dna

Sexual Assault

Forensic and Clinical Management

A Virtual Practicum™ based on the
National Protocol for Sexual Assault
Medical Forensic Examinations

Take the tour!

User Guide

©2008 Trustees of Dartmouth College. All rights reserved. QuickTime and the QuickTime logo are trademarks or registered trademarks of Apple Computer, Inc., used under license therefrom. All brands, product names and logos are trademarks of their respective owners.

This project was supported under the President's DNA Initiative by Cooperative Agreement Number 2004-IJ-CX-K041, awarded to the Interactive Media Laboratory at Dartmouth College and administered by the U.S. Department of Justice. Points of view or opinions in this program are those of the author and do not represent the official position or policies of the U.S. Department of Justice.

1. Overview of the Program

This program teaches how to conduct sexual assault medical examinations that are patient-centered and that preserve evidence. It’s designed to complement the recommendations outlined in the National Protocol for Sexual Assault Medical Forensic Examinations.

This new, interactive program provides expert instruction for health-care professionals who may care for sexual assault patients – and may be called to testify about that care. The training’s designed for registered nurses, advanced practice nurses, midwives, physician assistants, physicians, and students in these professions.

Others may find certain sections of the program of benefit, including victim advocates, emergency medical services professionals, licensed vocational/practical nurses, counselors, EMS and law enforcement personnel, officers of the court, and forensic scientists.

Your training takes place in a Virtual Sexual Assault Clinical/Forensic Facility. Using an engaging, interactive format, experienced practitioners will guide you through most of the tasks an examiner must perform when caring for a sexual assault patient. The centerpiece of this learning is the practicum in the clinic’s Room A. Here, Karen Carroll, RN, SANE-A, takes you through the entire forensic exam with a virtual patient, from the consent process, through history-taking, general examination and documentation, pelvic exam, documentation, medical care (emphasizing emergency contraception in this case), and planning for follow-up care. Completing the Room A practicum qualifies you to practice your skills in a second, more challenging, case using your virtual evidence collection kit.

Other areas of the clinic help prepare you to testify in court and see how a forensic laboratory analyzes evidence. You may attend video discussions on controversial topics along with an “after-action” discussion by members of a sexual assault response team. Additionally, there are interviews with actual assault survivors and access to relevant Web-based resources.

The program contains approximately 12 hours of training. It can be used individually, in small groups, or in classroom settings led by an instructor. The program provides excellent preparation for hands-on courses and refresher training to help maintain knowledge and skills gained during such courses. It’s designed for use with Windows XP and Vista systems. (See System Requirements at left for specifics.)

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2. Installing the Program

System requirements

  • Supported OS: Windows® XP SP2/Vista
  • Processor: 1.5 GHz required. 2 Ghz recommended
  • RAM: 512 MB. 1 GB recommended (Vista requires 1 GB. 2 GB recommended)
  • Video card: 800x600, 32-bit color
  • Sound card: Any
  • DVD-ROM: Any
  • Hard drive space: 2 GB
  • Peripherals: Keyboard; mouse or touchpad

Installation

To install, insert the Sexual Assault DVD and follow the onscreen prompts.

This program requires Quicktime 7.3.1 or later. If you do not have QuickTime installed, or have an earlier version, QuickTime 7.3.1 will be installed automatically. If you have a QuickTime Pro license for version 6 (or earlier), that license will cease to work when the newer version of QuickTime is installed.

Installation option

You have two ways to get the latest version of the program, including any updates and revisions:

  1. We strongly recommend leaving the setting "periodically check for updates" enabled so that you will receive any corrections or improvements automatically each time you launch the program. (This assumes an Internet connection.)
  2. If you leave the box unchecked, you can check for updates manually by choosing the "Update Sexual Assault Examiner" link in your Start folder.

Uninstalling

To uninstall the program, use the Windows® "Add or Remove Programs" utility.

