Explanation of procedures during the exam process

Prior to starting the exam and conducting each procedure, explain to patients what is entailed and its purpose.  In addition, it is important to explain the exam process and the purpose of the exam more generally (e.g., how the evidence may be used by the criminal justice system). Be sure that communication needs of patients are met and that information is conveyed in a manner they will understand. A clear explanation is particularly important for individuals who may not previously have had a pelvic exam or medical care, or who have difficulty understanding what has happened and why they are being asked to undergo a medical forensic exam. Remember that some exam procedures may be uncomfortable and painful to patients, considering the nature of the trauma they have experienced. By taking the time to explain procedures and their options, patients may be able to better relax, feel more in control of what’s occurring, and make decisions that meet their needs. After providing the needed information, seek patients’ permission to proceed with exam procedures. (For a more detailed discussion on seeking informed consent of patients, see A.3. Informed Consent.) 
 
Respect patients’ decisions.  Although medical care and evidence collection may be encouraged during the exam process, responders should provide patients with information about all of their options and assess and respect their priorities. 


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