We are all aware that sexual assault and intimate partner violence will more than likely increase due to the current COVID-19 pandemic. However, the capacity of hospitals is likely to vary across the state as illness and hospitalizations continue to rise. Local programs should check in remotely with their SARTs and hospital partners to discuss modifying protocols for providing hospital advocacy and sexual assault forensic exams during this pandemic. Please note, many hospitals around the state are limiting the number of support persons and visitors who can accompany patients and advocates may need to plan to provide support via a telemedicine portal or via phone.
West Virginia Foundation for Rape and Information Services also ran and evaluated a mobile SANE unit pilot project. Their final report may offer some tips and guidance for communities looking to implement something similar.
In conversation with a representative from the International Association of Forensic Nurses (IAFN), they shared the following tips as well:
Please encourage your advocates to connect with their SART members to ensure coordination of services and to modify current protocol responses. Some information for them to discuss includes:
Is the hospital restricting access to "non-essential" visitors, and what does that mean for advocates responding to the hospital?
Has the advocacy program modified its services in any way (e.g. telephone services only?)
Do advocates feel comfortable and safe responding to hospitals in-person right now? And if not, can they provide hospital advocacy via phone?
If an advocate is unable to provide in-person hospital response, work the hospital to create a plan that allows them to provide hospital advocacy to the survivor via phone.
If a survivor has an opportunity to speak with an advocate via phone, please ensure the survivor is able to talk with the advocate in a private location at the hospital that promotes confidentiality.
If a survivor does not have access to a phone at the hospital, please coordinate with your local hospital and SANEs to have the survivor complete the “ED Consent for Sexual Assault Advocacy” form to be faxed over to your advocacy program to ensure coordination of follow-up services.
Please also encourage your advocates to take guidance directly from local health officials. However, if needed, please support them in advocating on behalf of survivors that medical care following sexual violence is to be considered a medical emergency and not an elective procedure. We all must be creative and flexible so that access to patient care is not compromised or delayed.
Some resources that may be helpful:
IAFN’s COVID page: https://www.forensicnurses.org/page/covid
The Emergency Nurses Association https://www.ena.org/practice-resources/COVID-19
Recorded Webinars and Resources for TeleAdvocacy
Digital/Phone HIV Resources
Order a free home HIV test kit from OHIV.org. (Restrictions apply, limited quantities available.)
Chat with HIV/STI experts at 1-800-332-2437 or OHIV.org about sexual health concerns.
Make a TelePrEP appointment and talk to a provider about the daily medication that can prevent HIV.
If you have any questions or concerns about shifting hospital advocacy during COVID-19, please feel free to reach out to our Director of Coordinated Community Responses, Shandra Witherspoon at firstname.lastname@example.org or 216.308.1501 as she is in constant communication with IAFN and is staying up to date on national and state policies and best practices.