Starting the program

To launch the program, click on the Start Menu and select "Sexual Assault Examiner" or simply double-click on the SAE desktop icon.

Before launching the program, make sure your speaker or headphone volume is adjusted to comfortable levels. We recommend quitting all other programs as email notifications, IM chats or browser-surfing are likely to interfere with the immersive experience of being in the virtual Facility.

Screen settings

This program is best viewed with your screen resolution set at 800 x 600 and the color set at 32-bits (millions of colors).

The first time you launch the program, the program will automatically ask you if you want to use these optimal settings.

Click "Yes" and check how things look. If you have a regular monitor (not the new wide-screen style), everything should look good. When you exit the program, the screen resolution will go back to the settings you had before starting the program.

If you have a wide screen, things may look stretched out. If that happens, you'll need to quit the program (using ALT-F4) and adjust the settings yourself (using the monitor properties controls and, if available, the "maintain aspect ratio" control). Then re-launch the program holding down the Shift key. This will let you choose to not automatically re-size your screen.

If you're using an LCD monitor or laptop screen, try setting the monitor settings so the display expands to full screen.

Updates

If an update is available, you can choose whether to download it or continue running your existing version. If you choose to install it, it will begin downloading. Downloads can take a long time, especially if you're on a dial-up connection, so be patient. If it's taking too long, click Cancel and you can begin using the program as normal. If you have cancelled a download, you can pick up where you left off by doing another update.

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3. Getting Started

Signing in to the Program

Following the opening credits screen, you'll sign in so that your progress through the program can be saved. Returning users can select their name from the roster on the right side of the login screen to resume their progress.

If you're using the program for the first time, click the "New Student" button and you'll be asked to type your first and last name. This is the name that will appear on your Certificate when you complete the core portions of the program. After you click which profession fits you best, you'll be asked to review what you've entered. If everything looks good, click the Begin button.

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4. Areas of the Virtual Sexual Assault Clinical/Forensic Facility

Facility Overview with callouts

Main areas of the Sexual Assault Clinical/Forensic Facility.

Room A

This is the recommended place to begin your training. Karen Carroll is your guide through a practicum with simulated patient Mary Lange. She'll work with you, step by detailed step, through a sexual assault examination, pertinent medical care (emphasizing emergency contraception), and planning follow-up care. Depending on your thoroughness, the Practicum can take as long as three hours.

In the second, shorter, patient simulation that follows, you'll see a second Mary Lange that is completely different from the first Mary Lange case. You'll be more on your own, using a virtual evidence collection kit and helping your simulated patient deal with issues related to sexually transmitted infections and HIV.

Room B

Pat Speck models the history-taking portion of a sexual assault examination with 3 simulated patients: a male adolescent, an elder, and a young female victim of chronic inter-familial abuse. During each of these, you can elect to hear Pat point out especially pertinent insights. These are followed by an opportunity to view the forensic medical record for each case, get follow-up information, and see "director's commentary" versions of each encounter.

Courtroom Area

Pretrial Preparation

Eventually all examiners must interact with the legal system. In the Pretrial Preparation room, Roger Canaff, a sex crimes prosecutor, provides valuable insight into handling this competently. He'll prepare you to be a confident expert witness.

Courtroom

Observe Karen Carroll testify in a realistic courtroom setting about her findings from the first and second Mary Lange cases that you did in Room A. Roger Canaff provides commentary and additional tips to help make your testimony as effective as possible.

Conference Room

Watch a sexual assault response team conduct an after-action review of the second Mary Lange case from Room A. Additionally, experts sexual assault examiners get together to discuss important, controversial issues.

The Learning Resources Room

Survivor Interviews

Five real survivors of sexual assault talk candidly about their experiences. They describe the assault itself, first response, encounters with the health and legal systems, recovery, and further thoughts.

Web Links

For those with an Internet connection, you can access relevant web sites from within the program. These links are accessible from a standard web browser here.

