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	<id>https://ykhealth.abclients.com/index.php?action=history&amp;feed=atom&amp;title=Category%3ADomestic_Violence%2FAbuse%2FSexual_Assault</id>
	<title>Category:Domestic Violence/Abuse/Sexual Assault - Revision history</title>
	<link rel="self" type="application/atom+xml" href="https://ykhealth.abclients.com/index.php?action=history&amp;feed=atom&amp;title=Category%3ADomestic_Violence%2FAbuse%2FSexual_Assault"/>
	<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;action=history"/>
	<updated>2026-04-18T02:02:43Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=6570&amp;oldid=prev</id>
		<title>JenniferH at 09:27, 28 October 2020</title>
		<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=6570&amp;oldid=prev"/>
		<updated>2020-10-28T09:27:43Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 09:27, 28 October 2020&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;We have the highest rate per capita for domestic violence and sexual abuse in the country which is why we screen for it at every patient encounter.  &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Whether you are doing radio medical traffic, seeing a patient in outpatient clinics, ER or Inpatient, &amp;#039;&amp;#039;&amp;#039;you or the health aide are considered a mandatory reporter at the point of contact&amp;#039;&amp;#039;&amp;#039;.&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;We have the highest rate per capita for domestic violence and sexual abuse in the country&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, &lt;/ins&gt;which is why we screen for it at every patient encounter.   &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you see suspicious bruises etc., make an effort to question the patient when they are alone so you can ask how it happened and assess for their safety.  Encourage them to talk to &amp;#039;&amp;#039;&amp;#039;Tundra Women’s Coalition&amp;#039;&amp;#039;&amp;#039;, which is our local domestic violence shelter &amp;#039;&amp;#039;&amp;#039;(543-3444)&amp;#039;&amp;#039;&amp;#039;.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you see suspicious bruises etc., make an effort to question the patient when they are alone so you can ask how it happened and assess for their safety.  Encourage them to talk to &amp;#039;&amp;#039;&amp;#039;Tundra Women’s Coalition&amp;#039;&amp;#039;&amp;#039;, which is our local domestic violence shelter &amp;#039;&amp;#039;&amp;#039;(543-3444)&amp;#039;&amp;#039;&amp;#039;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If violence occurred while children were present, it is &amp;#039;&amp;#039;mandatory&amp;#039;&amp;#039; in Alaska to report it.  If it occurred &amp;#039;&amp;#039;in Bethel&amp;#039;&amp;#039;, report it to &amp;#039;&amp;#039;&amp;#039;Bethel Police Dept. (311)&amp;#039;&amp;#039;&amp;#039;. If it occurred &amp;#039;&amp;#039;in a village&amp;#039;&amp;#039;, report it to the &amp;#039;&amp;#039;&amp;#039;State Troopers (543-2294)&amp;#039;&amp;#039;&amp;#039;.  You must also report it to &amp;#039;&amp;#039;&amp;#039;Office of Children Services (OCS 543-1411)&amp;#039;&amp;#039;&amp;#039;.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If violence occurred while children were present, it is &amp;#039;&amp;#039;mandatory&amp;#039;&amp;#039; in Alaska to report it.  If it occurred &amp;#039;&amp;#039;in Bethel&amp;#039;&amp;#039;, report it to &amp;#039;&amp;#039;&amp;#039;Bethel Police Dept. (311)&amp;#039;&amp;#039;&amp;#039;. If it occurred &amp;#039;&amp;#039;in a village&amp;#039;&amp;#039;, report it to the &amp;#039;&amp;#039;&amp;#039;State Troopers (543-2294)&amp;#039;&amp;#039;&amp;#039;.  You must also report it to &amp;#039;&amp;#039;&amp;#039;Office of Children Services (OCS 543-1411)&amp;#039;&amp;#039;&amp;#039;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you see a girl &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;younger than 17 &lt;/del&gt;years old who has had sex with a partner &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;who is 3 &lt;/del&gt;years older than her (you will probably discover this on a first prenatal visit), this is also reportable to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Bethel PD or State Troopers AND &lt;/del&gt;OCS.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Per Alaska law, a person can choose not to report a domestic assault.  As a provider, you must report the assault, even if the patient objects, if it involved a knife, a burn, firearm, strangulation, or if children were witnesses.&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you see a girl &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;16 &lt;/ins&gt;years old &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;or younger &lt;/ins&gt;who has had sex with a partner &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;three &lt;/ins&gt;years older than her (you will probably discover this on a first prenatal visit), this is also reportable to OCS.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury &lt;/del&gt;or sexual &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;assault and DOES NOT wish to involve law enforcement, &amp;#039;&amp;#039;you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled&amp;#039;&amp;#039;. If none of these conditions are present&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;then &lt;/del&gt;the &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;you suspect child abuse &lt;/ins&gt;or sexual &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;abuse&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;use &lt;/ins&gt;the &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;same reporting system as described above&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;In the ED we have a &amp;#039;&amp;#039;&amp;#039;Sexual Abuse Report Team (SART)&amp;#039;&amp;#039;&amp;#039; member who is available to collect evidence and offer support.  If you see a patient who has been sexually abused/assaulted that day, or the day before, and they are interested in reporting, you can coordinate with the ED to make that happen.  For children with possible abuse, please contact Bethel PD or State Troopers &amp;#039;&amp;#039;&amp;#039;&amp;#039;&amp;#039;AND&amp;#039;&amp;#039;&amp;#039;&amp;#039;&amp;#039; OCS.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;In the ED we have a &amp;#039;&amp;#039;&amp;#039;Sexual Abuse Report Team (SART)&amp;#039;&amp;#039;&amp;#039; member who is available to collect evidence and offer support.  If you see a patient who has been sexually abused/assaulted that day, or the day before, and they are interested in reporting, you can coordinate with the ED to make that happen.  For children with possible abuse, please contact Bethel PD or State Troopers &amp;#039;&amp;#039;&amp;#039;&amp;#039;&amp;#039;AND&amp;#039;&amp;#039;&amp;#039;&amp;#039;&amp;#039; OCS.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>JenniferH</name></author>
