PCMO Supply Preparation for Managing Assault Attachment A
Provide Appropriate Setting and Furniture (In Office)
Room (private, quiet, access to toilet) Examination Table Light source (exam lamp) Magnifying instrument (magnifying glass and/or colposcope) Exam Supplies (In Office and Go Bag) Plastic disposable vaginal speculums; various sizes & battery operated light source for speculum Universal precautions supplies: gloves, sharps container, etc. Individually-packaged sterile cotton tipped applicators Tape measure and ABFO ruler Sterile suture kit for lacerations Gown or cover while examining patient Office pregnancy tests (Quik-Tests) Office HIV rapid tests Light source (flashlight, pen light) Camera magnifying glass Toluidine blue dye 1%- this is not mandatory only if available Acetic acid or water soluble lubricant to remove toluidine blue dye from skin Do Not Disturb sign for the door Needles, syringes, red top tube and purple top tubes Assortment of bandaging materials, gauze, and tape for wounds Stethoscope and BP cuff for vital signs Go Bag for supplies SAK (Sexual Assault Kit) Office Binder with country-specific sexual assault information Drugs (In Office and Go-Bag) Ceftriaxone 250mg IM + Lidocaine 1% as diluent Doxycycline 100mg po or Azithromycin 1 gm po Metronidazole 2 gm po or Tinidazole 2 gm po Plan B One Step (Levonorgesterel 0.75 mg po X2 tabs) Tigan 200mg supp or pill three times a day (for nausea) Hepatitis B vaccine or Hepatitis B Immune Globulin 0.06ml/kg IM Azithromycin 2gms poX1 (if allergic to PCN/Ceftriaxone) Truvada 200mg/300mg po X28 tabs(qd X28 days) + Isentress 400mg po X 56 tabs (bid X28 days)