If you use the embedded browser, you may find some sites launch a new browser window. To get back to the program, just click on the SAE tab on your Windows® taskbar.

Forensic Laboratory

Criminalist Kevin McMahon leads a tour through a virtual forensic lab to show what happens to the evidence from the second Mary Lange case, why proper collection techniques are critical for successful prosecution, and how evidence is processed and analyzed.

Faculty-only Lounge

Enter the correct PIN and you be able to jump to any portion of the program so it can be used in a classroom-based instructor-led training.

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5. Using the Program

Walking in the Halls

To get around in the virtual Facility, move your mouse around in the hallways and the cursor will turn into large arrows that indicate where you will go if you click.

Hallway view with cursor and tool tip

A typical view of the hallways. The curving arrow indicates that clicking will turn to face the Room A door.

Controlling Presentations

Most of the program areas offer these control buttons at the bottom of the screen.

nav trays with pause

While presentations and activities are playing, the buttons at the bottom of the screen are "back," "pause," and "next."

Back

Takes you back one step to review material you've just covered.

Pause

Temporarily halts a presentation. Click resume to continue the presentation.

Forward

Skips ahead to the next chunk of material. Since the amount of material skipped can be a little or a lot, use this cautiously. If clicking Forward would make you skip an activity, you'll be asked to confirm that you want to skip it.

Hitting the Esc key skips the currently playing audio or video. This can be used to skip sections of the program that you've already seen or heard, such as the opening credits for returning users. Caution: Using ESC on portions that you haven't already seen can cause you to miss vital information or directions on what to do next.

Overview button

The Overview button is available from almost every screen in the bottom left corner. Clicking it takes you to a bird's-eye view of the Facility. Click on a portion of the diagram to go to that area. You could also click go back to return to where you were or Exit program.

Overview of the Sexual Assault Clinical/Forensic Facility

Overview of the Facility. Click on the diagram to go that area.

Exiting the program

There are two ways to exit the program. However you choose to exit, your progress will be saved. When you come back to the program you will returned to where you left off.

Hallway view with exit and overview button

A view of the Reception Area, with overview button and exit door.

A. Overview

Click any Overview button and then click the Exit program button.

B. Exit Door

Click on the exit door in the Reception area of the Clinic.

Closed captioning

Closed captioning is available throughout the program by pressing ALT-C. A text transcript of any spoken audio will appear in the top left corner of the screen. Press ALT-C again to turn captions off. If captions aren't appearing, try clicking on the main portion of the screen before hitting ALT-C.

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6. Tracking Your Progress

The bulletin board mounted outside the Waiting Room offers several valuable links.

Bulletin Board Menu

Roll your cursor over the various things tacked to the bulletin board.

A. Student Progress Report

Clicking the manila folder on the bulletin board will present a progress report showing which of the areas of the program you have completed. Click Open Browser to Print on the report screen to open an external web browser from which you can save or print your report.

  Section Est. Time to Complete
Room A First Mary Lange Visit 3hr
  Second Mary Lange visit 1hr 15min
Room B Core history-taking 1hr 45min
  Supplementary Learning 1hr 20min
Courtroom Pretrial Preparation 30min
  Courtroom Presentation 1hr
  Testimony for Second Mary Lange 30min
Conference Room After-action review 8min
  Controversial issues 20 min
Learning Resources Room Survivor interviews 1hr 5min
  Web Links depending on link
Forensic Laboratory Main Presentation 20min
  Lab Videos 15min

B. Certificate

A Certificate of Completion icon will appear on the bulletin board when you've completed the following: the Practicum and second visit with simulated patient in Room A, the three patient histories in Room B, and the main presentation of the Pretrial Preparation, Courtroom, and Forensic Laboratory areas. Onscreen instructions will guide you through printing out your certificate.

C. Production Credits

The blue folder contains credits recognizing the people and institutions who made this program.

D. Acknowledgments

The red folder contains additional acknowledgments of people and institutions that played an integral part in making the program.

