SANE A Questions and Answers Updated 2026

SANE A Questions and Answers
Updated 2026
AM28-year-
oldMfemaleMpresentsMtoMtheMEDMatM11MPMMonMFridayMstatingMsheMwasMSAMlastMSat
urdayMnightM(6MdaysMago)MatMaMparty.MShewasMdrinkingMalcohol,MalsoMdruggedMbecau
seMsheMhasMnoMmemory..MSheMdidMnotMshowerMafterMtheMassault-
MhasMshoweredMdailyMsince.MwornMandMwashedMclothingMfromMthatMnight.MShesM"final
lyMreadyMtoMdealMwithMthis."MSheMisMuncertainMtoMreportMtoMLE.MSheMcomplainsMof
MvaginalMsorenessMandMdysuria.



WhatMisMtheMMOSTMappropriateMinitialMactionMbyMtheMSANE?



A.MExplainMthatMevidenceMcollectionMisMnoMlongerMviableMatM6MdaysMpost-
assaultMandMofferMonlyMmedicalMcare

B.MContactMlawMenforcementMimmediatelyMsinceMdrug-
facilitatedMsexualMassaultMisMsuspected

C.MProceedMwithMaMcompleteMmedicalMforensicMexaminationMincludingMmedicalMscreenin
g,Mhistory,Mexamination,MandMcollectionMofMviableMevidence

D.MReferMtoMgynecologyMforMtheMvaginalMsymptomsMandMdeferMtheMforensicMexaminati
onM-
MAnswerMC.MProceedMwithMaMcompleteMmedicalMforensicMexaminationMincludingMmedica
lMscreening,Mhistory,Mexamination,MandMcollectionMofMviableMevidence




C:MTheMNationalMProtocolMprioritizesMpatient-
centeredMcare,MregardlessMofMtiming.MAtM6MdaysMpost-assault:

ReferenceMsamplesM(blood,Msaliva)MremainMviableMforMDNA.

MedicalMevaluationMisMessentialM(STIMscreening,MpregnancyMtest,Mdysuria).

PhotoMdocumentationMofMvisibleMinjuriesMisMappropriate.

AMdetailedMforensicMhistoryMsupportsMlegalMprocesses.

VaginalMswabsMmayMnotMyieldMDNA,MbutMevidenceMcouldMremain.MTheMexaminerMmust
MassessMwhat'sMappropriate—neverMassumeMnothingMcanMbeMdone.MTrauma-
informedMcareMisMessential,MregardlessMofMevidenceMviability.MDysuriaMcouldMindicateMa
MUTI,MSTI,MorMinjuryMneedingMtreatment.



A:MThisMviolatesMpatient-centeredMcare:

, ReferenceMsamplesMareMstillMneeded.

TellingMaMpatientMtheyMwaitedM"tooMlong"MisMretraumatizing.

MedicalMcareMshouldMalwaysMbeMprovided.

HealingMinjuriesMcanMstillMbeMdocumented.

AMhistoryMisMvaluable,MevenMwithoutMphysicalMevidence.MEvidenceMwindowsMareMguideli
nes,MnotMcutoffs.MThisMreflectsMaMmisunderstandingMofMforensicMnursing,MwhichMfocuses
MonMholisticMcare,MnotMjustMevidenceMcollection.



B:MThisMviolatesMVAWAMandMautonomy:

PatientsMcan'tMbeMrequiredMtoMreportMtoMlawMenforcementMforMexams.

SANEsMneedMexplicitMconsentMtoMcontactMlawMenforcement.

Drug-facilitatedMassaultMdoesn'tMoverrideMautonomy.

ToxicologyMisn'tMviableMatM6Mdays.

ThisMmayMcauseMtheMpatientMtoMleaveMwithoutMcare.



D:MThisMfragmentsMcareMandMdelaysMurgentMassessment:

SANEsMprovideMfullMmedicalMscreening.

DysuriaMneedsMimmediateMevaluation.

ReferralMdelaysMcare.

TheMpatientMrequestedMforensicMevaluation.

CareMshouldMbeMcoordinated.



AM22-year-
oldMfemaleMisMbroughtMtoMtheMEDMbyMpoliceMatM3MAM.MLEMfoundMherMdisorientedM
outsideMaMbarMstatingM"someoneMrapedMme."MSheMisMhighlyMintoxicated,MslurringMword
s,MunsteadyMgait,MandMhasMvomitedMtwice.MHerMBACMisM0.24%.MRepeatingMsheMwants
MtoM"getMthisMoverMwith"MandMgoMhome.MAgitatedMwhenMexplainedMtheMexamMproce
ssMandMstatesM"justMdoMitMquick."MSheMsignsMtheMconsentMformMwithMdifficultyMholdin
gMtheMpen.MDuringMtheMhx,MherManswersMareMinconsistentMandMsheMfallsMasleepMmid-
sentenceMtwice.



WhatMisMtheMMOSTMappropriateMaction?