Session 5: Documentation
Objectives
- Know how to document in a safe, confidential manner.
- Explain the importance of correct documentation.
- Understand how to correctly fill out the medical exam form.
Presentation
Facilitator guide
Activities
NOTE for something.
Video
The videos include a fictional story of rape or intimate partner violence that may be distressing, difficult or even re-traumatizing for some viewers to watch and listen to. This video is for educational purposes to show participants how to conduct a history and interview about an incident of rape or intimate partner violence.
5. Documentation guidelines
Video by International Rescue Committee and UCLA – Center for International Medicine. https://www.rescue.org/.
Please see https://iawg.net/resources/clinical-care-for-sexual-assault-survivors for the complete clinical care for sexual assault survivors (CCSAS) multimedia tool.
Video by International Rescue Committee and UCLA – Center for International Medicine. https://www.rescue.org/.
Please see https://iawg.net/resources/clinical-care-for-sexual-assault-survivors for the complete clinical care for sexual assault survivors (CCSAS) multimedia tool.
Participant handouts
Key messages
- Document the description of the incident in a clear, objective, non-judgmental way
- Document injuries clearly, precisely and systematically
- Documentation must be safely, securely stored
Required supplies & materials
- Projector, Laptop
- Pen and blank paper workbook for each participant
- Printouts of sample medical history and examination forms and pictograms for the activity
Further resources for facilitators (Optional)
- WHO (2020) Clinical management of rape and intimate partner violence survivors Developing protocols for use in humanitarian settings, pg 20-21