National Guidelines on Management of Sexual Violence in Kenya
National Guidelines on Management of Sexual Violence in Kenya
National Guidelines on Management of Sexual Violence in Kenya
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Other Comments from the exam<strong>in</strong>ati<strong>on</strong><br />
Diagnosis/impressi<strong>on</strong><br />
Immediate<br />
<strong>Management</strong><br />
PEP 1 doses EC given Stitch<strong>in</strong>g /surgical toilet<br />
d<strong>on</strong>e<br />
STI treatment given<br />
No Yes No Yes No Yes No Yes<br />
No. <strong>of</strong> tablets which EC Comment Comment<br />
Any other treatment / Medicati<strong>on</strong> given /management?<br />
Referrals to<br />
Police Stati<strong>on</strong><br />
VCT/DTC<br />
Laboratory<br />
OPD/CCC/HIV cl<strong>in</strong>ic<br />
Trauma counselor?<br />
Other (specify)<br />
Name <strong>of</strong><br />
Exam<strong>in</strong><strong>in</strong>g Medical/cl<strong>in</strong>ical/Nurs<strong>in</strong>g Officer<br />
Signature <strong>of</strong><br />
Exam<strong>in</strong><strong>in</strong>g Medical/cl<strong>in</strong>ical/Nurs<strong>in</strong>g Officer<br />
Date<br />
La<br />
Sample Type<br />
Test<br />
Please tick as is applicable<br />
Comments<br />
bor<br />
a<br />
t<br />
<str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g><br />
governme<br />
nt Lab<br />
Health Facility Lab<br />
o<br />
r<br />
y<br />
S<br />
amp<br />
l<br />
es<br />
L<br />
a<br />
Genital -<br />
Anal -<br />
Sk<strong>in</strong> -<br />
Oral swabs<br />
Specify<br />
High vag<strong>in</strong>al<br />
swab<br />
Ur<strong>in</strong>e<br />
Sperm<br />
DNA<br />
Culture and<br />
sensitivity<br />
Sperm<br />
Pregnancy Test<br />
Microscopy<br />
Drugs and<br />
alcohol<br />
Other<br />
47