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Attachment 2

CHECKLIST FOR MINIMISING DNA CONTAMINATION OF THE SEXUAL ASSAULT EXAMINATION ROOM AT THE LAUNCESTON GENERAL HOSPITAL : attach 2 Policy9.511WACS STANDARD OF PRACTICE CHECKLIST
Health care practitioners will follow the following procedures when conducting a forensic medical examination. The technical checklist will be completed for every case. Please tick boxes when completed. Prior to examination: 1 Check hospital cleaning log book for status 2 Wearing gloves, mask and goggles, and using designated cleaning fluid and disposable wipe: a) Clean examination table b) Clean patient chairs c) Clean bench/trolley top d) Wipe your pen or use new pen e) Clean light source and any areas that could come in contact with biological fluids Linen: a) Cover examination table with a clean sheet b) Cover pillow with new pillow case c) Obtain clean blanket or sheet to cover patient d) Place a sterile pack down to designate specimen collection space on trolley.

During the examination: 1. 2. 3. Bring patient into clinical examination room to commence the medical forensic examination. Glove, gown and mask prior to commencing, explaining why to client. Select from the secure storage cupboard the range of items that you may use for the examination. If during the examination you require more items that you initially selected, you must remove your apron and gloves before returning to the locked cupboard. Wash hands and retrieve the items, put on a new apron and gloves before recommencing the examination. After selection of equipment (whilst still gloved and gowned) commence the physical examination. Separate new clean gloves should be used for each of the following components of the FME. a) Processing of specimens b) Body examination c) Genital examination d) Collection of specimens that may leave reside on gloves (ie blood, semen on body, paint, debris etc). e) Selecting more equipment from the secure storage cupboard. Apr 2011

4. 5.

Attachment 2 Post examination: 1. 2. 3. 4. 5. Dispose of all disposable items that you selected and didnt use at the time of the examination. They should be disposed of in either the rubbish bin or sharps container. Ensure there are no specimens or equipment left at the conclusion of the examination Remove bed linen and place in linen basket. Remove rubbish bins and linen bags from examination room and replace same unless cleaning staff available to do so. Using designated cleaning fluid and a disposable wipe: a) Clean examination table b) Clean patient chairs c) Clean bench/trolley top d) Wipe down any other non-disposable equipment you have used eg. light source/ sphygmomanometer, stethoscope etc Enter into log book that room used, cleaned, date, time and name of examiner.

6.

Case Name: Technical check list completed by: Signed and dated:

UNDER NO CIRCUMSTANCE SHOULD A FORENSIC MEDICAL EXAMINATION BE CONDUCTED IF THE FACILITIES OR EQUIPMENT ARE COMPROMISED IN ANY WAY. WHERE THE CHECKLIST CAN NOT BE COMPLETED A FULL EXPLANATION SHOULD BE WRITTEN NEXT TO THE ITEM. IF THERE ARE CONCERNS REGARDING THE STATE OF THE FACILITY OR EQUIPMENT PLEASE CONTACT SAFE STAFF TO DISCUSS.

Apr 2011

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