CPR Renewal
Online Training
New NRP Class
DOMESTIC VIOLENCE ONLINE CLASS – RESOURCES & REFERENCES
March 18, 2009
RESOURCES:
Hotlines
National Domestic Violence Hotline 800-799-SAFE
(For speakers of English, Spanish, and Creole)
Florida Domestic Violence 800-500-1119
Domestic Violence Injunction 305-547-3170
Domestic Violence Shelter 305-758-2546
Florida Elder Helpline 800-963-5337
Legal Assistance
Legal Aid (divorce, child custody, support) 305-579-5733
Florida Bar Attorney Referral Service – 800-342-8060
State Attorney’s Office, Domestic Violence Unit 305-547-0150
Financial Assistance
Victim Assistance Program – 305-758-2546
Child Support Enforcement – 305-530-2600
Counseling
Family & Victim Services
(treatment for victims, children, & perpetrators) 305-571-7750
“Common Ground”
(educational support groups for women) 305-758-2546
Rape Treatment Center
(medical & crisis counseling) 305-585-7273
REFERENCE:
Burt, Martha R., Janine M. Zweig, Kathryn A. Schlichter, Stacy Kamya, Bonnie Datz, Adele V. Harrell, “Evaluation of the STOP Formula
Grants 2000 Report: The Violence Against Women Act of 1994″ March 15, 2000.
Evans, Patricia. Verbal Abuse: Survivors Speak Out . Hollbrook, Massachusetts; Bob Adams Inc. Publishing, 1993.
Gerard, M. (2000). Domestic violence: How to screen and intervene. RN , p. 52 – 56.
Gondolf, Edward W. Man Against Woman: What Every Woman Should Know About Violent Men . Blue Ridge Summit, Pennsylvania; Tab Books Inc., 1989.
Island, David & Letellier, Patrick. Men Who Beat the Men Who Love Them: Battered Gay Men & Domestic Violence . New York; Harrington Park Press, 1991.
Jones, Ann and Schechter, Susan. When Loves Goes Wrong: What To Do When You Can’t Do Anything Right . New York; Harper Collins, 1992.
Lobel, Kerry. Naming the Violence: Speaking Out About Lesbian Battering . Seattle; Seal Press, 1986.
Maltar, M. Domestic Violence: the Florida Requirement . ME Resource, Sacramento, CA, 2003
Miami-Dade Advocates for victims. (2000). Information guide for abused women, Miami-Dade Advocates , [Brochure]. Pohlmann, L., Frazee, S., & Cousin, M.
Nicarthy, Ginny. Getting Free: A Handbook for Women In Abusive Relationships . Seattle; Seal Press, 1987.
Paris, Susan. Mommy and Daddy are Fighting: A Book for Children About Family Violence . Seattle: Seal Press.
Renzetti, Claire. Violent Betrayal: Partner Abuse in Lesbian Relationships . Newbury Park, California: Sage, 1992.
Schornstein, Sherri L. Domestic Violence and Healthcare: What Every Professional Needs to Know . Sage, 1997.
White, Evelyn. Chain, Chain, Change: For Black Women Dealing with Physical and Emotional Abuse . Seattle: Seal Press, 1985.
