Forensic Nursing  book cover
1st Edition

Forensic Nursing

ISBN 9780849335402
Published January 13, 2006 by CRC Press
664 Pages 50 B/W Illustrations

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Book Description

Written by an award-winning investigative journalist with more than twenty years of experience, Forensic Nursing takes an objective yet engaging look at a profession that according to the author, "is only for those with a strong stomach, a pure heart, and a quick mind." It presents the personal experiences and perspectives of forensic nurses that work in all areas of forensic and critical care/emergency practice.

The book explores the many medico-legal issues that a forensic nurse will encounter during the course of a career. It details the pertinent medico-legal skill sets that every forensic nurse should acquire. It describes how to effectively yet sensitively approach situations involving sexual assault and interpersonal violence. The text also illustrates how to conduct a successful medico-legal death investigation.

Also of particular interest is information on legal nurse consulting and nursing jurisprudence. The author describes how to prepare for trial and how to maintain professional conduct in the courtroom. She details how to collect DNA evidence and how to deal with the medico-legal issues that may arise from this evidence. Forensic Nursing also serves as a career road map for the beginning forensic nurse, as a motivational tool for the immediate-level nurse, and as a chronicle of past, present, and future challenges and victories for the advanced/seasoned practitioner.

Table of Contents

Table of

Introduction to Forensic Nursing
Who Needs a Forensic Nurse?
Introduction to Forensic Nursing
Clinical Forensic Medicine and "Living Forensics"
The Development of the Forensic Antenna and Cultivation of the
Index of Suspicion
Investigation of Suspicious Injury/Death
Investigating Undiagnosed Trauma
A New Nursing Specialty Emerges

Forensic Nursing as Part of the Nursing Process
The Nursing Process
The Forensic Nursing Scope of Practice
The Scientific Method
Forensic Nursing Science: A Logical Next Step?

The Mandate for Forensic Nursing
The Scope of the Problem: 2002 and 2004 Crime Reports
The Response to Violence by the Joint Commission on the
Accreditation of Healthcare Organization
The Response to Violence by the Public Health Community
Is There a Forensic Nurse in the House?

Forensic Issues in the Clinical Setting
The Emergency Department as the Forensic Portal of Healthcare
Presentation of Specific Forensic Cases in the ED
The Forensic Nursing Response
Sudden, Suspicious, or Unexpected Death in the Healthcare
Healthcare Serial Killers
Quality Improvement and Risk Management
Violence in the Healthcare Environment

Forensic Nurses' Medico-Legal Skill Sets: Observation, Documentation, Photography, and Evidence Collection
The Importance of Medico-Legal Skill Sets
Documentation in the Medical Record
How Healthcare Providers Can Improve Their Documentation
Forensic Photography
Evidence Collection

Sexual Assault
Sexual Violence is a Global Problem
Sexual Assault Hits Closer to Home: The Domestic Problem
Sexual Violence: Definitions, Prevalence, Characteristics
Health-Related Consequences of Sexual Violence
Victims' Utilization of Medical Services
The Healthcare Response to Sexual Violence
The Cost of Sexual Assault
Quality-of-Care Issues
The Medico-legal Examination Environment
Genital Injuries in Sexual Assault Victims
Drug-Facilitated Sexual Assault
A National Protocol for Handling Sexual Assault Cases

Interpersonal Violence
The Scope of the Problem
Domestic Violence in Urban vs. Rural Settings
The Healthcare System's Response to Interpersonal Violence
Healthcare Providers' Role in Interpersonal Violence Cases
The Mental and Physical Impacts of IPV
Domestic Violence Cases: The Emergency Department Portal
The Scope of Partner Violence
A National Consensus on Domestic Violence
The Family Justice Center Concept

Vulnerable Populations
Violence Against Disabled Individuals
Violence Against Men
Violence Against Lesbian, Gay, Bisexual and Transgender
Violence Against Elders
Violence Against Children

Sexual Violence in the Military
Department of Justice Recommendations
Sexual Assault and Abuse in the Military
Looking to the Future
Sexual Violence in the U.S. Military: A Review of the Literature

Sexual Violence on Campus

Forensic Psychiatric Nursing and Corrections Nursing
Balancing the Demands of Care and Custody in an "Invisible"
Nursing Specialty
The United Kingdom Experience
Forensic Psychiatric Nursing: A Review of the Literature
The Care and Feeding of Forensic Psychiatric Nurses
One Nurse's Story
The Human Psyche and the Forensic Psychiatric Nurse
Victimology and Profiling: Is it in a Forensic Nurse's Purview?
Psychiatric Nursing in the Correctional Setting
Nurses and Correctional Officers: An Interdisciplinary Approach
Corrections Nursing
Special Issues: Women in Prison
Special Issues: Sexual Coercion of Women in Prison
Special Issues: Victims of Prison Rape
A Career With Cross-over Appeal: Corrections Nursing and
Medico-legal Death Investigation

Medico-Legal Death Investigation
Making the Transition From the Living to the Dead
Applying a Nurse's Skill Sets to Death Investigation
Understanding the Cause, Manner and Mechanism of Death
Mechanism of Injuries and Wound Identification
Post-Mortem Changes
Crime Scene Investigation
Death Investigation: The Process
Nurses' Contributions to Death Investigation
Medical Examiners and Coroners: Context for the Forensic
Nurse Examiner
Nurses as Coroners
Nurses as Medical Examiners
Nurses as Death Investigators and Law Enforcement Officers
Forensic Nurses and DMORT Duty
Integrating Clinical Practice and Death Investigation

Legal Nurse Consulting and Nursing Jurisprudence
The Legal Nurse Consultant
The Tales of Two LNCs
The Scope of Practice of LNCs
The LNC and the Medical Record
The LNC and Forensic Cases
The Forensic Nurse Goes to Court
Forensic Nurses and Expert Testimony
Preparation for Trial and Professional Conduct in the Courtroom
The Future of Legal Nurse Consulting and Nursing

DNA Evidence and Medico-Legal Issues
DNA Evidence Collection
DNA Evidence Policy Considerations
John Doe Cases
Harnessing the Power of DNA
Addressing the DNA Backlog
Making a Case for DNA
The Justice for All Act of 2004
Debbie's Smith's Story
The Provisions of the Justice for All Act of 2004
The Rest of the Story
The Beleaguered Forensic Laboratory
Forensic Laboratories Partner With Forensic Nurses
Issues of Consent and DNA Evidence

Professional Issues: Forensic Nursing Education and Training
The Current State of Healthcare Education and Training
Forensic Nurses Speak Out on Their Education and Training
Core Competencies and a Core Curriculum for Forensic Nursing
Opportunities for Education and Training

Professional Issues: Forensic Nurses as Entrepreneurs
The Legal Nurse Consultant
The Educator

The Future of Forensic Nursing

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