Verfügbarkeit: Forensic science in healthcare

Forensic science in healthcare: caring for patients, preserving the evidence

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Bibliographische Detailangaben
1. Verfasser:	Darnell, Connie (VerfasserIn)
Format:	Buch
Sprache:	English
Veröffentlicht:	Boca Raton CRC Pr. 2011
Schlagworte:	Medical jurisprudence Victims of crimes > Medical examinations Forensic Medicine > methods Forensic Nursing > methods Untersuchungsmethode Rechtsmedizin
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	"This book contains basic forensic information necessary for healthcare professionals to assess and manage victims of trauma and criminal behavior... ". - Includes bibliographical references and index
Beschreibung:	XXI, 351 S. Ill., graph. Darst.
ISBN:	9781439844908

Internformat

MARC


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Datensatz im Suchindex

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adam_text	Contents Preface xvii Acknowledgments xix Author xxi 1 Introduction to Forensics 1 Red Flags 2 The Evolution of Crime, Violence, and Crime Detection 3 Living Forensics 3 The Scope of Crime and Violence in Modern Society 4 The Financial Cost of Violence 5 The Emotional Cost of Violence 6 The Role of Healthcare 6 Standards of Care 9 The Nursing Process 9 Assessment: Data Collection 10 Nursing Diagnosis 10 Planning 11 Implementation 11 Evaluation 11 Summary 11 Appendix 1.1: Signs of Abuse, Neglect, and Exploitation 13 References 14 2 Documentation 17 Medical Documentation 17 General Physical Examination 19 Wound Documentation 20 Blunt Force Injuries 22 Abrasions 23 Contusions 25 Lacerations 35 Sharp Force Injuries 37 Cuts or Incisions 38 Stab Wounds 38 VI Contents Mixed Blunt and Sharp Injuries 43 Fast Force Injuries (Gunshot Wounds) 43 Range of Fire 45 Angle of Entry- 51 Types of Projectiles and Intervening Objects 52 Photographing Gunshot Wounds 57 Important Terms to Remember about Gunshot Wounds 57 Bite Marks 57 Fractures of Bone 58 Thermal, Electrical, and Chemical Injuries 58 Thermal Burns 58 Classifications 58 Scalding Burns 59 Inhalation Injuries 60 Electrical Burns 61 Definitions 61 Basics of Electricity 61 Types of Electrical Burns 65 Lightning Injuries and Death 68 Weather-Related Hazards 70 Overheating-Related Tissue Injury 70 Cold-Related Tissue Injury 71 Chemical Burns 72 In Conclusion 72 Photography 73 Photographic Evidence 73 Purposes of Photographs 73 Basics of Photography 74 Consent to Photograph 75 Informed Consent 75 Implied Consent 76 Admissibility of Photographs 76 Qualities of Photographs for Evidentiary Purposes 76 Equipment for Forensic Photographs 77 Scene Photography 77 Sequence of Photographs 78 Photographing Human Abuse and Assault Injuries 78 Tips for Photographing Anatomical Features 81 Digital Evidence 82 What Is Digital Evidence and Cyberforensics? 82 What Is the Unique Forensic Value of Digital Evidence? 82 Implications for Healthcare and Forensic Personnel 84 Contents vii Tampering and Spoliation of Records 85 Safety and Security Concerns 86 Reporting 87 Appendix 2.1: Adult Male Body Diagram 88 Appendix 2.2: Adult Male Body Diagram, Side View 89 Appendix 2.3: Adult Female Body Diagram 90 Appendix 2.4: Adult Female Body Diagram, Side View 91 Appendix 2.5: Head and Neck 92 Appendix 2.6: Hands 93 Appendix 2.7: Feet—Toes and Bottom 94 Appendix 2.8: Feet—Side View 95 Appendix 2.9: Hands, Feet, Head, Eyes, Ears 96 Appendix 2.10: Female Genitalia 97 Appendix 2.11: Male Genitalia 98 Appendix 2.12: Child Body Diagram 99 Appendix 2.13: Infant Body Diagram 100 Appendix 2.14: Consent to Photograph Forms 101 Appendix 2.15: Some Commonly Used ICD-9 and CPT Codes 103 References 104 3 Evidence 105 Healthcare Role in Evidence Collection 106 Healthcare Providers 106 Categories of Evidence 107 Types of Evidence 108 Physical Evidence 108 Trace Evidence 108 Verbal Evidence 109 Questions to Ask 109 Demonstrative Evidence 110 Testimonial Evidence 110 Digital or Electronic Evidence 110 Behavioral Evidence 111 Basic Principles of Evidence Collection 111 General Procedures 112 Personal Protective Equipment 112 Collection Basics 112 Drying 113 Labeling 114 Sealing 114 Processing 