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Ohio Protocol For Sexual Assault Forensic and Medical Exams

Introduction

The Ohio Protocol was originally developed in 1991. This is the fifth edition and is a result of a review of the National Protocol for Sexual Assault Medical and Forensic Examination, best practices shared from other states and input from a number of experts throughout Ohio.

Major Changes in 2011 Edition:

  • Use of a Sexual Assault Response Team (SART) coordinated community approach.

  • Requirement of Protocol Coordinator for Sexual Assault Forensic Examination (SAFE) reimbursement program.

  • Provision of anonymous kits to victims/survivors 18 and older.

  • Web-based SAFE reimbursement form.

  • Training requirements for SANEs and physicians conducting pediatric exams.

  • Increases the time to conduct a forensic exam from 72 hours to 96 (four full days) following the assault.  

The purpose of the Ohio Protocol is to provide comprehensive, standardized, non-judgmental, equitable treatment of survivors of sexual assault. This current 2011 edition of the protocol was issued under the authority of the Ohio Public Health Council, which was charged by the Ohio General Assembly to establish procedures for gathering evidence for victims of sexual offenses. (ORC section 2907.29). Since 2011, the ORC has changed and now states “Director of Health” where it previously listed “Public Health Council”.  The 2011 protocol was developed in conjunction with the Ohio Attorney General’s Office, Bureau of Criminal Identification and Investigation, the Ohio Alliance to End Sexual Violence, the American Academy of Pediatrics, Ohio Committee on Child Abuse and Neglect, the Ohio Chapter of the International Association of Forensic Nurses and the Ohio Chapter of the American College of Emergency Physicians. This protocol is intended to facilitate the provision of consistent, comprehensive healthcare treatment to include emotional, social, and crisis intervention, as well as provide information about available follow-up services in the community.

Following the issuance of the protocol In 2011, the Sexual Assault Advisory Board of Ohio (SAABO) was formed. SAABO’s mission is to ensure continued evaluation of the protocol in meeting current practice, identify and handle complaints and concerns, and introduce subject matter that will aid implementation of the protocol.

Use of this protocol is a requirement of the Ohio Attorney General’s office in order for hospitals to be eligible for reimbursement of costs of evidence collection from the Ohio Victims of Crime Compensation Fund. Note: It is unlawful to bill the victim or the victim’s insurer for the cost of a sexual assault examination conducted to collect evidence. Inquiries and feedback are an essential part of making Ohio’s Protocol an effective tool. Please e-mail feedback to: BCFHS@odh.ohio.gov and in the subject line write "Attention SADVPP-SAABO."

Protocol  

Ohio Protocol for the Treatment of Adult and Older Adolescent Sexual Assault patient (2011 Edition)  This PDF is the Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient 2011 Edition.  The narrative describes overarching and operational issues and procedure to collect forensic evidence.  

  • General Consent Form (Approved April 18, 2017) This PDF is the revised General Consent Form approved April 18, 2017 for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient

  • Anonymous Evidence Collection Procedure (Approved April 18, 2017) This PDF is the revised Anonymous Evidence Collection Procedure approved April 18, 2017 for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • Anonymous Evidence Collection Consent for Patients 18 Years and Older (Approved April 18, 2017) This PDF is the revised Anonymous Evidence Collection Consent for Patients 18 years and Older approved April 18, 2017 for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • AGO Hospital Protocol Coordinator ID Form (Effective January 31, 2012)  This PDF is the Attorney General of Ohio’s Hospital Protocol Coordinator Form (Effective January 31, 2012) for SAFE reimbursement  for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • VII: SAFE Program, Billing and Crime Victim Compensation (Revised December 20, 2012) for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

    • Instructions: This PDF is the revised instructions for Section VII: SAFE Program, Billing and Crime Victim Compensation (Revised December 20, 2012) for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

    • Form: This PDF is the revised Form for Section VII: SAFE Program, Billing and Crime Victim Compensation (Revised December 20, 2012)  for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

Ohio Child and Adolescent Sexual Abuse Protocol (2009 Edition) This PDF is the Ohio Child and Adolescent Sexual Abuse Protocol 2009 Edition.  The narrative describes overarching and operational issues and procedure to collect forensic evidence.  