www.batteredmen.com
www.batteredmenshelpline.org
www.batteredwomen.com
www.breakthecycle.org
www.buddybuddy.com
www.crisisprevention.com
www.dateviolence.org
www.elderabusecenter.org
www.endabuse.org
www.fcadv.org
www.glennsacks.com/nowhere_to_go.htm
www.growing.com
www.menstoppingviolence.org
www.menstuff.org
www.menweb.org
www.myfloridalegal.com/directory
www.ncvc.org
www.nccanch.acf.hhs.gov/
www.ndvh.org
www.rainbowdomesticviolence.itgo.com
www.safe4all.org
www.salon.com
www.thehelpline.net/abused.html
www.usda.gov
www.4woman.gov/violence
DOMESTIC VIOLENCE ONLINE CLASS – OUTLINE
March 18, 2009
I. WHAT IS DOMESTIC VIOLENCE?
A. MYTHS ABOUT DOMESTIC VIOLENCE
B. SEXUAL ORIENTATION AND GENDER
C. THE COSTS OF DOMESTIC VIOLENCE
II. TYPES OF ABUSE
A. PHYSICAL
B. PSYCOLOGICAL
C. CHARACTERISTICS OF THE BATTERER
D. CHARACTERISTICS OF THE VICTIM
F. THE CYCLE OF VIOLENCE
G. “RED FLAGS” OF A BATTERING PERSONALITY
H. WHY VICTIMS STAY
III. HELPING AND REFERRING VICTIMS AND PERPETRATORS
A. HOW TO CONDUCT A DIAGNOSTIC INTERVIEW
B. SCREENING QUESTIONS FOR VICTIMS
C. SCREENING QUESTIONS FOR PERPETRATORS
D. HELP FOR BATTERERS
E. SAFETY TIPS FOR VICTIMS WHO LEAVE THEIR ABUSER
F. LEGAL PROTECTION FOR VICTIMS OF DOMESTIC VIOLENCE
IV. ELDER AND CHILD ABUSE
V. FLORIDA REPORTING REQUIREMENTS
DOMESTIC VIOLENCE ONLINE CLASS – PURPOSE/OBJECTIVES
March 18, 2009
Purpose:
This home study is intended to educate health care professionals on domestic violence issues as required by Florida state law, Section 456.031(1)(a), F.S.
Objectives:
Upon completion of this program the learner will be able to:
• Describe the dynamics of an abusive and/or violent relationship.
• Identify three “red flags” of a battering personality.
• Identify three characteristics of the victim of domestic violence.
• List three reasons that victims may stay in an abusive relationship.
• Describe screening procedures used to identify and assist both victims and perpetrators of domestic violence.
• Identify two legal protections available to victims of domestic violence.
• List three community resources available to assist the victim, the perpetrator and the family.
DOMESTIC VIOLENCE ONLINE CLASS – 2 HOURS
March 18, 2009
| Purpose and Objectives |
I. WHAT IS DOMESTIC VIOLENCE?
Domestic violence is a crime in all fifty states. Florida law (741.28, F.S.) defines domestic violence as “any assault, aggravated assault, battery, aggravated battery, sexual assault, sexual battery, stalking, aggravated stalking, false imprisonment, kidnapping, or any criminal offense resulting in physical injury or death of one family or household member by another who is or was residing in the same single dwelling unit”. Domestic violence may also be defined as a “pattern of controlling behavior by one person who has a personal, intimate or familial relationship with another.” (Governor’s Task Force on Domestic Violence, 2000).
The crime of assault is an intentional, unlawful threat, by word or act, to do violence to someone, coupled with an apparent ability to carry out such threat, creating a well-founded fear in the other person that violence is imminent. Aggravated assault is assault with a deadly weapon.
The offense of battery occurs when a person intentionally touches or strikes another person against their will or intentionally causes them bodily harm. Knowingly causing great bodily harm, permanent disability or disfigurement, using a deadly weapon, or committing battery against a pregnant victim is aggravated battery .
Anyone who willfully, maliciously and repeatedly follows or harasses another person, for no legitimate purpose, causing substantial emotional distress, commits the offense of stalking . Making a credible threat which causes someone to reasonably fear death or bodily injury either for themselves, their child, sibling, spouse, parent, or dependent, is aggravated stalking .
Kidnapping and false imprisonment mean forcibly, secretly, or by threat confining, abducting, or imprisoning another person against her or his will and without lawful authority.
Because violence inflicted by an intimate partner has traditionally been treated more leniently by law enforcement than violence inflicted by a stranger, domestic barterers are not always arrested.
On January 5, 2006, the President signed the “Violence Against Women” Reauthorization Act. This works though the use of STOP grants. As a result, “victims are safer, better supported by their communities, and treated more uniformly and sensitively by first-response workers.”