115 Storage and Security 115 VIH Contents Chain of Custody 116 Common Types of Physical Evidence in Medical Settings 118 Clothing 118 Bullets and Other Projectiles 119 Foreign Objects 120 Trace or Small Evidence 120 Gunshot Residue 121 Small or Loose Materials 121 Large Loose Foreign Materials 122 Fibers and Threads 122 Hair 123 Paint 123 Metal or Sharp Items 123 Glass 124 Pollen 124 Guidelines for Collecting Pollen Samples 125 Biological Evidence 125 Body Fluid Collection 125 Control Swabs 125 Dried Blood 126 Moist Secretions (e.g., nondried blood or other moist substances; semen or unknown liquid) 126 Dried Secretions 126 Urine Samples 126 Gastric Contents 127 Bite Marks 127 Blood Alcohol and Other Toxicological Specimens 128 Testing for Drugs of Abuse 130 Poisoning 131 Things Not to Do 132 Fetal Drug Exposure 133 DNA— CODIS 133 Sexual Assault 134 After the Evidence Collection 134 Summary 135 Appendix 3.1: Evidence Tag and Chain of Custody 136 Appendix 3.2: Classic Bindle Fold Diagram and Instructions 137 Appendix 3.3a: Blood Collection Instructions 139 Appendix 3.3b: Nail Collection Instructions 140 Appendix 3.3c: Cord Tissue Collection Instructions 141 References 142 Additional Resources 142 Contents ix 4 Domestic Violence and Abuse 143 Physical Abuse 143 Sexual Abuse 144 Psychological Abuse 144 Economie Abuse 144 Joint Commission 146 Intervention for Domestic Violence 147 Screening 149 Be Prepared and Comfortable Dealing with a Yes Answer! 150 Assessment 151 Safety First 152 Patient History 152 Psychological History 154 Physical Examination 155 Intervention 156 Care Plan 157 Mental Health Plan 158 Safety Plan 159 Resource List 161 Community Resources 161 Documentation 162 Appendix 4.1: Danger Assessment — English 163 Appendix 4.2: Danger Assessment — Spanish 165 Appendix 4.3: Domestic Violence Assessment Tool 167 Appendix 4.4: Domestic Violence CQI Tool 170 References 172 Sexual Assault 173 Definitions 173 Goals of Care 173 Injuries 174 Role of the First Responder and Healthcare Provider 175 Sexual Assault Nurse Examiners (SANE) 176 A National Protocol 177 Appendix 5.1: Suggestions for Police Officers in Sexual Assault Cases 195 Appendix 5.2: Suggestions for First Responders in Sexual Assault Cases 198 References 201 Contents Child Abuse and Neglect 203 Definition of Child Abuse 203 Physical Abuse 203 Emotional Abuse 204 Sexual Abuse 204 Neglect 204 Munchausen by Proxy 204 Forensic Resources 204 Basic Assumptions 205 Why Parents or Caregivers Abuse 205 Child Abuse: Not an Isolated Event 205 The Vulnerable Child 206 Target Child 206 Healthcare s Role 206 General Assessment 206 Recognizing Child Physical Abuse 207 Parent-Child Interaction 207 Evaluating Childhood Injuries 208 Accidental versus Abusive Injuries 209 Physical Exam 210 Head Injuries 210 Injuries to the Face and Mouth 212 Musculoskeletal Injuries 212 Burns 212 Review of Records 213 Interviewing the Abused Child 214 Healthcare Provider Actions in Cases of Suspected Poisoning 214 Reporting Responsibilities 215 What to Report 215 Child Neglect 215 Sexual Assault of Children 215 Pediatrie Specimens 217 Bite Marks 217 Swab Technique for Bite Marks 217 Prenatal Alcohol and Drug Abuse 217 Poisoning 218 Laboratory, Radiological, and Ophthalmic Testing 218 Munchausen by Proxy Syndrome 219 Sudden Infant Death Syndrome (SIDS) 222 Failure to Thrive 222 Summary 222 Contents xi 8 Appendix 6.1: Guidelines for Initial Healthcare Provider- Child Interaction 224 References 225 Additional Resources 226 Sexual Assault of Children 227 Reporting Laws 228 Definitions 228 Child Sexuality 229 Perpetrators and Victims 229 Short- and Long-Term Psychological and Physical Harm 230 Signs of Sexual Abuse in Children 230 Prehospital Care 231 Physical Injury 231 Initial Disclosure 232 Assessment 232 Nursing Diagnoses 234 Planning 234 Intervention 234 Evaluation 235 Prevention 235 Summary 236 Appendix 7.1: Child Sexuality 237 At Birth 237 During First Year 237 Two Years 237 Three Years 237 Four Years 238 Five to Seven Years 238 Eight to Twelve Years 238 Thirteen Years and Older 238 Appendix 7.2: Signs of Child Sexual Abuse 240 References 240 Additional Resources 241 Youth Behaviors and Violence 243 