Adolescent and Adult Sexual Assault Assessment 2E

Adolescent and Adult Sexual Assault Assessment, Second Edition guides readers through a series of exercises in the forensic evaluation of sexual assault, instructing them on the best methods for identifying and treating assault-related injuries.

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Adolescent and Adult Sexual Assault Assessment, Second Edition

SANE/SAFE Forensic Learning Series

The second edition of STM Learning’s Adolescent and Adult Sexual Assault Assessment challenges forensic examiners to refine and apply their skills in sexual assault evaluation. Using 15 sets of peer-reviewed case studies, readers are guided through the process of analyzing individual case findings related to sexual assault.

Each case study is accompanied by high-quality photographs depicting the patient’s physical examination. Chapters also include a set of self-directed exercises designed to help readers identify injuries, collect evidence, and provide treatment recommendations and referrals for the victims.

Features & Benefits:

  • 90 high-quality images
  • Authored by internationally recognized experts in forensic nursing
  • Ideal for self-directed study or group instruction
  • Written for sexual assault examiners at every level of experience, from novice to advanced
Product Details:

Perfect Bound 11×8.5 inches
166 pages, 90 images, 15 contributors

Adolescent and Adult Sexual Assault Assessment 2E is jointly provided by the Postgraduate Institute for Medicine and STM Learning, Inc. This activity offers up to 3.75 AMA PRA Category 1 Credits ™ and 3.7 ANCC contact hours. Certificate fees are $45 for MD/DOs and $30 for RNs and all other health care professionals. Instructions to access the course evaluation and other information necessary to receive the CE credits are detailed in the workbook.


Forensic Nurses, Sexual Assault Nurse Examiners, Sexual Assault Forensic Examiners, Emergency Nurses, Nurse Practitioners, Nursing Students, Physicians, Emergency Physicians, Medical Students, Physician Assistants, Victim Advocates.

Publication date:

February 2018


978-1-936590-78-0 (Print)
978-1-936590-79-7 (eBook)

Table of Contents

Section I: Anatomical Review

Section II: Case Histories
1. 14-year-old Female Patient Assaulted by Her Mother’s Intimate Partner
2. 15-year-old Female Patient Assaulted by Her Guardian
3. 16-year-old Male Patient Assaulted by His Athletic Instructor
4. 20-year-old Female Patient Assaulted by Acquaintances
5. 22-year-old Female Patient Assaulted by an Acquaintance
6. 24-year-old Female Patient Assaulted by a Stranger
7. 24-year-old Male Patient From a Correctional Facility
8. 29-year-old Female Patient Assaulted by a Former Intimate Partner
9. 35-year-old Female Patient and Intimate Partner Violence
10. 36-year-old Female Patient Assaulted by an Acquaintance
11. 45-year-old Female Patient Assaulted by a Stranger
12. 55-year-old Male Patient Assaulted by an Acquaintance
13. 58-year-old Female Patient Assaulted by an Acquaintance
14. 72-year-old Female Patient Assaulted by a Stranger
15. Consensual Coitus and Injury

Section III: Recommended Reading

Section IV: Answer Key


Diana Faugno, a Minnesota native, graduated from the University of North Dakota in 1973 with a degree in nursing and obtained an MSN in 2006. Her professional experience includes nursing in the Medical/Surgical, Labor and Delivery, Pediatrics, and Neonatal Intensive Care departments. Ms. Faugno obtained her certification in pediatric nursing in 1990, began a career as a sexual assault nurse examiner in 1991, and became a certified sexual assault nurse examiner in 2002. She is the former director of Forensic Health Services, which includes a child abuse program, sexual assault team, and a family violence program in North San Diego County. Currently, Ms. Faugno is a board director for End Violence Against Women International. She has made several presentations to the scientific community and has led workshops on sexual assault presented at the American Academy of Science.

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Stacey A. Mitchell, DNP, MBA, RN, SANE-A, SANE-P, FAAN

Stacey Mitchell is a clinical associate professor at Texas A&M University College of Nursing. Formerly, she served as the Administrative Director for Risk Management and Patient Safety and Forensic Nursing Services at Harris Health System in Houston, Texas. Dr. Mitchell is a member of the American Nurses Association, the American Society of Healthcare Risk Managers, and the Sigma Theta Tau International Honor Society in Nursing. In 2017, Dr. Mitchell was inducted as a Fellow of the American Academy of Nursing. She is also a member and former president of the International Association of Forensic Nurses. Dr. Mitchell is a frequent invited speaker at both domestic and international nursing conferences and training seminars, and she is regularly called upon to provide expert testimony regarding forensic nursing, sexual assault, child abuse, child sexual abuse, and trauma.

