Department of
Pediatrics
Home

• Patient physical and emotional status and the degree of required medical intervention: Refer or Treat?
• Contact authorities and multidisciplinary team
• Medical Record
• Explain exam procedures to the child and adult caretaker
• Medical History
• Investigatory Interview
  Contact CPS and law enforcement prior to conduction the investigatory interview
  
• Photographs
• Are there clear signs of trauma that could produce clear pictorial evidence of injury?
• Suggestions to ensure an effective exam
• Integrate forensic evidence collection procedures into physical examination
• Physical Exam
  Genital exam occurs only within context of a complete physical exam
  
• Implement evidence collection procedures if last sexual contact occured in past 72 hours
• Procedures for collection of evidence
• Procedures for release of information
  • Are all parts of the kit accounted for?
  • Is kit stored in refridgerated area? OR Has the "Authorization for Release of Information and Evidence Form" been completed?
• Pregnancy
• Consider presumptive treatment for STDs
• Diagnostic Testing
• Conclusion
  The diagnosis of sexual abuse is based on the child's history, physical findings and laboratory and evidentiary test
  • Formulating a conclusion
  • Recommended conclusion options
  
• Information and referrals for follow-up care
• Do I suspect abuse? If so, report
  State Central Register Statewide Numbers:
  PHONE: 1-800-635-1522
  FAX: 1-800-635-1554

Direct Inquiries to:

Child and Adolescent Sexual Offense Medical Protocol
Rape Crisis Program
New York State Department of Health
ESP(Empire State Plaza) — Corning Tower
Albany, New York 12237