Individuals suspected of experiencing domestic abuse

(Originally posted on: November 17, 2023

How do we document?

  • Non objectively.
  • For example: “Bruising on the neck” instead of “strangulation marks,” etc.

Who do we call:

  • Henry Ford Police (who will call Detroit Police Department)
  • Case management (for APS filings and social work assessments)
  • Avalon

What is Avalon? (http://avalonhealing.org)

  • A center for support for victims of domestic violence and sexual assault.
  • They provide services from the initial exam (via a sexual assault nurse examiner) to a liaison and patient advocate that will help get housing and other support while they are recovering.
  • They may say that they cannot examine an unconscious patient- this is case by case. Consider calling back when patient is awake.
  • Exams can be done up to 120 hours after incident
  • If you are concerned about sexual assault, consider prophylaxis and discuss with staff.

ER Algorithm

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