Appendices

Appendix 1 - Model for Sexual Assault Community Protocol This PDF provides the template and supporting document for creating a Sexual Assault Community Protocol  for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

Appendix 2 - Ohio SART Training Information This PDF provides the description and contact for the Ohio Attorney General’s State Sexual Assault Response Training Team (SARTT) for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

Appendix 3 - Ohio Crime Victims Handout and AGO Picking up the Pieces This PDF provides a listing of Ohio Revised Code pertaining to sexual assault found in the Ohio Attorney General’s Picking up the Pieces for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient

Appendix 4 - Sample Notification Letter for Hospitals/Facilities to send after Examining a Minor without Parent Consent This PDF is a Sample notification letter for hospitals/facilities to send after examining a minor Older Adolescent Sexual Assault Patient without parental consent.

Appendix 5 - Criteria for Ohio SAFE Program – Child Sexual Abuse Exams (Effective January 31, 2012) This PDF describes the competency requirements for physicians and Sexual Assault Nurse Examiners conducting child abuse exams.

  • Competency requirements for physicians conducting child sexual abuse exam

  • Sexual Assault Nurse Examiner – Competencies for recognition in Ohio for Child Sexual Abuse Evaluation

  • See above AGO forms under Ohio Child and Adolescent Sexual Abuse Protocol.  Effective January 31, 2012, in order for the physician or SANE to receive reimbursement for the exam they have conducted, the AGO form must be submitted and approved prior to the exam.

Appendix 6 - Patient Handouts This PDF contains the patient handouts for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • Information You Should Know as A Sexual Assault Survivor

  • Helping Your Child: A Note to Parents and Caregivers

  • Caring for Yourself: A Note to Survivors

  • After Care Information and Resources

  • Document of Care

Appendix 7 - Sample Quality Assurance Tools This PDF provides content and quality assurance tools Treating Adults and Older Adolescent Sexual Assault Patient.

Appendix 8 - Specific Knowledge and Skills Set Beneficial for Health Care Professionals Conducting a Forensic Exam This PDF identifies Specific Knowledge and Skills Set Beneficial for Health Care Professionals Conducting a Forensic Exam on Adults and Older Adolescent Sexual Assault Patient

Appendix 9 - Drug Facilitated Sexual Assault protocol This PDF is the Drug Facilitated Sexual Assault protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient includes sample consent form and toxicology lab listing.

Appendix 10 - Sexual Assault Evidence Collection Kit This PDF are the Labels and Box Cover for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient  

  • 2017 Kit Labels and Directions (Approved April 18, 2017) This PDF is the 2017 Kit Labels and Directions Approved April 18, 2017 for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • 2017 Assault History Form (Approved April 18, 2017) This PDF is the 2017 Assault History Form Approved April 18, 2017 for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • Kit Box Top (Approved April 18, 2017)  This PDF is the Kit Box Top Approved April 18, 2017 for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • Kit Box Top (Effective December 31, 2014) This PDF is the Kit Box Top Approved December 31 2014 for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • Kit Specifications

  • Ordering Information link for re-ordering information 

  • Instructions, Forms and Labels

Appendix 11 - Sample Medical History Form This PDF is a Sample Medical History Form for the Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

Appendix 12 - HIV This PDF provides HIV and STD Information for the Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient including prophylactic information hotline and Ohio test sites.

Appendix 13 - Emergency Contraceptives This PDF provides information regarding Emergency Contraceptives Information for the Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient includes terms and fact sheet sample for obtaining consent

  • Terms

  • Fact Sheet Sample - for obtaining consent

Appendix 14 - Outline of the Criminal Justice System This PDF provides an Outline of the Criminal Justice System to help health care professionals and advocates assist sexual assault patients.

Appendix 15 - Ohio Attorney General Sexual Assault Forensic Examination Payment Program (AGO SAFE) - REVISED 12/2012)

  • Instructions: This PDF is the revised instructions SAFE Program, Billing and Crime Victim Compensation (Revised December 20, 2012) for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

  • Form This PDF is the revised Form for SAFE Program, Billing and Crime Victim Compensation (Revised December 20, 2012)  for Ohio Protocol for the Treatment of Adults and Older Adolescent Sexual Assault Patient.

Appendix 16 - Provisions within the Ohio Revised Code Dealing with Sexual Assault This PDF provides listing of the Ohio Revised Codes Dealing with Sexual Assault to help health care professional and advocate assist sexual assault patients.

Appendix 17 - Emergency Medical Services Protocol for Sexual Assault (Revised 2012) This PDF is the Emergency Medical Services Protocol for Sexual Assault Approved 2012 discusses EMS and first responder treatment for sexual assault patient.

Appendix 18 - Male Survivors of Sexual Assault This PDF provides information for treating and caring for Male Survivors of Sexual Assault.

Appendix 19 - Child Assault Reporting Guidelines This PDF provides the guidelines for reporting Child Sexual Assault includes protocol for reviewing of consensual sexual activity.

 

Updated 11/8/2018