Oregon SANE/SAE Certification Requirements and Instructions

Application Process  To become certified as an Oregon SANE/SAE, the Oregon SANE/SAE Certification Application and payment must be submitted within one year of didactic training.  If an extension is needed, an Extension Request Form must be submitted one month prior to application due date.  The SANE/SAE Certification Commission understands that different factors may impact an applicant’s ability to complete the requirements in the time stated and will attempt to accommodate all applicants who show good effort towards progressing through certification. However, it is the belief of the Commission that repetition, reinforcement, and practice updates are necessary to gain and maintain competency. Applicants who have a lengthy timeframe between exams or between didactic training and certification may be asked to complete training updates prior to certification.

General Requirements for Certification The Oregon Sexual Assault Nurse Examiner (SANE)/Sexual Assault Examiner (SAE) Certification Commission has established certification requirements to ensure that licensed health care providers in Oregon have the necessary training and qualifications to provide medical forensic care that meets the highest standards using a victim-centered approach. 1. Hold a current unrestricted RN, NP, PA, MD, or DO license in Oregon. 2. Have two years of nursing or clinical experience. 3. Maintain an average of 16 hours per month of relevant active clinical patient care practice. 4. Complete a 40-hour didactic adult/adolescent SANE/SAE training that meets the National Training Standards for Sexual Assault Medical Forensic Examinations set by the International Association of Forensic Nurses (IAFN). 5. Complete all non-clinical certification requirements. 6. Complete ten pelvic speculum exams and be able to demonstrate competency. 7. Complete three sexual assault medical forensic exams with increasing independence. 8. Complete one critique and self-reflection for each sexual assault medical forensic exam demonstrating self-awareness and improving skills.

Non-Clinical Requirements This process is intended to help you connect effectively with others in your community whom you will likely work with during and after a sexual assault has occurred. When completing this form, please use the following guidelines. Signatures and phone numbers are required.

Law Enforcement: 6-8 hours, including a ride-along and/or observing a case review  General Objectives: o Learn about the daily expectations of law enforcement officers o Learn how sexual investigations are handled

Revised November 2016 1 o Understand the challenges faced by officers responding to crimes o Understand how evidence is handled and stored, and the process for submitting evidence to the state crime lab  Ride-Along Objectives: o Attend a shift briefing at the start of the ride along o Ride with an officer experienced in sexual assault investigations o Visit the property/evidence room o Be introduced to the supervisor of the Detective Division, if possible  Case Review Objectives: o Review a sexual assault investigation that has been completed, presented to grand jury, and has either led to a plea deal or a trial, with a detective who investigates sexual assaults o Alternatively, if there is the opportunity, watch a SANE/SAE testify at trial (this would also satisfy the criminal court observation requirement) o Talk about questions that are presented during a sexual assault investigation

Criminal Court Observation Attend a criminal court proceeding. It would be beneficial to attend the testimony of a SANE/SAE, but if this is not available, you may observe any felony court case. Your local District Attorney’s office or court staff will help you schedule a time.

District Attorney’s Office Observation: 2-4 hours General Objectives:  Learn about the role of the DA’s Office and prosecutors in responding to sexual assault  Learn about the scope of services provided by and the philosophy of the DA’s office  Understand the victim’s role in the prosecution of a sexual assault case  Understand the rights of victims within and outside of the criminal justice system  Understand how the DA’s Office works with SANEs/SAEs on specific cases as well as for expert testimony or consultation  Discuss any specific guidance or advice about how best to prepare for cases

Victim Services Observation: 2-4 hours with a non-profit sexual assault advocacy agency and/or county victim assistance program observation (through the DA’s Office) that provides victim response to your area of work, child assessment center will not count General Objectives:  Learn about the program’s role in responding to sexual assault  Learn about the role of a (non-profit or government) victim advocate  Understand the philosophy of the agency and the scope of the services they provide  Understand the rights victims have within and outside of the criminal justice system  Understand how SANEs/SAEs interface with the program  Discuss how SANEs/SAEs and advocates can work together most effectively

Revised November 2016 2 Speculum Exam Validation and Evaluation Preceptors should be observing you directly when these exams are performed so they can speak firsthand about your technique. Every box should be marked with either 1 or 2 for each skill reviewed. If you have already obtained speculum exam competency through your regular practice, you may fill out the Speculum Exam Exemption Waiver.

Sexual Assault Medical Forensic Exam Competency Every box should be marked with either 1 or 2 for each skill reviewed. You do not need to fill this out for your “Observing” exam. Your preceptor will fill in the column for your “Being Observed” exam(s). Preceptors should be experienced SANEs who have demonstrated competency either through certification or independently. You will evaluate yourself for your “Independent” exam(s).

It is highly recommended that at least two of your performed exams be performed on live (not mock) patients. However, mock exams will be accepted for your “Observing” exam and up to two of your performed exams. The greater the number of mock exams, the more likely you will be asked to submit additional information in order to ascertain your competency.

In addition to this form, submit charts for all performed exams (“Being Observed” and “Independent”) using the following guidelines:  All exams must be on the Oregon state forms. Exams that are not on the state forms, including facility-specific paperwork that is based on old state forms, will not be accepted for review. While copying facility charts over to state forms requires time and effort, this is the only way the Oregon SANE/SAE Certification Commission can be sure to evaluate all applicants fairly. In addition, the state form follows current best practice. If your facility’s forms differ significantly, consider discussing this with the head of your SANE program to make sure your documentation is consistent with the latest standards.  All exams must include the medications and referrals page with medications listed if given.  De-identify charts before sending them in. This means removing all identifying information, including the names/initials of anyone not on the medical team, addresses, social security numbers, case/kit numbers, references to employment, tattoo descriptions, etc. Documentation that is not properly de-identified will be shredded and will not be accepted for review.  Please send in three medical forensic charts only. Any additional exams will not be considered. Do not send in photographs or other ancillary paperwork.  Make sure every page is legible. Faxing is not recommended.

Critique and Self-Reflection You must complete a critique and self-reflection for all four exams, observing and performed. Please take time to answer the questions honestly. Use your feedback and notes from the exams to reference specific examples. Be thorough and thoughtful.

Questions?

Revised November 2016 3 E-mail Nicole Broder, Oregon SANE/SAE Coordinator, at [email protected].

Mail all completed materials and fees to: Oregon SANE/SAE Certification Commission 3625 River Road North, Suite 275 Keizer, OR 97303

Revised November 2016 4