Risky Behavior 243 Drug Use 244 Dating Violence 244 Bullying 247 Guns and Gangs 249 Dangers to Bystanders and Healthcare Workers 250 ■ ■ Contents Female Gang Membership 250 Eífects of Gangs on Children 250 Gangs in Rural Areas 251 Homelessness ZDi Suicide 251 Risk Factors for Suicide 252 Deterrents 252 Intervention 252 Stranger Danger 254 Child Pornography 255 Summary 2^6 References 2^6 9 Elder Abuse 259 Categories of Elder Abuse 262 }oint Commission Standards 262 Definitions 263 Physical Abuse 263 Sexual Abuse 263 Emotional or Psychological Abuse 263 Spiritual Abuse 264 Neglect 264 Self-Neglect 264 Fraud, Theft, and Financial or Material Exploitation 264 Abandonment 265 Risk Factors for Abuse 266 Signs and Symptoms of Physical Abuse 266 Signs and Symptoms of Sexual Abuse 266 Signs and Symptoms of Emotional or Psychological Abuse 267 Signs and Symptoms of Neglect 267 Signs and Symptoms of Self-Neglect 267 Signs and Symptoms of Abandonment 268 Signs and Symptoms of Financial or Material Exploitation 268 Reasons Elder Abuse Isn t Reported 268 Reasons for Abuse or Neglect in Institutionalized Settings 269 Assessment 269 Physical Assessment 269 Mental Assessment 270 History 270 Intervention 271 Reporting 272 Safety Planning 272 Contents xiii 11 Resources 273 Appendix 9.1: Rights of Elders 274 Fairness 274 Freedom 274 Self-Determination 275 Privacy 275 Appendix 9.2: Elder Abuse Assessment Tool 276 Appendix 9.3: Support Agencies 278 References 278 Death Investigation 281 Some Thoughts to Consider 281 History- 283 Cause, Manner, and Mechanism of Death 283 Manner of Death 284 Mechanism of Death 285 Example 1 285 Example 2 285 Autopsy- 285 Role of the Death Investigator 287 Goals of Death Investigation 287 Implications for Healthcare Providers 287 Death Investigation Basics 287 Goals of Evidence Collection at the Time of Death 288 Handling the Deceased 288 Assisting Survivors 290 Traumatic Grief 290 The Consultation Autopsy 291 Organ and Tissue Donation 291 Basic Information Regarding Donation 292 Brain Death Criteria 292 Summary of HCFA 42 CFR 482 292 In Conclusion 293 Appendix 10.1: Deaths to Be Reported to the Office of the Medical Investigator (OMI) 294 Appendix 10.2: Suspicious Circumstances of Death 295 Appendix 10.3: Death Investigation Report 296 References 297 Occupational Issues for Forensic Personnel 299 Safety in the Workplace 299 The Clean Room 300 XIV 12 Contents Workplace Violence 301 Precipitating Factors 302 Those at Greatest Risk 303 Prevention 303 Awareness and Responses 304 Signs of Increasing Tension 304 Responding to Increasing Tension 304 Signs of Increasing Disruption 304 Response to Increasing Disruption 304 Types of Violent Behavior 305 Responding to Violent Behavior 305 Reporting Responsibilities 306 Consequences for the Victim, Staff, Patients, and the Provider Organization 306 OSHA Guidelines 306 Hostage-Taking Scenarios 307 Sexual Harassment 308 Types of Sexual Harassment 308 Sexual Harassment Policy 308 Electrical Hazards 309 Definitions 309 Two Important Rules 309 Toxins 310 Carbon Monoxide and Oxygen Deprivation 310 Cyanide Poisoning 311 Hydrogen Sulfide 311 Altitude-Related Illness 312 Bomb Threats 312 Forensic Response 313 Regulations and Reporting 313 Appendix 11.1: Equipment and Supplies 314 Appendix 11.2: Minimum Required Equipment for Nontransport Medical Rescue Vehicles: New Mexico Administrative Code 2009 316 Appendix 11.3: Violent Incident Report Form 319 Appendix 11.4: Bomb Threat Report 320 References 321 Legal Issues 323 Testifying in Court 323 Fear Not 323 What Is the Law? 323 Contents xv Be Prepared 324 Arrival 325 Personal Characteristics 325 Attire 325 Presence on the Stand 326 Do s and Don ts When Testifying 326 Dos 326 Don ts 327 Testimony 327 Depositions 328 Index 331
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title	Forensic science in healthcare caring for patients, preserving the evidence
title_auth	Forensic science in healthcare caring for patients, preserving the evidence
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title_full	Forensic science in healthcare caring for patients, preserving the evidence Connie Darnell
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