Adult/Adolescent SANE / SAFE / SAMFE Preparation and Refresher

Enhance your knowledge and skills with evidence-based, comprehensive content emphasizing evidence-based medical-forensic exam procedures.

All simulations and scenarios you engage in — both online and on-site — are built on real-world experiences. All showcase the primary sexual assault issues, problems and challenges you may typically confront.

To help you best solve each scenario or challenge, the program provides you with the best practices and approaches used today by your peers throughout the country.

Polish your professional expertise by practicing the best practices for patient-centered care.

Pressed for time? No problem. You can complete your online coursework at your convenience and your own pace.

There Are 6 Courses in the Adult/Adolescent SANE / SAFE / SAMFE Online Curriculum

All courses are required. Only Course 2 is scored.

Course 1: Building a SART

Become familiar with the SART and how the SART and SANE models have developed. Learn how a SART benefits the patient and the reporting, investigation and prosecution of sexual assault.

Lesson 1 : Crime and Justice

Challenge 1: Crime and Justice
Challenge 2: Building Your SART
Challenge 3: Know Your Role

Lesson 2: SART in Action

Challenge 1: Law Enforcement and Sexual Assault
Challenge 2: The Victim Advocate and Sexual Assault
Challenge 3: The SANE and Sexual Assault
Challenge 4: The Crime Lab and Sexual Assault
Challenge 5: The Prosecutor and Sexual Assault

SART Webinar

Presenter: Dr. Linda Ledray —Introduction to the SART Concept
Webinar Handout

Course 2: Preparation and Refresher

As an RN interested in becoming a SANE, a SANE seeking a refresher, an MD, APRN, SAFE or SAMFE. you’ll learn the SANE’s responsibilities and tasks in caring for the patient. The topics covered include the tools, procedures and techniques you will use to conduct the medical-forensic sexual assault exam, how to identify, collect and preserve evidence, as well as how to perform as an expert witness in a sexual assault trial.

After completing each lesson, you’ll view a webinar featuring a subject matter expert who builds on the topics covered in the preceding lesson. There are a total of eight webinars. A handout provided by the subject matter expert will be available for download after you view each webinar.

Lesson 1: The Medical-Forensic Exam: Part 1

Challenge 1: Snapshot!
Challenge 2: The Evidence Collection Kit
Challenge 3: Findings of Evidence

Lesson 2: The Medical-Forensic Exam: Part 2

Challenge 1: Basic Principles
Challenge 2: Obtaining Patient Consent

Webinar 2

Presenter: Patricia Frazier, Ph.D. —Research on Victim Behaviors
Webinar 2 Handouts

Lesson 3: Patient Medical History, Physical Exam and Evidence Collection

Challenge 1: Patient General Information
Challenge 2: Clothing Inspection and Collection
Challenge 3: Upper Body Exam

Webinar 3

Presenter: Jim Markey —Investigating Sexual Assault
Webinar 3 Handout

Lesson 4: Pelvic/Genital Examination

Challenge 1: Pelvic/Genital Anatomy
Challenge 2: Pelvic/Genital Exam

Webinar 4

Presenter: Diana Faugno —Injury Identification and Documentation
Webinar 4 Handouts

Lesson 5: Wrapping Up the Exam

Challenge 1: STI Evaluation and Care
Challenge 2: Pregnancy Risk Evaluation and Care
Challenge 3: Patient Discharge and Follow-Up

Webinar 5

Presenter: Heather DeVore, M.D. —STIs and EC Treatment Recommendations; HIV
Webinar 5 Handouts

Lesson 6: Community Issues and Dynamics

Challenge 1: Will She, or Won’t She Report?

Webinar 6A: Rural Issues

Presenter: Nancy Hoffman, M.A., LPC, CSW —Sexual Assault in Rural Areas
Webinar 6A Handout

Webinar 6B: Tribal Issues

Presenter: Victoria Ybanez —Cultural and Tribal Issues
Webinar 6B Handout

Lesson 7: Crime Lab Requirements

Challenge 1: Evidence Collection Timing and Integrity

Webinar 7

Presenter: Anjali A. Ranadive, MFS, JD —DNA and the Role of the Crime Lab
Webinar 7 Handout

Lesson 8: The SANE and Sexual Assault Prosecution

Challenge 1: Trial Preparation

Webinar 8

Presenters: Patti Powers, J.D. and Robert Laurino, J.D. —SANE Trial and Testimony Preparation
Webinar 8 Handout

Course 3: Sexual Assault Evidentiary Exam Procedures

This series of detailed demonstration videos will interest RNs, SANEs and candidates for the IAFN SANE-A® certification program by the IAFN’s Commission on Forensic Nursing Certification who want to learn best practices in performing a variety of evidentiary procedures during the medical-forensic exam.

Course Video Library

1. Advocate Crisis Intervention with Victim
2. Law Enforcement Interview with Victim
3. Discussing Patient Options and Obtaining Consent
4. Obtaining Patient Medical History (Part 1)
5. Obtaining Patient Medical History (Part 2)
6. Discussing EC Options and STIs with Patient
7. Collecting, Labeling and Sealing Patient Clothing
8. Collecting, Labeling and Sealing Patient Urine Sample
9. Blood Draw
10. Finger Prick Option for Blood Collection
11. Upper Body Head-to-Toe Exam (Complete)
11A. Fingernail Swabbing Technique / 11B. Bite Mark Inspection and Swabbing Technique  /  11C. Alternate Light Source Use and Swabbing Technique  /  11D. Skin Swabbing Technique
12. Lower Body Head-to-Toe Exam (Complete) 
12A. Pubic Hair Combing  /  12B. External Genital Injury Inspection and Swab  /  12C. Speculum  /  12D. Anal Inspection and Swabbing

Course 4: SART Member Interviews

This series of interviews will be of interest to new and prospective SART members who want to learn from the experts: a SANE, law enforcement officers, victim advocates, prosecutors and a DNA specialist. Each interviewee shares perspective on the importance of a victim-centered response, holding offenders accountable, and helping prevent sexual violence. The interviews were recorded at the Sixth National SART Training Conference in Austin, Texas.

Course Video Library

1. SART Member Interviews
2. Advocate Crisis Intervention with Victim
3. Advocate-Victim Follow-Up Meeting
4. Law Enforcement 911 Response Victim Interview
5. Law Enforcement Interview with Victim
6. Law Enforcement Interview with Suspect

Course 5: SART Meeting, Kearney, NE

Members of the Kearney, Neb., SART gather regularly for an update meeting. They discuss their challenges and the process of working together to seek justice for victims. As a result of their efforts, this small community has seen an increase in sexual assault reporting and successful prosecutions.

Course 6: Break the Silence: Sexual Assault and the SART Solution

SART members in rural and Native American communities, as well as those served by the SART, share their experiences about the severity, complexity and impact of sexual assault, and the power of a SART to care for and  seek justice for victims.


Use Break the Silence as a SART awareness tool in your community
Contact us at [email protected] and we’ll show you how to download the video or share a link to the video with others.


  • Tuition: $600
  • Active Military: $200
  • Students: $250
  • CE credits: 40