Transcript Human trafficking

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• I PROVIDED MEDICAL CARE/TREATMENT
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• ANSWERING MANY PHONE CALLS OR TEXTS DURING ED/CLINIC VISIT
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• UNABLE TO GIVE ADDRESS WHERE LIVING
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• KEYS TO MOTEL
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• HOW DID YOU MEET YOUR BOYFIREND?
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• TELL ME ABOUT YOUR TATTOO
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PATIENT TALK DIRECTLY WITH
HT
ESTABLISH PROTOCOL FOR MEDICAL EXAM AND
EVALUATION
• 1. CONSULT WITH
• 2. COMPLETE
• 3. EVALUATE
SOCIAL WORKER/NURSE TO IDENTIFY INFORMATION ALREADY OBTAINED
GENERAL PHYSICAL EXAM FOR ACUTE MEDICAL/SURGICAL ISSUES
POSSIBLE CHRONIC UNTREATED CONDITIONS
• 4. LAB/RADIOLOGY/PREGNANCY/STI/DRUG SCREENING TESTING
• 5. ORDER APPROPRIATE TREATMENT
AS APPROPRIATE
BASED ON IDENTIFIED/SUSPECTED DIAGNOSIS
• HIV POST EXPOSURE PROPHYLAXIS (PEP)
• ANTIBIOTICS/ANTIVIRALS
• 6. DISCUSS PLAN/RESOURCES
WITH PATIENT
• 7. MAKE REFERRAL/REPORTING
CALLS AS APPROPRIATE
(RN/PHYSICIAN/MIDLEVEL PROVIDER/
SOCIAL WORKER)
• 8. PROVIDE HT RESOURCE
LINE PHONE NUMBER IF PATIENT DECLINES HELP
MEDICAL DOCUMENTATION
• DOCUMENT THE RANGE OF ABUSES
• HEAD-TO-TOE PHYSICAL EXAM
– INCLUDE ORAL HEALTH
– SIGNS OF NUTRITIONAL DEFICIENCIES
• REVIEW OF SYSTEMS INCLUDING HISTORY OF STRANGULATION, HEAD TRAUMA,
OTHER INJURIES, WORK EXPOSURES, EXPOSURES TO OTHERS WITH ILLNESS
• SCREENING LABS INCLUDING STIS, PREGNANCY AS APPROPRIATE
• FORENSIC COLLECTION AS NEEDED
• REFERRALS/REPORTING
NURSING DOCUMENTATION
• COMPLETE ALL APPROPRIATE SCREENINGS/ASSESSMENTS
• DOCUMENT OBSERVATIONS/CONVERSATIONS AS APPROPRIATE
• DISCHARGE TEACHING WITH PROVISION
OF DOCUMENTS
• REFERRAL INFORMATION/HT HOTLINE NUMBER/ICE NUMBER/SHELTERS
• CPS INFORMATION IF REPORT MADE FOR MINOR
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• HT PRESENTLY
IS NOT A MANDATED REPORT FOR MEDICAL PERSONNEL IN MICHIGAN
• HOWEVER, HT MAY OVERLAP WITH MANDATED REPORTING FOR CHILD ABUSE (VICTIM IS A
MINOR), DOMESTIC VIOLENCE, SEXUAL ABUSE, OR ELDER ABUSE
• – DO MANDATED REPORT AS REQUIRED BY USUAL PROTOCOL
• – PLUS CALL NATIONAL HUMAN TRAFFICKING RESOURCE CENTER
1-888-3737-888
CONNECT CASE TO APPROPRIATE TRAFFICKING LAW ENFORCEMENT, FBI, HOMELAND
SECURITY AND OBTAIN VICTIM SERVICES
AT
TO
• FOR TRANSNATIONAL VICTIMS: U.S. IMMIGRATION AND CUSTOMS ENFORCEMENT CAN BE
CALLED (866-872-4973) TO PROVIDE IMMEDIATE ASSISTANCE WITH VICTIM SUPPORT, LEGAL
ADVOCACY AND NEEDS ASSESSMENT.
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