination.
7. Aftercare and Follow-up
Once the exam is complete, the nurse will provide aftercare instructions, including:
- Information about follow-up care, STI testing, and mental health support.
- Resources for legal and emotional support.
- Details about what happens to the evidence, and how it will be stored in case you decide to press charges at a later date.
The forensic exam is designed to give you the option of collecting evidence, receiving medical care, and ensuring that your emotional and physical health is prioritized. You are in control of the process every step of the way, and you can choose how much or how little you wish to participate in each part of the exam.
Let us know if you have any questions or need further clarification on any part of the exam. Your safety, comfort, and privacy are our priority.