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Pediatric TeleSANE: A Discussion of the Appropriateness, Feasibility, and Recommendations for Expanding Access to
Amy Michael1, Katherine Budge2, Nancy Downing3
1Author Affiliations:College of Nursing, Texas A&M University, College Station, TX.
Background:
Access to high-quality medical forensic exams can be challenging, particularly in rural areas. A novel modality aimed at addressing this access issue is TeleSANE, where experienced sexual assault nurse examiners (SANEs) consult and/or assist clinicians with limited medical forensic experiences in performing a SANE exam via telehealth.
Aim:
To address concerns with applying this modality to prepubescent populations.
Methods:
We completed a feasibility report to examine a potential prepubescent TeleSANE program. Strategies included conducting a literature review, meeting with SANEs and TeleSANE programs, and engaging with stakeholders and experts to gain consensus regarding feasibility for TeleSANE use in the prepubescent population.
Results:
Pediatric TeleSANE is a feasible and promising innovation to expand access for prepubescent medical-forensic examinations.
Discussion:
We suggest minimum requirements for establishing and sustaining a pediatric TeleSANE program, including limiting TeleSANE to acute exams, specifying both TeleSANE and clinician minimum requirements, and expert exam review.
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