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Volene Werely

Volene Werely

Western Cape Government, South Africa

Title: Clinical forensic Nursing: Realities of dual responsibilities (Job functions versus Obligations to act)

Biography

Biography: Volene Werely

Abstract

Clinical Forensic Medicine (CFM) has been defined as: A comprehensive clinical medico-legal investigative service, usually concerning living persons, with interaction between legal, judicial, social and law enforcement systems. The South African Nursing Council states that the Clinical Forensic Nurses (CFN) are the registered Professional nurses who are trained in forensic clinical medicine that are authorized to examine, take forensic evidence for investigation, provide counseling and testing, and testify in court. It was established that there is currently no formal nursing structure, competency, skill and profile for the professional nurse who is rendering services at these units. According to Prof Sine Duma (Senior Lecturer in Forensic Nursing, University of Cape Town) the professional nurse who was/is working in these areas (Thuthuzela centres) is referred to as a SANE (Sexual Assault Forensic Nurse Examiner), however the question which must be answered is the aforementioned, the only skill and competency required to be working in the clinical forensic units. An explorative investigation was conducted to provide clarity on the position of the Clinical Forensic Nurse within the practice setting. The objective was to describe and understand the scope of practice of the CFN, the complexities within the realities of the current context in which they must execute their functions. Exploring the CFN’s dual roles as: (1) a professional nurse and (2) that obligations required by the criminal system. Is the work content sufficient to ensure that allocation of the position of a Clinical Forensic Nurse (CFN) as a specialist nurse be established? According to South African Nursing Council (SANC) the CFN is regarded as an advanced professional nurse practitioner. The different scopes of the CFN lend it to specific patient assessments such as: Sexual Assault Nurse Examiner (SANE), the question arises, is it befitting that this PN be regarded as a CFN or just a PN with a specific competency?