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7. Troubleshooting

I can't run the program because I have a limited (or restricted) user account.
You'll need to have your system administrator or someone with administrator privileges launch the program for the first time. Thereafter, you'll be able to use the program even with restricted access.
 
The screen looks distorted or too small.
The program does its best to change your monitor resolutions at start-up to make the size of the videos be as big as possible. (This applies to LCD monitors and laptop displays.) However, because of variations in hardware and software, it may not be able to do this well. Sometimes the image remains small, or even stretched/distorted. If this happens, exit the program if it's running and try manually changing your monitor settings. Right-click on the Windows® desktop and choose "Properties." Click the "Settings" tab and drag the slider for "Screen Area" to 800x600. Click "OK" and re-launch the program. You'll need to go back into the Properties to re-size your monitor size manually when you quit.
 
I can't get into the Waiting Room.
While it is important to have a waiting room for a patient's comfort in the virtual Facility, there is no interaction available there in this program.
 

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8. Instructions for updating to SAE 1.5

Sexual Assault Examiner: Clinical and Forensic Management (SAE) has a new update!

This new update is Windows 7 compliant and adds a set new features that make it easy for an instructor to use the program in a group or classroom setting.

Note: These instructions are for those with an existing installation of the original SAE program on their computer and who want to update to the latest version.

Step 1: Start the program normally (from the Start menu). When the program asks you to install a new update please do so. Your update will be downloaded and then installed.

Step 2: Start up SAE again. The program will ask you if you wish to update again. This is normal, and part two of the "double update" process. There will be a screen that warns you that this update is significantly larger than the previous one. Please proceed. There is a progress bar for both the download and the installation, but please allow up to 30 - 45 minutes on a relatively fast internet connection for the whole of step two to complete.

Warning: If at any time the update process is interrupted, the program may become corrupted and you may need to reinstall SAE and update again.

Step 3: After the update is complete, please start the program once more. As a student not many things about the program will have changed. Any prior progress through the program will be preserved. As an instructor there is a whole new interface for using the program. Feel free to explore. New teaching movies and instructions will be available in the coming weeks. They will be available through IAFN.

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9. Software License Agreement

Sexual Assault: Forensic and Clinical Management 1.5
SOFTWARE LICENSE AGREEMENT
Copyright © 2010 by the Trustees of Dartmouth College

SOFTWARE LICENSE AGREEMENT

IMPORTANT - READ CAREFULLY: THE ACCOMPANYING PROGRAM (WHICH INCLUDES
COMPUTER SOFTWARE, THE MEDIA AND RELATED DOCUMENTATION IN PRINTED AND
ELECTRONIC FORM) IS LICENSED TO YOU ON THE TERMS SET FORTH BELOW,
WHICH CONSTITUTES A LEGAL AGREEMENT BETWEEN YOU AND THE TRUSTEES OF
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WHICH YOU OBTAINED THE PROGRAM AND REQUEST A REFUND.

Limited Use License

Dartmouth College grants you the non-exclusive, non-transferable,
limited right and license to use one (1) copy of the Sexual Assault:
Forensic and Clinical Management 1.5 program (SAE 1.5) solely for your
use on a single computer. You may make one (1) copy of the SAE 1.5 in
machine readable form solely for back-up purposes, provided you
reproduce the SAE 1.5 in its original form and with all proprietary
notices on the back-up copy.

Restrictions on Use

You may not:

    1. Create derivative works based on the SAE 1.5;

    2. Reproduce the SAE 1.5 except as described in this Agreement;

    3. Sell, assign, license, disclose, or otherwise transfer
    or make available the SAE 1.5 or any copies of the SAE 1.5 in
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    4. Alter, translate, decompile, or attempt to reverse
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    5. Remove or alter any proprietary notices or marks on
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This software license may not be sold, or transferred to a country
listed in Country Group E-1 (Sudan, Syria, N. Korea, Iran and Cuba) in
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Dartmouth College owns all rights, title and interest in and to the
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Limitation on Damages

THE SEXUAL ASSAULT: FORENSIC AND CLINICAL MANAGEMENT 1.5 PROGRAM AND
DOCUMENTATION IS BEING DELIVERED TO YOU "AS IS" AND DARTMOUTH COLLEGE
MAKES NO WARRANTY AS TO ITS USE, RELIABILITY OR PERFORMANCE.