A. MYTHS ABOUT DOMESTIC VIOLENCE
Myths and misunderstandings about domestic violence abound. Although domestic violence occurs in approximately one out of three relationships , it remains one of the nation’s best-kept secrets. Domestic violence is the most under-reported crime in the country, with the actual incidence probably 10 times higher than reported. It remains a major health concern.
One prevalent myth is that perpetrators of domestic violence strike when angry and out of control. On the contrary, violence is an intentional choice, used to establish power and control in an intimate relationship. (Barterers manage not to beat their bosses or terrorize their friends when they are angry.) Domestic abuse is always about power and control . While the violence may not occur often, it is a constant underlying factor in the relationship. Although the first violent incident may not be severe, once battering begins, it tends to increase in severity and frequency, sometimes leading to permanent injury or death. The occasional slap or shove can evolve into a push down the stairs, a punch in the face or a kick in the stomach.
Another myth is that perpetrators are driven to violence by the behavior of their partners. In fact, perpetrators are unaffected by their partners’ efforts to change their behavior in order to appease them. The behavior the abuser chooses to target at any one time usually cannot be predicted by the partner, and this unpredictability is a major means for the banterer to maintain control.
Transvenous Pacing
September 16, 2008
For ACLS purposes, we are primarily concerned with two basic types of pacing. The first, transcutaneous pacing, is an emergent procedure which uses 2 gel pads. One is placed at the 5th intercostal space mid-clavicular on the left side of the anterior chest wall, and the other in between the backbone and shoulder blade on the left side of the back. The electricity travels through the pads and innervates the heart. This form of pacing is temporary. It is especially uncomfortable for the patient, and therefore should only be used as a means of maintaining stability in the bradycardic patient while attempting other interventions, such as drug therapy, or preparing for a more permanent transvenous pacemaker which causes no pain.
Types of Rhythms Where Pacing Is Indicated
• Bradycardias that are unresponsive to drug therapy or are symptomatic
• 2nd degree heart block type II
• 3rd degree heart block
Clinical Note:
Atropine may be given to 2nd degree type II heart block or a narrow complex 3rd degree heart block as a trial but, when detected, the American Heart Association ACLS guidelines recommend that these dysrhythmias be managed by immediate application of the transcutaneous pacer and close observation of the patient for any signs of hemodynamic instability, e.g., shortness of breath – hypotension – altered level of consciousness – chest pain – pallor – nausea & vomiting – profuse sweating. If unstable and in 2nd degree heart block type II or 3rd degree heart block, then the pacer should be used to correct the rate only until transvenous pacing can be accomplished by a qualified person.
Remember from earlier in the reading that if a patient is bradycardic and hemodynamically unstable, as described in the previous paragraph, then transcutaneous pacing should be considered as a first line treatment.
Setting a transcutaneous pacemaker will be discussed in the electrical therapy station on day 1 of ACLS
Three Basic Rhythms
There are 3 categories of abnormal rhythms: too fast, too slow or none. Patients with any dysrhythmia may be stable, unstable or in cardiac arrest. Recognizing which type of patient you have will decide your treatment choices: medicine, electrical, and/or mechanical (BLS).
Too Fast
The first rhythm is too fast. Our goal is to slow it down. We have two methods to slow down a rhythm: electrical therapy and/or medicine. If the patient is hemodynamically stable, pharmacology should be the first line treatment. If our patient were hemodynamically unstable, synchronized cardioversion should be the first line treatment.
Too Slow
The second rhythm is too slow. Our goal is to speed it up. We have two methods of speeding up a rhythm: electrical therapy and/or medicine. If the patient is hemodynamically stable, pharmacology should be the first line treatment. If our patient were hemodynamically unstable, transcutaneous pacing should be the first line treatment.
None
Ventricular fibrillation, pulseless ventricular tachycardia, pulseless electrical activity and asystole are the dysrhythmias associated with cardiac arrest. As these are lethal dysrhythmias, management must be quick and aggressive.
