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The use of human immunodeficiency virus post-exposure prophylaxis (HIV PEP) should be considered in the care of sexual assault patient populations. In order to effectively implement HIV PEP following sexual assault, healthcare providers need to have a working knowledge of HIV transmission risk factors following a sexual exposure and protocols for initiating HIV PEP. Being able to implement evidence-based practices that address each of these factors is paramount to successful prevention of HIV transmission following a sexual assault exposure. Most healthcare practitioners, however, lack the specialized knowledge needed to address these issues in the expeditious manner necessitated by a potential HIV exposure. Implications: This paper is designed to provide healthcare providers with a basic understanding of HIV transmission risk factors and the knowledge and skills needed to effectively implement HIV PEP following a sexual assault exposure. 相似文献
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Use and Safety Perceptions Regarding Herbal Supplements: A Study of Older Persons in Southeast Idaho
Frank J. Snyder MPH Mary L. Dundas PhD RD LD FADA Carol Kirkpatrick PhD MPH RD LD CHES Karen S. Neill PhD RN SANE-A 《Journal of nutrition in gerontology and geriatrics》2013,32(1):81-95
No abstract available for this article. 相似文献
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Valerie Sievers MSN RN CNS CEN SANE-A Clinical Forensic Nurse Specialist Sherri Murphy BSII Criminal Investigator Joseph J. Miller PhD Research Evaluation Coordinator 《Journal of emergency nursing》2003,29(6):511-514
INTRODUCTION: The purpose of this study was to determine if sexual assault nurse examiners (SANEs) provide more effective evidence collection compared with non-SANE-trained nurse and physician colleagues. METHODS: Five hundred fifteen audits were completed by crime laboratory analysts on sexual assault evidence kits submitted to the Colorado Bureau of Investigation from October 1999 to April 2002. RESULTS: Of 515 evidence kits audited, 279 were completed by SANEs. Non-SANE physicians and nurses completed 236 kits. Evidence kits collected by SANEs were more likely to have a completed chain of custody (92%) compared with 81% of non-SANE-collected kits. SANEs also were more likely to have properly sealed individual specimen envelopes (91% vs 75%), to have labeled the individual specimen envelopes (95% vs 88%), and to have collected the appropriate amount of pubic hair (88% vs 74%) and head hair (95% vs 80%). SANEs more frequently included the appropriate number of blood tubes (95% vs 80%), collected the appropriate amount of swabs (88% vs 71%), and included a vaginal fluid slide for sperm motility (87% vs 72%). Both groups prepared slides at a high rate for each penetrated orifice (87% vs 90%) and both had a high rate of including the crime laboratory report in the completed kit (97% vs 93%). DISCUSSION: Studies such as this provide documentation that evidence collection kits prepared by SANEs are more accurate and complete when compared with evidence collection kits prepared by non-SANE nurses and physicians. Additional studies are needed to further validate the efficacy of SANE-completed evidentiary examinations. 相似文献
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