	</entry>
	<entry>
		<id>https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=3047&amp;oldid=prev</id>
		<title>JenniferH at 17:37, 15 February 2019</title>
		<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=3047&amp;oldid=prev"/>
		<updated>2019-02-15T17:37:53Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 17:37, 15 February 2019&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;We have the highest rate per capita for domestic violence and sexual abuse in the country&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;.  That &lt;/del&gt;is why we screen for it at &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;each &lt;/del&gt;patient encounter. Whether you are doing radio medical traffic, seeing a patient in outpatient clinics, ER or Inpatient, you or the health aide &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039;is &lt;/del&gt;considered a mandatory reporter at the point of contact&amp;#039;&amp;#039;&amp;#039;.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;We have the highest rate per capita for domestic violence and sexual abuse in the country &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;which &lt;/ins&gt;is why we screen for it at &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;every &lt;/ins&gt;patient encounter. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/ins&gt;Whether you are doing radio medical traffic, seeing a patient in outpatient clinics, ER or Inpatient, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039;&lt;/ins&gt;you or the health aide &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;are &lt;/ins&gt;considered a mandatory reporter at the point of contact&amp;#039;&amp;#039;&amp;#039;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you see suspicious bruises&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, &lt;/del&gt;etc., &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;try &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ask &lt;/del&gt;the patient when they are alone how it happened and &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;if they feel safe&lt;/del&gt;. Encourage them to talk to Tundra Women’s Coalition, which is our local domestic violence shelter &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;– 907-&lt;/del&gt;543-3444.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you see suspicious bruises etc., &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;make an effort &lt;/ins&gt;to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;question &lt;/ins&gt;the patient when they are alone &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;so you can ask &lt;/ins&gt;how it happened and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;assess for their safety&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/ins&gt;Encourage them to talk to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039;&lt;/ins&gt;Tundra Women’s Coalition&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039;&lt;/ins&gt;, which is our local domestic violence shelter &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039;(&lt;/ins&gt;543-3444&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;)&amp;#039;&amp;#039;&amp;#039;&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If violence occurred while children were present it is mandatory in Alaska to report it. If it occurred in Bethel, report it to Bethel Police Dept 311.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If violence occurred while children were present&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, &lt;/ins&gt;it is &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&lt;/ins&gt;mandatory&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039; &lt;/ins&gt;in Alaska to report it. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/ins&gt;If it occurred &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&lt;/ins&gt;in Bethel&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&lt;/ins&gt;, report it to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039;&lt;/ins&gt;Bethel Police Dept&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;. (&lt;/ins&gt;311&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;)&amp;#039;&amp;#039;&amp;#039;. If it occurred &amp;#039;&amp;#039;in a village&amp;#039;&amp;#039;, report it to the &amp;#039;&amp;#039;&amp;#039;State Troopers (543-2294)&amp;#039;&amp;#039;&amp;#039;.  You must also report it to &amp;#039;&amp;#039;&amp;#039;Office of Children Services (OCS 543-1411)&amp;#039;&amp;#039;&amp;#039;&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;it occurred in the village&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;report it &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;the &lt;/del&gt;State Troopers&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, 543-2294. You must also report it to Office of Children Services (&lt;/del&gt;OCS&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;) 543-1411&lt;/del&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;you see a girl younger than 17 years old who has had sex with a partner who is 3 years older than her (you will probably discover this on a first prenatal visit)&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;this is also reportable &lt;/ins&gt;to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Bethel PD or &lt;/ins&gt;State Troopers &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;AND &lt;/ins&gt;OCS.