HEALTH EDUCATION LEARNING PROGRAM FOR IN RURAL APPALACHIA HELP SARA HRSA GRANT # T96HP32504

DR. PATRICIA VANHOOK: PROJECT DIRECTOR DR. JUDY MCCOOK: PROJECT ADMINISTRATOR PROFESSORS, ETSU COLLEGE OF : OFFICE OF PRACTICE DISCLOSURES

HELP_SARA PROJECT ADMINISTRATOR ETSU FACULTY SALARY SUPPORT HRSA GRANT

NO OTHER PERSONAL FINANCES TO DISCLOSE

This program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $499,669.00.

The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.”

PROJECT DESCRIPTION : 3 - PRONGED APPROACH

1) Training increase SANE-A and SANE-P in NE TN / SW VA providing care for vulnerable/rural populations; 2) translate the National model into application for rural SANE care in NE Tennessee; TeleSANE and 3) Forensic Nurse Examiner Graduate Certificate Program SPECIFIC HELP SARA ACTIVITIES TO DATE 2: SANE-A TRAINING ADOLESCENT /ADULT CARE AGES 13 &>

Hancock CO RAH site webcast to urban hospital in Sullivan CO at Indian Path Community Hospital. Washington CO ETSU webcast to RAH Johnson CO and rural Hawkins CO SANE-A precepted 7-8 hr clinical checkoffs standardized patients. • SANE-A March 2020 scheduled Carter / Unicoi CO with remote to Greene CO

• Didactic trained = 34 Clinical precepted check-off = 35 SEXUAL ASSAULT NURSE EXAMINER VS FORENSIC NURSE EXAMINER

SANE-A OR SANE-P FNE • SANE A and SANE P Sexual assault – P • Domestic abuse and IPV Birth to 18 years of age • and neglect Sexual assault – A • Elder abuse and neglect age 13 and older • Human trafficking Optional > certification • Legal and death investigations of sexual crimes IAFN International Association of Forensic Nurses Masters degree or Masters certificate program AFN Academy of Forensic Nursing SPECIFIC HELP SARA ACTIVITIES TO DATE SANE-P TRAINING BIRTH TO 18 YEARS

SANE-P nurse trained 12 nurses /3 physicians in 43 hr didactic course Upcoming SANE-P 20 nurses Oct 14th -18th 8-5 pm ped nurses speculum insertion with standardized pts schedule each evening 4 SANE-Pediatric trained nurses clinical ” hands on” training of non-acute child exams at Children's Hospital Intervention and Prevention Services (CHIPS Center) Children’s of Alabama in Birmingham through a collaborative agreement for students to receive 3 days or 24 hours of “hands-on” clinical practicum. • TOTAL # NURSES TRAINED IN Peds Didactic = 32 Clinical = 4 HELP-SARA FUNDING HAS SUPPORTED

• 2-day Conference “How Forensic Care Helps Survivors of Human Violence” Aug 8 & 9 80 participants SANEs and SART team member from 7 different states • 3-year membership to International Association of Forensic Nursing for 30 nurses • Lifetime membership to Academy of Forensic Nursing for 30 nurses • SANE-A certification exams for 7 nurses • SANE-A and SANE-P trainings for > 50 nurses • 10 SANE nurses attended IAFN conference for 4 days in New Orleans • Ongoing educational zoom meetings/educational trainings LONG-RANGE GOALS STRATEGIES

1) Increase # of SANEs in NE Tennessee, • EDUCATION 2) Decrease SANE turnover, • Inservices/webinar updates 3) Increase # sexual assault exams • SANE trainings > FNE program completed, • COMMUNITY ENGAGEMENT 4) Increase # sexual assault exams • County Health Councils reported, • CAC & DCS engagement 5) increase # of sexual assaults prosecuted. • SART team members • Law enforcement partnerships • Mock trials with DA & prosecutors • Trauma Informed Care • Start by Believing Campaign QUESTIONS ?

Judy McCook PhD, MSN, RN, CNS, SANE-A [email protected]