Provides on-call services for victims of sexual assault or abuse who are ages 13 and older. Children ages 12 and younger are referred to a clinic specialized to meet their needs. Service includes: - Care of physical injuries - Sexually transmitted disease prevention and education - Pregnancy risk assessment - Evidence collection - Crisis intervention and supportive counseling

Sexual advocate services include: - Assistance in emergency room visits to collect evidence of an assault - Court advocacy ??- Crisis hotline for those who are victims of domestic or sexual violence - Education on sexual violence - Help with safety planning and protective orders - Information on rights and reparations - Referrals to outside agencies - Support group for people who have been victims of sexual violence - Support if reporting an assault to law enforcement - Support when medical attention is needed to treat injuries, detect potential sexually transmitted infections (STIs), pregnancy, and other concerns

Emergency medicine for severe and life-threatening situations that require immediate medical attention and hospital services including: - Acute care - Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Surgery - Traumatic injury - Transitional care - Uncontrolled bleeding

Sexual advocate services include: - Assistance in emergency room visits to collect evidence of an assault - Court advocacy ??- Crisis hotline for those who are victims of domestic or sexual violence - Education on sexual violence - Help with safety planning and protective orders - Information on rights and reparations - Referrals to outside agencies - Support group for people who have been victims of sexual violence - Support if reporting an assault to law enforcement - Support when medical attention is needed to treat injuries, detect potential sexually transmitted infections (STIs), pregnancy, and other concerns

Level III trauma center for severe and life-threatening situations that require immediate medical attention including: - Broken bones or fractures - Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

Emergency medicine and Level 3 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

Support Within Reach is pleased to announce the start of our Itasca County Sexual Assault Nurse Examiner (SANE)Program in collaboration with Grand Itasca Clinic and Hospital, Bigfork Valley Clinic and Hospital, and Deer River HealthCare Center! What is a Sexual Assault Nurse Examiner (SANE)A SANE is a specially trained medical provider with a minimum of an RN degree, who: Provides comprehensive care to the sexual assault survivor Conducts a forensic examination and collection of evidence Can be called as an expert witness in the courtroom Why should I see a SANE Nurse?Available 24/7 Non-threatening and sensitive exam and evidence collection Knowledgeable and can answer your questions Can address concerns regarding sexually transmitted infections and pregnancy Will review your options with you and respect your decisions Where can I find a SANE Nurse?SANE's are currently available 24-hours in the emergency departments of: Grand Itasca Hospital and Clinic Deer River HealthCare Center Bigfork Valley

Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including: - Adult mental health hospital care: For adults ages 18 and older who need 24 hour hospital care. Criteria for admission to the unit are for the patient to be a danger to self or others. This treatment program is for patients who have a major mental illness and require professional assistance to learn how to cope with significant problems they are experiencing in day-to-day living. Patients receive care in the secured hospital unit while learning how to manage their illness. Professionals from a variety of health care disciplines including psychiatrists, hospitalists, registered nurses, social workers, program specialists and leisure skills facilitators assist patients with treatment and recovery. ?- Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

Sexual advocate services include: - Assistance in emergency room visits to collect evidence of an assault - Court advocacy ??- Crisis hotline for those who are victims of domestic or sexual violence - Education on sexual violence - Help with safety planning and protective orders - Information on rights and reparations - Referrals to outside agencies - Support group for people who have been victims of sexual violence - Support if reporting an assault to law enforcement - Support when medical attention is needed to treat injuries, detect potential sexually transmitted infections (STIs), pregnancy, and other concerns

Emergency medicine for severe and life-threatening situations that require immediate medical attention including: - Broken bones or fractures - Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

Emergency medicine for severe and life-threatening situations that require immediate medical attention including: - Broken bones or fractures - Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

A level III trauma center providing emergency services to those in need. Provides medical attention to patients with these following conditions: - Bleeding that is uncontrollable - Broken bones - Chest pain - Heart emergencies, including heart attack and cardiac arrest - Major allergic reactions - Poisoning - Serious burns - Severe breathing problems - Sexual Assault Nurse Examiners (SANE) both in person and via telemedicine - Stroke - Traumatic injuries

Provides full-service reproductive and wellness clinic services including: - Birth control - Emergency contraception - Family planning - HIV testing - IUD removal - Pregnancy testing - Referrals for Human papillomavirus infection (HPV) vaccinations - Routine exams (blood pressure, pelvic, pap smears, and breast exams) ?- Sexual assault after-care testing and treatment - Sexual health education - Sexually transmitted disease (STD) testing and treatment (including herpes, chlamydia, gonorrhea, syphilis, hepatitis, and HPV) - Testicular cancer information and instruction - Vaginal exams for yeast, trichomoniasis, bacterial vaginitis (BV), and urinary tract infections (UTI)

