C5613238-D - Sexual Assault Forensic Examinations (S.A.F.E.)

Provider shall provide all labor, materials, staff, licenses, permits, certificates and every other item of expense necessary to provide Sexual Assault Forensic Examinations (S.A.F.E.) under Penal Code Section 13823.95 for inmates/patients referred for such specialty services/treatments by the California Department of Corrections and Rehabilitation (CDCR) listed in Exhibit E, List of Participating Institutions.
S.A.F.E. services are limited to Sexual Assault Forensic Examinations only. The examination shall consist of the following:

¿        Interview
¿        Victim and/or Suspect Examination
¿        Evidence Kit
¿        Photo Documentation
¿        Sexually Transmitted Disease (STD) swab/culture
¿        STD prophylaxis
¿        HIV / AIDS prophylaxis

The victim examination shall be documented on Exhibit A-1, Forensic Medical Report - CAL OES 2-923, Adult/Adolescent Sexual Assault Examination Form. The suspect examination shall be documented on Exhibit A-2, Forensic Medical Report - CAL OES  2-950, Sexual Assault Suspect Examination Form.

If a complete examination is refused upon arrival by victim/suspect, an interview shall be conducted, minimal evidence shall be collected, and a follow-up examination shall be scheduled.
If deemed necessary to administer medication at the time of the evaluation, Provider may give those doses indicated as STAT. Provider shall prescribe only those medications which are on CDCR¿s formulary, unless the Chief Medical Officer (CMO)/Chief Executive Officer (CEO) grants prior authorization for alternate medication.

Forensic exams shall generally be conducted during normal business hours, preferably within twelve (12) hours of the incident. The Sexual Assault Response Team (S.A.R.T.) will respond twenty-four (24) hours a day, seven (7) days a week to perform the forensic medical examinations upon request from the Institution/Facility.

Evidence collected by the Sexual Assault Nurse Examiner (SANE)-S.A.R.T shall be appropriately secured, labeled ¿Attention: Evidence Officer,¿ marked ¿Confidential¿ and then provided to the Institution/Facility¿s Transporting/Escorting Officer to preserve the trail of evidence. The Transporting/Escorting Officer shall sign for the evidence and forward the evidence to the Institution/Facility¿s Investigation Unit Evidence Officer upon departure from the hospital.

The S.A.R.T. shall contact the Institution Watch Commander at the number listed in Exhibit E, List of Participating Institutions, for questions or problems, twenty-four (24) hours a day. The S.A.R.T. may also contact the Facility Captain at the number listed in Exhibit E, List of Participating Institutions, Monday through Friday during normal business hours for questions or problems. The S.A.R.T. may contact the Chief Medical Officer during normal business hours at the number listed Exhibit E, List of Participating Institutions, for other problems or questions. The Institutions Emergency Room Nurse may be contacted at the number listed in Exhibit E, List of Participating Institutions, twenty-four (24) hours a day for any questions or problems which may arise during an examination.

CDCR  security and medical staff shall maintain control over the appropriateness and length of time an inmate is to remain outside of the institution.
The S.A.R.T. shall also contact the victim advocacy and/or rape crisis center to request the presence of a certified counselor. The S.A.R.T. shall contact the victim advocacy and/or rape crisis center each time an allegation of sexual assault is reported, in accordance with Penal Code (PC) section 264.2.

The S.A.R.T. and the Hospital shall coordinate together to provide and maintain a private room in which SAFE is to be completed. This room shall also be made available for interviews with victim advocacy or rape crisis counselors.