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;you find that a girl &lt;/del&gt;is &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;younger than 17 &lt;/del&gt;and &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;had sex &lt;/del&gt;with &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;a partner who is 3 years older than her (&lt;/del&gt;you &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;will probably discover this on &lt;/del&gt;a &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;first prenatal)&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;this is also reportable &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Bethel PD or State Troopers &lt;/del&gt;and &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;OCS&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;the patient &lt;/ins&gt;is &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;over the age of 18 &lt;/ins&gt;and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;comes to the Emergency Department &lt;/ins&gt;with &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, &amp;#039;&amp;#039;&lt;/ins&gt;you &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;are required to notify law enforcement if the patient has been shot, stabbed with &lt;/ins&gt;a &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;sharp object, burned over 10% BSA, or strangled&amp;#039;&amp;#039;. If none of these conditions are present&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;then the patient should be encouraged to report the crime but if she still does not wish &lt;/ins&gt;to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B &lt;/ins&gt;and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;STI prophylaxis&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;If &lt;/del&gt;the &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;patient &lt;/del&gt;is &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;over the age of 18 and comes &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;the Emergency Department with obvious signs of injury or sexual assault &lt;/del&gt;and &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;DOES NOT wish to involve law enforcement, &lt;/del&gt;you &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;are required to notify law enforcement if the &lt;/del&gt;patient has been &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;shot&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;stabbed with a sharp object&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;burned over 10% BSA, or strangled. If none of these conditions &lt;/del&gt;are &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;present&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;then &lt;/del&gt;the &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;patient should be encouraged &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;report the crime but if she still does not wish to report the crime&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;In &lt;/ins&gt;the &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ED we have a &amp;#039;&amp;#039;&amp;#039;Sexual Abuse Report Team (SART)&amp;#039;&amp;#039;&amp;#039; member who &lt;/ins&gt;is &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;available &lt;/ins&gt;to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;collect evidence &lt;/ins&gt;and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;offer support.  If &lt;/ins&gt;you &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;see a &lt;/ins&gt;patient &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;who &lt;/ins&gt;has been &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;sexually abused/assaulted that day&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;or the day before&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;and they &lt;/ins&gt;are &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;interested in reporting&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;you can coordinate with &lt;/ins&gt;the &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ED &lt;/ins&gt;to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;make that happen.  For children with possible abuse&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;please contact Bethel PD or State Troopers &amp;#039;&amp;#039;&amp;#039;&amp;#039;&amp;#039;AND&amp;#039;&amp;#039;&amp;#039;&amp;#039;&amp;#039; OCS&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;abuse &lt;/del&gt;or sexual abuse, use the same reporting system as described above. Please review the [[child/Adolescent Sexual Assault Flow|pediatric sexual assault guideline]] and how to proceed. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;The &lt;/del&gt;Children’s Advocacy Center (CAC) at &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Tundra Women’s Center (&lt;/del&gt;TWC&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;) &lt;/del&gt;organizes the child’s interview, exam &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;etc– &lt;/del&gt;to make it as painless as possible for the child. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/del&gt;They tape the interview &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;and do it &lt;/del&gt;behind a &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;1-&lt;/del&gt;way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;physical &lt;/ins&gt;or sexual abuse, use the same reporting system as described above. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/ins&gt;Please review the [[child/Adolescent Sexual Assault Flow|pediatric sexual assault guideline]] and how to proceed.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039;There is a &lt;/ins&gt;Children’s Advocacy Center (CAC)&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;#039;&amp;#039;&amp;#039; &lt;/ins&gt;at TWC &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;that &lt;/ins&gt;organizes the child’s interview, exam &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;etc., &lt;/ins&gt;to make it as painless as possible for the child. They tape the interview behind a &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;one &lt;/ins&gt;way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>JenniferH</name></author>
	</entry>
	<entry>
		<id>https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1689&amp;oldid=prev</id>
		<title>Mfaubion at 18:12, 7 July 2016</title>
		<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1689&amp;oldid=prev"/>
