terça-feira, 29 de dezembro de 2009

Especialidades da Enfermagem Forense

Existem diversas especialidades na area da enfermagem foremse. Asw mais conhecidas são o SANE (Sexual Assault Nurse Examiner) e o FDNI (Forensic Death Nurse Investigator). Mas existem outras areas de intervenção muito importantes.
Enfermagem Forense Correcional- Prestam cuidados de enfermagem a individuos sob custódia judicial (em tribunal, prisão, casas de detecção juvenil). Os enfermeiros efectuam exames fisicos de rotina, administração de medicação e realização de pensos.
Enfermagem Clinica Forense - Os enfermeiros da clinica forense, trabalham nas salas de emergência, e realizam exames de pericia a crimes sexuais; tratamento de psiquiatria forense e investigação da morte. Contribuem ainda na investigação e consultoria de cuidados.
Enfermagem Gerontologia Forense - A enfermagem de gerontologia forense, ajuda na investigação de casos que envolvam abuso, negligencia ou exploração de idosos. Trabalham ainda na manutenção dos direitos legais e humanos dos idosos. Estes enfermeiros trabalham em hospitais, lares e outras instituições que se dedicam aos idosos.
Enfermagem Psiquiatria Forense - Os enfermeiros avaliam e escolhem os doentes para tratamento, providenciando os cuidados de reabilitação e supervisionam as acções dos doentes na comunidade. Os enfermeiros de psiquiatria forense, tambem podem examinar e tratar os doentes inimputaveis. Podem ainda assistir os colegas que tenham sofridos algum trauma psicológico.
SANE - Os enfermeiros avaliam as lesões que a vitima sofrau, localiza, recolhe e envia os vestigios forenses relativos a crimes sexuais. Providenciam informação sobre a vitima e possivel agressor. Em tribunal, o enfermeiro representa a vitima com o seu testemunho, baseado nas evidencias recolhidas e documentadas.

terça-feira, 1 de dezembro de 2009

Forensic nurses seek a greater role to assist in combating rising crime

Bermuda's forensic nurses say they could be utilised to help tackle escalating violence in the community.
The four nurses who form part of the Island's Sexual Assault Response Team (SART) believe their skills could be used more widely for preventive purposes.
At the moment, Gaynelle Hayward, Judith Brewster, Olga Craine-Carmichael and Susan Pedro, deal only with victims of sexual assault when called out by the Police to the SART room at King Edward VII Memorial Hospital.
But they told The Royal Gazette there is much more they and other forensic nurses could be doing to tackle all kinds of violence in Bermuda, including going into schools to educate youngsters and teachers, mediation and working more closely with vulnerable families in the community.
They would also like to see a forensic nurse permanently on duty in the emergency room at King Edward VII Memorial Hospital.

Interim SART coordinator Mrs. Hayward said: "I think there needs to be greater coordination in terms of partnering with the other agencies. Violence is a major issue."

Mrs. Craine-Carmichael said: "I think violence is a health care issue. We need to address violence as a whole from a forensic perspective. Sexual assault is just a small part of it. I think our wish is to make the community as a whole more aware."
Forensic nurses in other countries deal with a myriad of issues, including child and senior abuse and neglect, death investigation, accident reconstruction, grief counselling and all forms of domestic violence, including intimate partner violence.

But in Bermuda, they work solely with Police, the Women's Resource Centre and the Physical Abuse Centre as part of SART, typically dealing with about five incidents a month. So far this year, they have responded to 18 cases.

Ms Brewster said there were seven forensic nurses when SART was launched a decade ago, but now only four. "It has always been understaffed," she said.

She said the nurses could be doing a lot to target the Island's boys, ensuring that they are not entrenched in a patriarchal, dominant mindset at an early age which may lead them to become violent.

"If the dominant role is already identified at grade one, then that's where we get started. As health visitors, we have access into the homes."

She added: "It needs the community, the Government, the DPP's (Department of Public Prosecutions) office to look at prevention. Prevention is the key.

"At the moment we are reactive, but we want to offer primary health care, we want to prevent. We are not sure if we can stop it, but we can decrease (it)."

The team spoke out after taking part in the first Forensic Nurses' Week, organised by the International Association of Forensic Nurses from November 9 to 13. The theme of the week was: Violence is a Health Care Issue."

