Regulations for S.A.N.E. Credential

RELATES TO: KRS 314.142
STATUTORY AUTHORITY: KRS 314.131(1), 314.142(1) NECESSITY, FUNCTION, AND CONFORMITY: KRS 314.142(1) requires the board to promulgate administrative regulations to create a Sexual Assault Nurse Examiner Program. This administrative regulation establishes the requirements relating to a sexual assault nurse examiner course and the credentials of a sexual assault nurse examiner.

Section 1. Definition.

Section 2. SANE Course Approval Application.

(a) Course prerequisites, requirements and fees. (b) Course outcomes. The outcomes shall provide statements of observable competencies, which when taken as a whole, present a clear description of the entry level behaviors to be achieved by the learner. (c) Unit objectives. Individual unit objectives shall be stated in operational or behavioral terms with supportive content identified. (d) Content. The content shall be described in detailed outline format with corresponding lesson plans and time frame. The content shall be related to, and consistent with, the unit objectives, and support achievement of expected course outcomes.

1. The SANE course shall include:

a. A minimum of forty (40) hours of didactic instruction pursuant to subparagraph 3 of this paragraph; and b. The clinical practice experience required by subparagraph 2 of this paragraph.

2. Clinical practice. The clinical portion of the course shall be a minimum of sixty (60) hours and shall include:

a. Supervised detailed genital inspection, speculum examination, visualization techniques and equipment - twenty six (26) hours. b. Supervised mock sexual assault history taking and examination techniques with evaluation - ten (10) hours. c. Observing criminal trials or meeting with Commonwealth Attorney - sixteen (16) hours. d. Meeting with rape crisis victim advocate or mental health professional with expertise in the treatment of sexual assault individuals - four (4) hours. e. Meeting with members of law enforcement - four (4) hours.

3. The didactic portion of the course shall include instruction in the following topics related to forensic evaluation of individuals reporting sexual assault:

a. The role and responsibilities of a sexual assault nurse examiner, health care professional, rape crisis, law enforcement and judicial system personnel; b. Application of the statewide medical protocol relating to the forensic and medical examination of individuals reporting sexual assault pursuant to KRS 216B.400(2); c. Principles and techniques of evidence identification, collection, evaluation, preservation and chain of custody; d. Assessment of injuries, including injuries of forensic significance; e. Physician consultation and referral; f. Medicolegal documentation; g. Victimıs bill of rights, KRS 421.500 through 421.550; h. Crisis intervention; i. Dynamics of sexual assault; j. Testifying in court; k. Overview of the criminal justice system and related legal issues; l. Available community resources including rape crisis centers; m. Historical development of forensic nursing conceptual model; n. Cultural diversity and special populations; o. Ethics; p. Genital anatomy, normal variances and development stages; q. Health care implications and interventions; and r. Developing policies and procedures.

(e) Teaching methods. The activities of both instructor and learner shall be specified in relation to content outline. These activities shall be congruent with stated course objectives and content, and reflect application of adult learning principles.

(f) Evaluation. There shall be clearly defined methods for evaluating the learner's achievement of course outcomes. There shall also be a process for annual course evaluation by students, providers, faculty, and administration.

(g) Instructional or reference materials. All required instructional materials and reference materials shall be identified.

Section 3.

(2) Approval period. Board approval for a SANE course shall be granted for a four (4) year period.

(3) Records shall be maintained for a period of five (5) years, including the following:

(a) Provider name, date and site of the course; and (b) Participant roster, with a minimum of names, Social Security numbers and license numbers.

(a) Name of participant; (b) Title of course, date and location; (c) Providerıs name; and (d) Name and signature of authorized provider representative.

Section 4. Continued Board Approval of a SANE Course.

(2) A SANE course syllabus shall be submitted with the "Application for Initial or Continued SANE Course Approval".

(3) Continued approval shall be based on the past approval period performance and compliance with board standards.

Section 5. The board may deny, revoke or suspend the approval status of a SANE course for cause.

Section 6. Appeal.

(1) A written request for the review shall be filed with the board within thirty (30) days after the date of notification of the board action which the SANE course administrator contests.

(2) The board, or its designee, shall conduct a review in which the SANE course administrator may appear in person and with counsel to present reasons why the board's decision should be set aside or modified.

Section 7. Requirements for Sexual Assault Nurse Examiner (SANE) Credential.

(a) Hold a current, active registered nurse license in Kentucky; (b) Have completed a board approved SANE educational course or a comparable course. The board or its designee shall evaluate the applicantıs course to determine its course comparability. The board or its designee shall advise an applicant if the course is not comparable and specify what additional components shall be completed to allow the applicant to be credentialed; (c) If the applicant has completed a comparable course, complete that portion of a SANE course of at least five (5) hours which shall include those topics specified in Section 2(3)(d)3a, b, c, g, k, and l of this administrative regulation if not included in the comparable course. The Office of the Attorney General may offer in cooperation with a board approved continuing education provider a course of at least five (5) hours to include those topics specified in this paragraph; (d) Complete the "Application for Initial SANE Credential"; and (e) Pay the fee established in 201 KAR 20:240.

Section 8. Renewal.

(2) Upon completion of the required continuing education, completion of the "Application for Renewal of SANE Credential" and payment of the fee established in 201 KAR 20:240, the SANE credential shall be renewed at the same time the registered nurse license is renewed.

(3) The five (5) contact hours may count toward the required thirty (30) contact hours of continuing education for renewal of the registered nurse license.

(4) Failure to meet the five (5) contact hour continuing education requirement shall cause the SANE credential to lapse.

Section 9. Reinstatement.

(a) Submitting the "Application for Reinstatement of the SANE Credential"; (b) Paying the fee established in 201 KAR 20:240; and (c) Submitting evidence of earning the continuing education requirement for the number of registered nurse licensure periods since the SANE credential lapsed.

Section 10. Incorporation by Reference.

(a) "Application for Initial or Continued SANE Course Approval" (6/97), Kentucky Board of Nursing; (b) "Application for Initial SANE Credential" (6/97), Kentucky Board of Nursing; (c) "Application for Renewal of SANE Credential" (6/97), Kentucky Board of Nursing; and (d) "Application for Reinstatement of the SANE Credential" (6/97), Kentucky Board of Nursing.

(24 Ky.R. 425; Am. 859; eff. 10-13-97; 26 Ky.R. 1443; 1682; eff. 2-16-2000.)