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Trinity Ingram-Jones, DNP, CPNP, PCNS, AFN-BC, SANE-A, SANE-P

Trinity Ingram-Jones is a doctoral-prepared pediatric nurse practitioner and medical-forensic examiner, and she is the owner of Ingram-Jones & Associates. She currently serves as the medical-forensic director, consultant, and examiner to Helen’s Haven Children’s Advocacy Center, which serves seven counties in southeast Georgia. Formerly, she was the Forensic Program Manager for Winn Army Community Hospital, serving Fort Stewart and Hunter Army Airfield in Georgia. Dr. Ingram-Jones is also a visiting professor in a doctoral and graduate-level nurse practitioner program, and she has worked as an adjunct or full-time professor at colleges and universities across the country since 2004. She is a long-time member of the International Association of Forensic Nurses and is a candidate for induction into the American Academy of Forensic Sciences in February of 2018. Dr. Ingram-Jones is a frequently invited lecturer at national and international professional conferences and training seminars.

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Patricia Speck is an internationally recognized family nurse practitioner who specializes in public health and forensic nursing. She graduated from the University of Tennessee Health Science Center, College of Nursing and later completed her doctoral dissertation on sexual assault program evaluation. As a board certified family nurse practitioner, Patricia’s clinical practice focuses on the health aftermath of violence and her research centers on forensic nursing practice topics. She is a consultant, author, and lecturer on forensic nursing and has earned more than 20 local, national, and international awards and professional honors for her work. Patricia chairs the American Public Health Association’s Family Violence Forum and is a former president of the International Association of Forensic Nurses.

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The SANE/SAFE Forensic Learning Series is a great tool to both verify and expand the SANE’s knowledge of care of the patient who has been sexually assaulted. After reading the Case History the SANE is challenged to correctly identify anatomical structures and injuries as well as any normal variants by viewing detailed, clear photographs. The learner is instructed to list the specimens to be collected and medical treatment required.

The Case History Evaluation serves as both a review of concepts pertinent to the case, as well as to expand the knowledge of the learner in areas that may not typically be part of every SANE’s basic education or experience.

The Case History Evaluation takes the variations may occur within regions or programs into consideration and recognizes that examiners need to follow local protocols and be aware of resources available in their community.

The list of references following each Case History Evaluation is very helpful and provides direction to the SANE who wants to expand their knowledge even further.

Case review is an excellent tool to expand the SANE’s knowledge and encourage professional growth. The SANE/SAFE Forensic Learning Series provides many case scenario examples which test the critical thinking skills of the reader.

The Case History Evaluation makes a point to serve as both a review of concepts pertinent to the case, as well as expand the knowledge of the learner in areas that may not typically be part of every SANE’s basic education or experience. For example, Case #5 depicts a sexual assault of a college student on campus. Special considerations of rape on campus, including Title IX regulations and the Cleary Act which dictates the required response of the college to a student who reports sexual assault to campus personnel are explained. The investigation and disciplinary/grievance process on campus is different from that of a criminal investigation and navigating this process is challenging for both the student victim and the SANE.

Ellen Johnson, BA, RN, SANE-A, CEN

The second edition of Adolescent and Adult Sexual Assault Assessment is a superior guide to the identification and documentation of sexual assault in teenage and adult females and males. The large collection of full-color photographs and the detailed case studies included in this updated assessment offer clear guidance through the fundamentals of anogenital anatomy and the process of identifying abusive and nonabusive injury and normal variants in individuals presenting with a history of sexual assault. Using this book, readers will gain valuable experience in the identification and documentation of findings related to sexual violence. I highly recommend Adolescent and Adult Sexual Assault Assessment as a textbook for SANE/SAFE courses in general.

Rhonda Slocumb, RN, MSN
School of Nursing
Georgia Southwestern State University
Americus, Georgia

The second edition of Adolescent and Adult Sexual Assault Assessment is a readily usable tool for nurses new to forensic medical examinations and for experienced clinicians alike. To strengthen the clinical skills of the forensic nurse, the exercises in this book guide readers through the identification of anatomical structures, documentation of physical injuries, and the collection of evidence related to a variety of case histories. These exercises outline steps to address patients’ immediate needs and to provide much-needed help beyond the forensic examination. As a forensic nurse and an educator, I highly recommend this book for your collection. It will improve the quality of your approach to cases of sexual assault with evidence-based recommendations and techniques tailored to the unique situations you will face in the course of your practice.

Sarah Pederson, BSN, RN, SANE-A, SANE-P
SANE Coordinator
liveSAFE Resources
Marietta, Georgia

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