Mrs. Craine-Carmichael said: "We are in a position to educate, consult, teach. Our role is to help educate, connect and integrate with all the other partners. Everything is intertwined."

Forensic Nurse Week

Celebrating the Nurse in Forensic Nursing
November 9 - 13, 2009
While many people think the solution to violence occurs in police stations, courtrooms and prisons, there is a dedicated group of nurses who understand “Violence is a Health Care Problem”. During the week of November 9-13, 2009 the International Association of Forensic Nurses (IAFN) will celebrate Forensic Nurses Week. Forensic Nurses are on the front line making sure victims of rape, child abuse and domestic violence receive compassionate care, while vital forensic evidence is collected and preserved.

IAFN and ANA Co-Publish Standards for Forensic Nursing

The International Association of Forensic Nurses (IAFN) and the American Nurses Association (ANA) and have released Forensic Nursing: Scope and Standards of Practice, a comprehensive reference guide that identifies and defines the expectations for the role and practice of the forensic nurse. Forensic nursing focuses not only on providing patient care, but its practitioners also collect evidence, counsel patients and communicate with professionals in legal systems.

Developed by a panel of nurse experts convened by the ANA and the IAFN, the guide outlines six standards for forensic nursing practice and nine standards for professional performance. In addition, the guide articulates the essentials of this specialty, its accountabilities and activities – the who, what, when, where and how of its practice – both for specialists and generalists and those who work with them. Forensic nurses are among the most diverse groups of clinicians in the nursing profession with respect to patient populations served, practice settings, and forensic and healthcare services provided. Yet all forensic nurses apply a unique combination of processes rooted in nursing science, forensic science, and public health to care for patients.

In addition to recommended standards of professional performance, the book’s summary discussion of the scope of forensic nursing practice -- including characteristics, trends, education, practice environments, and its ethical and conceptual bases -- lends an informative and broad context for the reader’s understanding and use of these standards.

While Forensic Nursing: Scope and Standards of Practice is a reference primarily for practicing nurses and nursing faculty and students, it is also an essential document for other specialists in forensic care, such as healthcare providers, researchers, scholars, and those involved in funding, legal, policy, and regulatory activities.


A IAFN, vai promover em Maio de 2010, um reunião europeia de enfermeiros forenses, para homologação da Associação Europeia de Enfermeiros Forenses. Este congresso terá lugar na Suécia, e terá a presença da Enf. Virginia Lynch. Em breve novas noticias.


Revista de referência na área da enfermagem forense. A IAFN, é detentora da responsabilidade cientifica. Artigos orginais que demonstram o excelente trabalho que os enfermeiros realizam nesta área.

Britain probes new claims of abuse by troops in Iraq

LONDON (Reuters) - Britain's defense ministry said on Saturday it was investigating fresh complaints that its troops had abused prisoners in Iraq.

News of the probe came after the Independent newspaper reported that Phil Shiner, a lawyer acting for detainees, had catalogued 33 new cases of abuse since the 2003 invasion, including rape and torture.

The paper reported that, for the first time, female soldiers were accused of aiding in the sexual and physical abuse of detainees.

Armed forces minister Bill Rammell said in a statement that the claims were being taken seriously, but that formal investigations needed to take place "without judgments being made prematurely."

He told the BBC that not all the cases were new and "that about seven have come in within the last month."

In one case, soldiers are accused of piling Iraqi prisoners on top of each other and subjecting them to electric shocks, the Independent reported.


Rape victim lauds training of nurses

Six months after being raped by an acquaintance, Katrina received a call from a friend seeking support after a sexual assault. She brought her friend to a SANE facility, and saw an experience that was “night and day” from the nightmare she endured only months earlier.

“It brought tears to my eyes and I held her hand during the exam. I really think that SANE saved her life,” said Katrina, whose last name is being withheld by the Herald.

“I remembered my own experience, at a non-SANE site,” Katrina said, adding that it began with nurses telling her that their shifts were ending soon - and so were reluctant to start an exam - and ended with Katrina herself having to do portions of her own rape kit

“I was retraumatized. (The nurses) were scared, and fumbling around with the kit. I couldn’t believe it was happening,” she said.

It comes down to training, she said, and those nurses lacked it.

Katrina said the difference is in “victims” versus “survivors.”

“Without SANE, you just perpetuate the victims. It takes a group of people that really care to see someone survive and thrive.”