I am a resident at a large tertiary center in a major city. I was shocked to learn that despite at least 5 Level 1 trauma centers in relative close proximity to another, all but 1-2 have personnel qualified to do a rape kit.
At our facility, a patient reporting sexual assault is given a cab voucher, then sent off across town. Prior to an exam. If they’re hemodynamically unstable we keep them….and I don’t think anyone physically comes to the hospital. From what I’ve been told, no one follows up to be sure that the patient ever made it to the next hospital if they get a cab.
I have been to other places where SANEs travel to various hospitals when needed, rather than forcing a patient to go elsewhere. I assumed that was the norm.
A system that puts an assaulted patient alone and in a vulnerable position going door to door of EDs with a random cabbie seems bizarre when they’re so vulnerable and haven’t gotten a proper workup. What is it like in your place?
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