Topic E - Forensic (ER) Emergency > Section E.4.0. Forensic Practice/ Prevention > Unit.E.4.2. Evidence Collection/ Chain of Custody

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Unit.E.4.2. Evidence Collection/Chain of Custody

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The Forensic Nurse's A. B. C. 's of Trauma Care

A = Assessment of, and be an advocate for the victim/victimizer.
B = Bridge the gap - Liaison with outside agencies (police services/ Medical Examiner)
C = Collection /Chain of custody/ Recognition of potential evidence
D = Documentation of findings
E = Evidence - Physical/ Potential evidence
(gross, trace, informational)
F = Families- Remember them - Keep them informed
G = Going to court - Documentation should be accurate & thorough.
H = Hospital policies - Know them - Where to access guidelines.
I = Investigation Identification - of symptoms of child abuse, senior abuse. Domestic Violence - Keep your index of suspicion high!


(McCracken, 1999, p. ).

 

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The critical care nurse encounters victims of violence and abuse in the clinical setting. From these patients or from their visitors, evidence can be collected that, when used in legal proceedings, may interrupt the cycle of violence if a perpetrator is identified and found guilty by a court of law" (Hoyt, 1999, p. 19).

In its simplest definition, "evidence is something legally presented before a court, as a statement of a witness, an object, etc., which bears on or establishes the point in question." 3(P-386) (Hoyt, 1999, p. 19).

"Evidence is further defined depending on the taxonomy used. Evidence may be tangible, such as the written word or a photograph or drawing of the sustained wound; it also may be intangible, such as "excited utterances" (see Appendix) or odors observed on a patient or recalled by a witness interviewed during treatment and documented in writing" (Hoyt, 1999, p. 19).



As crime rates increase across the country, it becomes increasingly essential for the operating room departments to implement procedures for the preservation of evidence accompanying trauma victims. Moreover, it is imperative that the perioperative nurse acquire and use a firm understanding of the basic forensic principles in the care of trauma patients (Schramm, 1991, p. 691).
Regardless of the mechanism of injury, proper documentation of the "chain of custody" is mandated whenever there is forensic evidence (Schramm, 1991, p. 686).

 

Focus Points Reference

Hoyt, C. A. (1999). Evidence recognition and collection

in the clinical setting. Critical Care Nursing Quarterly, 22(1), 19-26. Retrieved December 20, 2002, from EPSCO Database - Academic Search Premier: http://search.epnet.com/direct.asp?an=6822504&db=aph

McCracken, L. (1999). Living Forensics: A natural evolution

in emergency care. Accident and Emergency Nursing, 7(4), 211-216.

Schramm, C.A. (1991). Forensic medicine: What the

perioperative nurse needs to know? AORN American Operating Nurses Journal, 53(3), 669-692.

 


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From 'forensic presentations' in the forensic sourcebooks the following presentations have been selected for this unit:

Unit.E.4.2. Evidence Collection/ Chain of Custody

Forensic Medicine/Forensic History/Historical Firsts and Facts

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International
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This section will continually be added to with guest presentations from forensic experts locally, nationally and internationally and with student presentations.

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From 'forensic cases' in the forensic sourcebooks the following case studies have been selected for this unit

Unit.E.4.2. Evidence Collection/ Chain of Custody

Forensic Medicine/Forensic History/Historical Firsts and Facts

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International
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From 'forensic experts' in the forensic sourcebooks the following panel of experts has been selected for this unit:

Unit.E.4.2. Evidence Collection/ Chain of Custody

forensic panels of experts

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