Important information
All exams MUST be submitted on current state exam forms, NO EXCEPTIONS.
Exams submitted on facility forms will not be reviewed by the Commission, and will be returned to you to be rewritten onto state exam forms. This is the only way for the Commission to evaluate all applicants fairly.
Common mistakes, and how to avoid them
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Instead: Send them in on the latest state exam form (2022 version). The Commission will not evaluate exams completed on facility-specific forms or old forms.
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Instead: Double check that you are sending in the state exam form, pages 1-15, as well as the Medical Treatment and Follow-up-Referrals form, pages 1-2.
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Instead: Include medication names and dosages. Explain “unknown” or “attempted” answers. Note when patient declines an option.
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Instead: Send in the state exam form, pages 1-15 and the Treatment and Referrals pages. Other medical records, Consents, SAVE Fund Applications, or extra exams will be shredded.
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Instead: Make sure ALL identifying information is blacked out or removed, this includes dates, names, addresses, and Kit and Case numbers. Refer to the instructions if you’re unsure what information this includes.
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Instead: Only one nurse may sign a form. If another nurse is observing or serving as a preceptor they should be listed as present during the exam on page one of the form.
If the Commission feels they cannot fully evaluate your competency for the reasons above or any other reason, you will be asked to send in additional information during the next application cycle.
Have questions? We are here to help.
Please reach out to: Mei Pomegranate, SATF Sexual Assault Nurse Examiner Coordinator | sane@oregonsatf.org
Step 1: Fill out your Application
See required documents for each application type below
The SANE Certification Commission must receive these documents to consider your application. These completed documents must be uploaded into your application.
Please note that applications for initial certifications must be completed within 1 year of completion of the didactic course.
Step 2: Application Fee Payment
If you opt to pay by another method, coordinate by emailing sane@oregonsatf.org .
Please note: Your application cannot be processed until payment transfer is complete.
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(1) Copy of your SAE/SANE training certificate(s)
(2) Clinical & Non-Clinical Requirements Validation Form
(3) Three redacted Sexual Assault Medical-Forensic Exam forms. Each form must include a corresponding Treatment/Follow-up document.
(4) Sexual Assault Medical Forensic Exam Critique and Self-Reflection. Four reflections in total.
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(1) Continuing Education Log
(2) Speculum Active Practice
(3) Reflection/Critique
Recertification Reflection Prompt
(4) One redacted Sexual Assault Medical-Forensic Exam form, including the corresponding Treatment/Follow-up document.
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COMING SOON! Thank you for your patience while our team works hard to update these documents.
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COMING SOON! Thank you for your patience while our team works hard to update these documents.
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