What should you do first if you have a patient that has been sexually assaulted?

When managing a patient who has experienced sexual assault, the priority is to ensure the patient's emotional and psychological safety. Allowing the patient to speak with someone they trust can provide necessary emotional support and help them feel safe and more in control after a traumatic experience. This supportive presence can facilitate open communication, making it easier for the patient to share their feelings and concerns. It can also help in alleviating anxiety, assisting the patient in feeling empowered in making decisions about their immediate care and reporting incidents.

Performing an examination, encouraging self-treatment, or calling law enforcement are important actions that might need to be taken subsequently. However, they can potentially increase the patient’s distress if they're not emotionally ready or if they do not have the necessary support. The initial step is centered around providing comfort and support to foster a trusting environment, which can lead to more effective care and communication in the long run.