Emergency medicine and level IV trauma center for severe and life-threatening situations that require immediate medical attention including: - ?Blunt trauma - ?Brain injury - ?Chest pain or pressure - ?Difficulty breathing - ?Gunshot wound - ?Injuries from a serious car accident - ?Injuries from a serious fall - ?Losing consciousness - ?Major burns - ?Mental health crisis - ?Seizure - ?Severe abdominal pain or pressure - ?Sexual assault - ?Stab wound - ?Suicidal thoughts - ?Suspected fracture (broken bone) - ?Trouble speaking - ?Uncontrolled bleeding - ?Weakness, numbness or difficulty with balance or coordination

Sexual assault nurse examiners provide sexual assault forensic exams for survivors of sexual violence. Exams are provided at hospital emergency departments at local hospitals. Advocates are present to support victims throughout the exam.

Domestic Violence Intervention Program (DVIP): Identifies and provides services to patients and employees who are victims and survivors of domestic violence. The program collaborates with the Hennepin County Domestic Abuse Service Center (DASC) to provide services. Next Step: A violence prevention program provided to youth ages 12 - 28 years who are admitted to the hospital due to a stabbing or gunshot. Hennepin Assault Response Team - HART: Assists victims of rape and sexual assault through area hospital emergency departments 24 hours a day. They complete an evidentiary exam and help individuals cope with the trauma and consequences of the assault.

Level III trauma center for severe and life-threatening situations that require immediate medical attention including: - Chest pain or pressure - Convulsions or seizures - Difficulty in breathing - Loss of limb or severely broken bone - Moderate to severe burns - Poisoning - Severe abdominal pain - Severe bleeding - Serious head, neck, or back injury - Unconsciousness

Emergency medicine for severe and life-threatening situations that require immediate medical attention including: - Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

- Emergency heart care by a team of specialists - Intensive Care Unit (ICU) - Level IV trauma hospital - Medical and nuclear medicine imaging - Mental health and substance abuse assessment and referral - Mental Health and Addiction Connection: Resource for scheduling, referrals, questions, and concerns - Sexual Assault Nurse Examiner: When a victim comes to the emergency department within 120 hours (5 days) after the assault, a sexual assault nurse examiner can evaluate him or her for health risks and provide treatment. The nurse also collects evidence of the assault to be used if the victim chooses to report the crime. Crisis information and referrals to support services, as well as medical follow-up, are also provided.

Emergency medicine for severe and life-threatening situations that require immediate medical attention including: - Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

Emergency medicine and level 4 trauma center for severe and life-threatening situations that require immediate medical attention including: - Broken bones or fractures - Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

Emergency medicine and Level 2 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding

Level IV trauma emergency room treating a range of medical conditions: - Abdominal pains - Breathing difficulties - Broken bones - Carbon monoxide exposure - Confusion/inabilty to speak - Dizziness - Head/brain injuries - High fever - Loss of consciousness - Major burns - Mental health, substance use crisis, and suicidal behaviors - Partial or full paralysis - Poisoning - Seizures - Severe bleeding or deep cuts - Severe eye injuries or blindness - Severe pain/chest pain/cardiovascular/heart emergencies - Stroke/neurological emergencies Adult Mental Health Hospital Care: For adults ages 18 and older who need 24 hour hospital care. Criteria for admission to the unit are for the patient to be a danger to self or others. This treatment program is for patients who have a major mental illness and require professional assistance to learn how to cope with significant problems they are experiencing in day-to-day living. Sexual Assault/Rape Victim Nurse Examiner: When a victim comes to the emergency department, a sexual assault nurse examiner can evaluate him or her for health risks, and provide treatment. Telehealth options available

Sexual advocate services include: - Assistance in emergency room visits to collect evidence of an assault - Court advocacy ??- Crisis hotline for those who are victims of domestic or sexual violence - Education on sexual violence - Help with safety planning and protective orders - Information on rights and reparations - Referrals to outside agencies - Support group for people who have been victims of sexual violence - Support if reporting an assault to law enforcement - Support when medical attention is needed to treat injuries, detect potential sexually transmitted infections (STIs), pregnancy, and other concerns

Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure - Head injury - Heart attack or acute coronary syndrome - Seizures - Severe abdominal pain - Sexual assault - Shortness of breath or pneumonia - Stroke - Sudden, severe headaches, paralysis or weakness - Traumatic injury - Uncontrolled bleeding