DARTMOUTH COLLEGE DOES NOT AND CANNOT WARRANT THE PERFORMANCE OR
RESULTS YOU MAY OBTAIN BY USING THE SAE 1.5. DARTMOUTH COLLEGE FURTHER
REPRESENTS AND WARRANTS THAT, TO THE BEST OF ITS KNOWLEDGE AND BELIEF,
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ANY THIRD PARTY. YOU ASSUME ALL RISK ASSOCIATED WITH THE QUALITY,
PERFORMANCE, INSTALLATION AND USE OF THE SAE 1.5 INCLUDING, BUT NOT
LIMITED TO, THE RISKS OF PROGRAM ERRORS, LOSS OF DATA OR SAE 1.5
SOFTWARE PROGRAMS, OR UNAVAILABILITY OR INTERRUPTION OF
OPERATIONS. YOU ARE SOLELY RESPONSIBLE FOR DETERMINING THE
APPROPRIATENESS OF USE OF THE SAE 1.5 AND ASSUME ALL RISKS ASSOCIATED
WITH ITS USE.

Indemnification

You agree to indemnify, defend and hold Dartmouth College, its
partners, affiliates, contractors, officers, directors, employees and
agents harmless from all damages, losses and expenses arising directly
or indirectly from your acts and omissions to act in using the SAE 1.5
pursuant to the terms of this Agreement.

If you have any questions concerning this license, you may contact

	World Two Systems, LLC
	P.O. Box 471
	Grantham, NH 03753
	sae-sales@world2systems.com

Halyard Multimedia Runtime License

Copyright © 1993-2010 by the Trustees of Dartmouth College.
Portions copyright © 1997-2001 by Id Software, Inc.

Portions copyright by many others.

Sexual Assault: Forensic and Clinical Management 1.5 program runs on
top of the Halyard multimedia runtime.  The runtime may be used to
edit and distribute your own content, independent of SAE 1.5.

The Halyard multimedia runtime is free software; you can redistribute
it and/or modify it under the terms of the GNU General Public License
as published by the Free Software Foundation; either version 2 of the
License, or (at your option) any later version.

The Halyard multimedia runtime is distributed in the hope that it will
be useful, but WITHOUT ANY WARRANTY; without even the implied warranty
of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the GNU
General Public License for more details.

You should have received a copy of the GNU General Public License
along with this program; if not, write to the Free Software
Foundation, Inc., 59 Temple Place, Suite 330, Boston, MA 02111-1307
USA

The various components of the Halyard multimedia runtime are copyright
by many authors.  For full details, please consult
"Halyard-License.txt" and the Halyard source distribution.

You may obtain the source code to the Halyard multimedia runtime from
(http://iml.dartmouth.edu/). You may also receive a machine-readable
copy of the source code (for a charge of no more than the cost of
physically performing source distribution) by writing to Interactive
Media Laboratory, Colburn Hill Suite 204, One Medical Center Drive,
Lebanon, NH 03756 USA within three years of the date of distribution.


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makes no representations or warranties with regard to the
appropriateness of the content viewed through the QuickTime Player,
whether on a pre-installed channel button or as a result of your
search.  Apple does not guarantee the sequence, accuracy, completeness
or timeliness of the content played through the QuickTime Player.
Apple, its officers, affiliates and subsidiaries shall not, directly
or indirectly, be liable, in any way, to you or any other person for
the content you receive using the QuickTime Player or for any
inaccuracies, errors in or omissions from the content.

Rev. 28 FEB 2010

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