Sheila Early RN BScN ARNBC Feb/March S. Early 1

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Sheila Early RN BScN sdeconsulting@telus.net ARNBC Feb/March 2017. S. Early 1

Provide overview of Forensic Nursing development in Canada and globally Describe Forensic Nurse roles in Canada Discuss Forensic Nursing Scope and Standards of Practice ARNBC Feb/March 2017. S. Early 2

The practice of nursing globally when health care and legal systems intersect International Association of Forensic Nurses September 2008 Forensic comes from Latin word forensis meaning of or before the forum Legal or related to the courts is now accepted as meaning of forensics ARNBC Feb/March 2017. S. Early 3

Specialty of nursing which combines the forensic aspects of health care with scientific investigation and treatment of survivors/victims and perpetrators of abuse, violence, criminal activity and accidents. Collision Nursing/Medicine/ and Law Enforcement and /Legal/ Judicial Systems ARNBC Feb/March 2017. S. Early 4

Florence Nightingale may well be considered the first forensic nurse! Nurses in the United Kingdom worked in forensic psychiatry and mental health before World War II Nurses in USA became the first sexual assault nurse examiners in 1976 Other forensic nurses worked in forensic psychiatric units, forensic correctional units ARNBC Feb/March 2017. S. Early 5

Until mid 1980 s nurses working in forensic fields were working in isolation 1986 a paper by Virginia Lynch at American Academy of Forensic Scientists proposed a formal program in forensic nursing based on her master s thesis depicting a forensic nursing model ARNBC Feb/March 2017. S. Early 6

1975 Dr. John Butt hires registered nurses to investigate deaths in Calgary, Alberta, Canada 1986 Virginia Lynch develops her Forensic Nursing Model 1992 International Association of Forensic Nurses formed. Two Canadian nurses from Winnipeg, Manitoba attended, thus International ARNBC Feb/March 2017. S. Early 7

1992 Winnipeg, Manitoba and Surrey, BC start development of first Canadian sexual assault nurse examiner programs ie SANE 1995 American Nurses Association recognizes Forensic Nursing as a specialty 1995 Ontario Network for Sexual Assault Care Centers added nurse examiners to the provincial network ARNBC Feb/March 2017. S. Early 8

2000 1st Canadian IAFN conference held in Calgary, Alberta 2006 2nd Canadian IAFN conference held in Vancouver, BC 2007 Canadian Nurses Association recognizes forensic nursing as a special interest group with the formation of the Forensic Nurses Society of Canada (Cathy Carter Snell, Janet Calnan, Kathleen Soltys, Sheila Early co founders) 2009 Cindy Peternelj-Taylor first Canadian Editor of Journal of Forensic Nursing ( IAFN publication) ARNBC Feb/March 2017. S. Early 9

2011 Forensic Nurses Society of Canada becomes the first Affiliate of International Association of Forensic Nurses 2011 3 rd Canadian IAFN conference held in Montreal, QC 2014 Sheila Early 1st Canadian elected President of IAFN ARNBC Feb/March 2017. S. Early 10

2016 Core Curriculum for Forensic Nursing published by IAFN 2017 Elizabeth Louden 2 nd Canadian elected President IAFN and 4 th Canadian IAFN conference in Toronto, On Oct 11-14 ARNBC Feb/March 2017. S. Early 11

Professional Nurse Education +Forensic Science Education + Forensic Nursing Education = A professional nurse trained to provide care and treatment to the victims both the living and the dead, of violent crime or traumatic events Forensic Nursing: a concise manual by Donna M Garbacz Bader and Sue Gabriel 2010 Page 7 ARNBC Feb/March 2017. S. Early 12

Identification of trauma (assessment) Investigation Documentation (history) pertaining to the incident (intervention) Collection of evidence (specimens/samples) Post investigative review (evaluation) ( Lynch 2005) ARNBC Feb/March 2017. S. Early 13

Innovative expansion of nursing role as an evolving specialty globally Multidisciplinary nature of care for victims of crime, trauma and violence Address previously unmet needs during the time they are caring for the patient, often in close, exclusive contact ( Lynch) Encompasses living patients: the victims, the accused and the condemned Virginia Lynch 2005 Forensic Nursing ARNBC Feb/March 2017. S. Early 14

Forensic Nurse must be unbiased and value neutral in all matters: an advocate for truth and justice Virginia Lynch Forensic Nursing 2005 ARNBC Feb/March 2017. S. Early 15

Interpersonal Violence Forensic Mental Health Correctional Nursing Legal Nurse Consulting Emergency/Trauma Services Public Health and Safety Death Investigation Mass Disasters ARNBC Feb/March 2017. S. Early 16

Forensic Nurse Examiner /Sexual Assault Nurse Examiner across the lifespan Pediatric/Adolescent/Adult/Elder Emergency/Critical Care Nursing Peri operative Nursing Clinical Forensic Nurse Specialist ARNBC Feb/March 2017. S. Early 17

Forensic Correctional Psychiatric Nurse Forensic Mental Health Nurse Forensic Youth Services Nurse Forensic Nurse Consultant Forensic Nurse Investigator ARNBC Feb/March 2017. S. Early 18

Legal Nurse Consultant Nurse Coroner/ Medical Examiner Claims Reviewer Workplace Safety Forensic Nurse Educator Researcher ARNBC Feb/March 2017. S. Early 19

No Canadian Standards to date Default to International Scope and Standards IAFN 2009 ( in review currently) 15 Standards of Practice Assessment, Diagnosis, Outcomes Identification, Planning, Implementation ( Coordination of Care, Health Teachin and Health Promotion, Consultation, Prescriptive Authority and Treatment) Quality of Practice, Education, Professional Practice Evaluation, Collegiality, Collaboration, Ethics, Research, Resource Utilization and Leadership. ARNBC Feb/March 2017. S. Early 20

physical or trace evidence that can be scientifically matched with a known individual or item If properly obtained and examined can be powerful and reliable evidence in any type of trauma, violence or crime Nurses care for patients who are victims of trauma, violence or crime OR are the perpetrators ARNBC Feb/March 2017. S. Early 21

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Forensic Nursing Science 2nd Edition Virginia A. Lynch with Janet Barber Duval Elsevier Mosby 2011 ISBN number 978-0-323-06637-2 Forensic Nursing; a concise manual. Donna M. Garbacz and Sue Gabriel CRC Press 2010 ISBN No. 13-978-1-4200-6739-9 Forensic Nursing Virginia A. Lynch Elsevier Mosby, 2005 ISBN no. 323-02826-8 Forensic Nursing: A Handbook for Practice Rita M. Hammer/ Barbara Moynihan/Elaine M. Pagliaro Jones and Bartlett Publishers 2006 ISBN no. 0-7637-2610-9 Forensic Nursing Evidence-Evidence Based Principles and Practice Rose E. Constantino, Patricia A. Crane, Susan E. Young F. A. Davis Company 2013 ISBN No. 978-0-8036-2185-5 ARNBC Feb/March 2017. S. Early 25

ARNBC Feb/March 2017. S. Early 26

Sheila Early RN, BScN sdeconsulting@telus.net ARNBC Feb/March 2017. S. Early 27