		<updated>2016-07-07T18:12:30Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 18:12, 7 July 2016&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l11&quot;&gt;Line 11:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 11:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;new draft &lt;/del&gt;[[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;media:SAguideline.pdf&lt;/del&gt;|pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;the &lt;/ins&gt;[[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;child/Adolescent Sexual Assault Flow&lt;/ins&gt;|pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Mfaubion</name></author>
	</entry>
	<entry>
		<id>https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1221&amp;oldid=prev</id>
		<title>Mfaubion at 16:35, 21 July 2015</title>
		<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1221&amp;oldid=prev"/>
		<updated>2015-07-21T16:35:55Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 16:35, 21 July 2015&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l11&quot;&gt;Line 11:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 11:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review new draft [[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;file&lt;/del&gt;:SAguideline|pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review new draft [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;media&lt;/ins&gt;:SAguideline&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;.pdf&lt;/ins&gt;|pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Mfaubion</name></author>
	</entry>
	<entry>
		<id>https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1220&amp;oldid=prev</id>
		<title>Mfaubion at 16:34, 21 July 2015</title>
		<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1220&amp;oldid=prev"/>
		<updated>2015-07-21T16:34:24Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 16:34, 21 July 2015&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l11&quot;&gt;Line 11:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 11:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review new draft [[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;media&lt;/del&gt;:SAguideline|pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review new draft [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;file&lt;/ins&gt;:SAguideline|pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Mfaubion</name></author>
	</entry>
	<entry>
		<id>https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1218&amp;oldid=prev</id>
		<title>Mfaubion at 16:29, 21 July 2015</title>
		<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1218&amp;oldid=prev"/>
		<updated>2015-07-21T16:29:58Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 16:29, 21 July 2015&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l11&quot;&gt;Line 11:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 11:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br/&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review new draft [[pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review new draft [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;media:SAguideline|&lt;/ins&gt;pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Mfaubion</name></author>
	</entry>
	<entry>
		<id>https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1217&amp;oldid=prev</id>
		<title>Mfaubion: Created page with &quot;We have the highest rate per capita for domestic violence and sexual abuse in the country.  That is why we screen for it at each patient encounter. Whether you are doing radio...&quot;</title>
		<link rel="alternate" type="text/html" href="https://ykhealth.abclients.com/index.php?title=Category:Domestic_Violence/Abuse/Sexual_Assault&amp;diff=1217&amp;oldid=prev"/>
		<updated>2015-07-21T16:21:28Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;We have the highest rate per capita for domestic violence and sexual abuse in the country.  That is why we screen for it at each patient encounter. Whether you are doing radio...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;We have the highest rate per capita for domestic violence and sexual abuse in the country.  That is why we screen for it at each patient encounter. Whether you are doing radio medical traffic, seeing a patient in outpatient clinics, ER or Inpatient, you or the health aide &amp;#039;&amp;#039;&amp;#039;is considered a mandatory reporter at the point of contact&amp;#039;&amp;#039;&amp;#039;.&lt;br /&gt;
&lt;br /&gt;
If you see suspicious bruises, etc., try to ask the patient when they are alone how it happened and if they feel safe. Encourage them to talk to Tundra Women’s Coalition, which is our local domestic violence shelter – 907-543-3444. &lt;br /&gt;
&lt;br /&gt;
If violence occurred while children were present it is mandatory in Alaska to report it. If it occurred in Bethel, report it to Bethel Police Dept 311. &lt;br /&gt;
&lt;br /&gt;
If it occurred in the village, report it to the State Troopers, 543-2294. You must also report it to Office of Children Services (OCS) 543-1411. &lt;br /&gt;
&lt;br /&gt;
If you find that a girl is younger than 17 and had sex with a partner who is 3 years older than her (you will probably discover this on a first prenatal), this is also reportable to Bethel PD or State Troopers and OCS.&lt;br /&gt;
&lt;br /&gt;
If the patient is over the age of 18 and comes to the Emergency Department with obvious signs of injury or sexual assault and DOES NOT wish to involve law enforcement, you are required to notify law enforcement if the patient has been shot, stabbed with a sharp object, burned over 10% BSA, or strangled. If none of these conditions are present, then the patient should be encouraged to report the crime but if she still does not wish to report the crime, then she should be treated like any other ED patient and her injuries should be treated and she should be offered Plan B and STI prophylaxis.&lt;br /&gt;
&lt;br /&gt;
If you suspect child abuse or sexual abuse, use the same reporting system as described above. Please review new draft [[pediatric sexual assault guideline]] and how to proceed. The Children’s Advocacy Center (CAC) at Tundra Women’s Center (TWC) organizes the child’s interview, exam etc– to make it as painless as possible for the child.  They tape the interview and do it behind a 1-way mirror to make the child as comfortable as possible.&lt;/div&gt;</summary>
		<author><name>Mfaubion</name></author>
	</entry>
</feed>