| 1. IDENTIFICATION |
| 1.1 Define violence against women within the context of an intimate relationship |
| 1.2 Describe the prevalence of intimate partner abuse in women presenting to Emergency Departments |
| 1.3 Identify health effects of intimate partner abuse |
| 1.4 Describe: cycle of violence, barriers women face in leaving, characteristics of abusive men |
| 1.5 List presentations of abused women in the Emergency Department (includes injury pattern, behaviours, medical presentations, vague complaints and
emotional affect) |
| 1.6 Discuss the effects of culture, geography, home environment, disability and sexual orientation on presentations |
| 1.7 Identify those patients that may be at high risk of abuse (include pregnancy, partner’s behaviour, etc) |
| 1.8 Identify patient-related barriers to disclosure (include concerns about privacy, confidentiality, cultural/ethnic/religious beliefs, resource availability etc) |
| 1.9 Acknowledge pre-existing values, attitudes, beliefs and experiences related to abuse among Health Care professionals and how these impact on the interaction
with the patient |
| 1.10 a. Explain issues that contribute to a lack of safety in identifying abused women in the ED environment |
| b. Identify factors that contribute to a safe environment in identifying abused women |
| c. Describe how to set up a safe environment enabling women to disclose abuse |
| 1.11 Communicate with patients in a supportive, nonjudgmental manner |
| 1.12 Demonstrate appropriate ways of asking about, or screening women for, intimate partner abuse or violence |
| 2. ASSESSMENT AND INTERVENTIONU |
| 2.1 Communicate appropriate responses to disclosure, nondisclosure, and indicators of abuse despite nondisclosure |
| 2.2 Acknowledge the patient’s response in a non-judgmental, supportive manner |
| 2.3 a. Describe legal obligations upon disclosure of abuse |
| b. Describe reporting obligations regarding children |
| c. Communicate with the patient regarding reporting issues (woman and her children) in a clear and supportive manner |
| 2.4 Discuss repercussions of disclosure for the women and her children |
| 2.5 a. Identify available local hospital, community, regional and provincial resources and how to access them |
| b. Review with patient available options |
| c. Value and respect a woman's rights to make her own decisions |
| d. Communicate information to the woman that supports her decision making |
| e. Offer appropriate referrals |
| 2.6 Identify high risk situations for: |
| continued abuse |
| medical morbidity/mortality including suicide |
| homicide |
| 2.7 a. Perform a focused assessment of immediate risk/safety |
| b. Distinguish among hospital and/or community resources to be called upon in the event of immediate risk to her safety |
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| 2.8 Perform appropriate documentation of patient’s history, physical findings, working assessment/diagnoses, follow up arrangements |
