SANE Nurse

This is a per-diem position requiring availability to respond to patient care needs on an on-call basis.

In addition to hourly base rate, the selected applicant will receive 10% per-diem differential and an automatic paid 4-hours when called in for service.

Job Summary:

The Sexual Assault Nurse Examiner (SANE) is a Registered Nurse specially trained to provide comprehensive, trauma-informed care to patients who have experienced sexual assault, abuse, or violence. The SANE Nurse conducts forensic examinations, collects and preserves evidence, documents findings, provides appropriate medical screening and treatment, and collaborates with law enforcement, victim advocates, and healthcare providers within the Emergency Department while maintaining patient confidentiality and dignity. The nurse should demonstrate exceptional clinical judgment, compassionate patient-centered care, and adherence to all state, federal, and organizational regulations and protocols. 

Essential Duties and Responsibilities:

• Respond to requests for sexual assault examinations according to department and organizational protocols.
• Obtain informed consent and explain all components of the forensic examination process.
• Perform detailed patient assessment, history collection, and physical examination.
• Collect, document, preserve, and maintain forensic evidence according to established chain-of-custody standards.
• Perform forensic photography when indicated and authorized.
• Document findings accurately, objectively, and thoroughly.
• Provide crisis intervention, emotional support, patient education, and discharge instructions.
• Assess for and facilitate treatment of injuries, sexually transmitted infections, pregnancy prevention, and other medical needs consistent with provider orders and organizational protocols.
• Coordinate care with Emergency Department physicians, advanced practice providers, victim advocates, law enforcement agencies, and community resources.
• Participate in quality improvement activities and program development initiatives.
• Maintain clinical competency through continuing education and ongoing training.
• Adhere to all hospital policies, professional standards, and applicable federal, state, and local laws and regulations.
• Perform other duties as assigned.

Education and Training:

• Minimum of an Associate’s degree from an accredited school of Nursing required; BSN preferred.
• Completion of a SANE training program, required.
• SANE-A Certification, preferred.

Licensures/ Certifications:

• Active WA State or Multi-State RN license, required.
• Current BLS

Experience:

• Minimum of one (1) year of experience performing SANE examinations and forensic evidence collection, preferred.
• Experience with Electronic Medical Records and paper forensic documentation.

Skills and Abilities:

• Knowledge of forensic nursing principles, evidence collection procedures, and chain-of-custody requirements.
• Ability to perform comprehensive sexual assault forensic examinations in accordance with established protocols.
• Strong assessment, critical thinking, and clinical decision-making skills.
• Ability to provide compassionate, trauma-informed, culturally sensitive care to patients of diverse backgrounds.
• Excellent verbal and written communication skills.
• Ability to maintain strict confidentiality and handle sensitive information appropriately.
• Knowledge of mandatory reporting laws and patient rights.
• Ability to work independently and respond effectively in emotionally challenging situations.
• Strong organizational and time-management skills.
• Proficiency in computer systems, electronic medical records, and forensic photography and documentation, as applicable.
• Demonstrates commitment to patient advocacy and ethical practice.

Per Diem Benefits Overview:

• Retirement - 403(b) with matching contributions
• Employee Assistance
• Life Flight Discount
• Employee Wellness Program

About TriState Health

Learn more about TriState Healthhere.

TriState Health is a not-for-profit, critical access hospital and medical campus, community owned and operated since 1955. As the largest employer in Asotin County, TriState remains committed to our mission of caring for the community and ensuring, “Your Health Is Our First Priority.”

Serving an 8-county region in Washington, Idaho, and Oregon, TriState Health continues to receive awards for excellent service to the community such as “2025 Get with the Guidelines Gold in Rural Stroke” and “1 of 6 Top Recommended Hospitals in Washington State." TriState proudly promotes a 4:1 nurse to patient ratio, with an even lower ratio for critical care patients.

Located in Clarkston, WA, and nestled within the Lewis Clark Valley - a hidden gem found at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge.  With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley.