Ala. Admin. Code r. 610-X-7-.05

Current through Register Vol. 43, No. 1, October 31, 2024

Section 610-X-7-.05 - Sexual Assault Nurse Examiner (SANE)

(1) A registered nurse may practice as a SANE with appropriate additional education, including supervised clinical practice and demonstrated clinical competence.

(2) The educational program for a SANE shall comply with the education standards of the International Association of Forensic Nurses (IAFN). The educational program shall follow the content outline contained in IAFN's Sexual Assault Nurse Examiner Education Guidelines and shall be specific to the population examined by the SANE: adult/adolescent or pediatric.

(a) An adult/adolescent sexual assault nursing education program includes a minimum of forty (40) hours of course work that provides nursing continuing education or academic credit from an accredited educational institution.

(b) A pediatric SANE program includes:

1. A minimum of forty (40) hours of course work that provides nursing continuing education or academic credit from an accredited educational institution.

2. A combined adult/adolescent and pediatric SANE program that includes a minimum of sixty-four (64) hours of course work that provides nursing continuing education or academic credit from an accredited educational institution.

(3) Supervised clinical practice shall occur with one of the following:

(a) A physician licensed to practice medicine in Alabama with training in forensics and/or the detection of abuse.

(b) An advanced practice nurse with experience as a SANE.

(c) Another registered nurse with experience as a SANE.

(d) The registered nurse shall demonstrate clinical competence with all aspects of the examination.

(4) A registered nurse who practices as a SANE shall:

(a) Practice according to a written protocol signed by a trained medical director who is a physician licensed in Alabama or an advanced practice nurse with prescriptive authority prior to administering medications for prophylaxis of sexually transmitted diseases or pregnancy.

(b) Conduct examinations of sexual assault or rape victims in accordance with accepted principles of forensic nursing, including, but not limited to, chain of custody, photodocumentation, colposcopy, documentation, confidentiality, and evidence integrity. All pediatric sexual assault examinations shall include photodocumentation and/or videography.

(c) Maintain documentation of appropriate initial and continuing education, supervised clinical practice, and demonstrated clinical competence which includes peer review.

(d) Have a medical director review each pediatric examination performed.

(5) SANE Program Directors shall have the requisite certification, SANE-A and/or SANE-P, or demonstrate active efforts to achieve the certification, or have no less than five years' experience as a SANE.

Ala. Admin. Code r. 610-X-7-.05

New Rule: Filed November 23, 2009; effective December 28, 2009. Amended: Filed February 25, 2013; effective April 1, 2013.

Adopted by Alabama Administrative Monthly Volume XXXIV, Issue No. 10, July 29, 2016, eff. 9/8/2016.

Author: Alabama Board of Nursing

Statutory Authority:Code of Ala. 1975, § 34-21-2(c)(21).