CHILD AND SPOUSE ABUSE AND NEGLECT

Hospital Corpsman Revised Edition - Complete Navy Nursing manual for hospital training purposes
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assault, careful attention to psychological factors must be given to lessen the impact of the incident. This is especially important when a minor is involved and the reaction of adults may be more harmful than the actual assault itself. Tactful questioning and the use of appropriate terminology are of extreme importance throughout the history taking and examination. OPNAVINST 1752.1, S e x u a l A s s a u l t Vi c t i m Intervention (SAVI) Program, and SECNAVINST 5800.11, Victim and Witness Program, provide guidance for the care and support of victims of sexual assault. CHILD AND SPOUSE ABUSE AND NEGLECT The nature of child and spouse abuse and neglect requires a careful patient history and physical examination to identify or rule out past and present injuries caused by abuse or neglect. The policies and guidelines established by the Navy Family Advocacy Program must be followed. This program was discussed earlier in this chapter and is outlined in SECNAVINST 1752.3 and BUMEDINST 6320.70. SUMMARY Retaining our high medical standards and the quality healthcare the fleet demands, as well as providing care for military dependents and a constantly expanding retiree database, requires a healthcare administration support structure that is second to none. DEERS management and the determination of patient eligibility are crucial components and only two of the areas discussed in this chapter. Also covered were many of the health-related programs established to benefit and support eligible recipients in the military community. These programs are often meant to eliminate the need for others. Good quality assurance, for example, creates better patient relations, thereby minimizing legal problems; substance abuse and family advocacy programs identify problems before they become unmanageable; and the physical readiness program helps build a healthier Sailor, thus eliminating needless patient visits. This chapter also provided an overview of the Hospital Corpsman’s responsibilities in the area of interaction with legal authorities. Sexual assault, spouse and child abuse, and drug and alcohol incidents require legal and medical teamwork. Many legal battles are lost because of failure to adhere to the proper administrative procedures. As a Hospital Corpsman, you must be aware of these procedures and ensure that they are followed precisely. 15-13

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