Sexual Assault Quick Reference 2E

Sexual Assault Quick Reference highlights specialized evaluative practices, common post-assault findings, standards of documentation, and appropriate avenues for reporting cases of sexual assault to support the diagnosis, treatment, and prosecution of every variety of sexual violence.

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Sexual Assault Quick Reference 2E

Sexual Assault Quick Reference, Second Edition offers comprehensive, accessible guidelines for responding to cases of sexual assault wherever they occur. This text provides updated information on a variety of subjects, including the physical and forensic evaluation of patients across the lifespan, identifying and treating sexually transmitted infections, mental health care for survivors, vicariously traumatized practitioners, and the investigation and prosecution of sexual violence.

In a condensed, easily referenceable format for professionals in the field, this book also provides an overview on more niche topics. These include prosecuting sexual assault in the military, identifying victims of human trafficking, assessing strangulation patients, and responding to online sexual exploitation.

Features & Benefits:

  • 200 high-quality radiographic images and photos
  • Detailed exploration of conditions that mimic abusive injury
  • Compact and lightweight for on-the-go use
Product Details:

Perfect Bound 5×8 inches
558 pages, 204 images, 97 contributors


Law Enforcement, Attorneys, Physicians, ER Personnel, Pediatricians, EMTs, Nurses, Clinical Researchers, Social Service Personnel, Mental Health Professionals, Domestic Violence Experts, Child Advocates, Child Abuse Prevention Professionals, Child Protective Services Members

Publication date:

January 2016


978-1-936590-44-5 (Print)
978-1-936590-45-2 (eBook)

Table of Contents

1. Principles of Sexual Assault at Any Age
2. Anogenital Anatomy
3. Physical Evaluation of Children
4. Forensic Evaluation of Children
5. Differential Diagnosis
6. Evaluations in Special Situations
7. Multidisciplinary Teamwork Issues
8. Documentation and Reporting
9. Physical Evaluation of Adolescents and Adults
10. Forensic Evaluation of Adolescents and Adults
11. Sexually Transmitted Infections
12. Pregnancy
13. Acquaintance and Intimate Partner Rape
14. Special Settings
15. Psychological and Social Supports
16. Caregiver Issues
17. Legal Issues, Investigation, and Prosecution
18. Sexual Assault Response in the United States Military
19. Human Trafficking
20. Strangulation in Living Patients
21. Risks to Children and Adolescents on the Internet
Photographic Appendix


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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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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Mary J. Spencer, MD

Mary Spencer is medical director of the Child Abuse Program and the Sexual Abuse Response Team at Palomar-Pomerado Health in North San Diego County. She received her BA from the University of Colorado and MD from the University of California-Los Angeles. After medical school, Mary Spencer completed a residency in pediatrics and a fellowship in pediatric infectious diseases at UCLA and worked as an assistant professor at the school until 1982. Currently, she is a clinical professor of pediatrics at the University of California-San Diego and has a private practice in pediatric and infectious disease medicine in Escondido.

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Angelo P. Giardino, MD, PhD

Angelo Giardino is the medical director of Texas Children’s Health Plan, a clinical associate professor of pediatrics at Baylor College of Medicine, and an attending physician for the Texas Children’s Hospital’s forensic pediatrics service at the Children’s Assessment Center in Houston, Texas. Angelo Giardino completed his residency and fellowship training in pediatrics at the Children’s Hospital of Philadelphia. Immediately after his fellowship training, Angelo Giardino became the assistant, and then the associate, medical director at Health Partners of Philadelphia, where he had primary responsibility for utilization management, intensive case management, and health care data analysis. He also shared responsibility for the plan’s quality improvement program. Additionally, he began the Child Abuse and Neglect Team for Children with Special Health Care Needs, which was funded by a three-year grant from a local philanthropy. In 1998, he was appointed associate chair of clinical operations in the Department of Pediatrics at the Children’s Hospital of Philadelphia (CHOP), and in June of 1999 he was asked to chair the CHOP Quality Committee. These accomplishments are only a few of his career.

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Sexual Assault Quick Reference, Second Edition contains easy-to-read, yet comprehensive, material related to caring for the sexual assault survivor. The many professions that make up the multidisciplinary team caring for these victims, including physicians, nurses, emergency responders, social service personnel, attorneys, and law enforcement, will find that this reference includes accurate, up-to-date information and guidelines to assist in the care of these individuals. This pocket reference captures the content of the many areas of knowledge necessary to care for victims of sexual assault and has been written by a team of leaders with insurmountable knowledge and experience in this field. This text is recommended with the highest regards.

Jessica L. Ahmann, DNP, APRN, FNP-BC
Family Nurse Practitioner
Children’s Advocacy Center
Bismarck, North Dakota

Sexual Assault Quick Reference is a must-have reference for new SANEs to assist in their assessments, nursing diagnoses, and documentation. Chapter 5, “Differential Diagnosis,” is comprehensive in identifying common normal variants and disease processes that mimic injuries seen in sexual abuse. I recommend this textbook for course coordinators when developing SANE-A/SANE-P course curricula as it covers a wide variety of subjects that should be taught in any SANE curriculum. The Quick Reference is also an excellent guide to SANE program coordinators to reference when developing polices, protocols, or guidelines for their institutions. All health care personnel would benefit from this textbook as it provides the most up-to-date material when working with victims of sexual violence.

Barbra Bachmeir, JD, MSN, NP-C
Nurse Practitioner/Forensic Nurse Examiner
Emergency Department
IU Health-Methodist Hospita
l Indianapolis, Indiana

This textbook would be a valuable reference for any professional or agency that provides services to sexual assault or sexual abuse survivors of any age. The chapters are written by experts in forensic medicine, forensic nursing, forensic DNA analysis, social work, and other specialties relevant to working with victims of sexual assault or sexual exploitation. Chapters include the basic legal definitions of sexual assault, sexual battery, and sexual exploitation; differentiating abuse/assault injuries from nonabuse/nonassault injuries or disease process in a victim of any age; how to form and manage a multidisciplinary team; what to include in the forensic medical report and who will view that report; the chain of custody, combined DNA index system, DNA evidence, and collecting reference samples; sexual assault by an acquaintance or intimate partner and the heavy emotional burden it places on the victim; and issues unique to elder victims living in residential care facilities or when in-home caregivers are suspects.

Thomas Collins, MA, ADN
(Certificate in Forensic Nursing), AAS (Forensic Technology)
Instructor, UCR Extension
Certificate Program in Forensic Nursing
University of California at Riverside
Riverside, California
Clinical Nurse III
University of California, San Diego Health System
San Diego, California

The second edition of Sexual Assault Quick Reference is an excellent resource for all health care providers who see victims of sexual violence. In particular, Chapters 15-21 provide a wealth of new information on topics essential to victim care. Chapter 18, “Sexual Assault Response in the United States Military,” is a practical read for those unfamiliar with the military and how its legal system works. Chapter 20, “Strangulation in Living Patients,” is nothing short of amazing with its color photos and precise breakdown of patient assessment, forensic photography, and signs and symptoms of strangulation that require further investigation and evaluation. I highly recommend this second edition as a go-to resource for professionals who respond to and care for victims of sexual assault.

Cynthia T. Ferguson, PhD, MSN, MPH, MFA, RN, CNM, AFN-BC, D-ABMDI
CDR (ret.) United States Navy
Clinical Forensics Program Consultant
Ferguson Forensics
Palmyra, Virginia

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