Forensic purpose of the exam

Recognize the forensic purpose of the exam.  During the exam, examiners methodically document physical findings and facilitate the collection of evidence from patients’ bodies and clothing. The findings in the exam and collected evidence often provide information to help reconstruct the details about the events in question in an objective and scientific manner.[1] Of course, health care needs and concerns of patients may be presented in the course of the exam that should be addressed prior to discharge. However, patients must understand that the exam does not provide routine medical care. For example, a pap smear will not be done during the female pelvic exam.[2] (This chapter focuses on forensic components of the exam. Other chapters in the protocol discuss more fully medical and other related needs and concerns of patients.)

[1] Note that while exam findings and evidence collected from patients are important in reconstructing the events in question, during a criminal investigation, law enforcement officials look for additional evidence that will create a more complete picture of the event. 
[2] Drawn from L. Ledray, SANE Development and Operation Guide, 1998, p. 63. 



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