Human Trafficking Recognition in the ED - page 2
Human trafficking is defined as, "the recruitment, transfer, harboring, or receipt of persons by threat or use of force, for induced commercial sex acts, and sexual servitude." This definition comes... Read More
Jul 9It's a brilliant plan. However, these victims may not be able to read, and have significant language barriers. If the message is received, the staff can get a translator, at least on a phone. 87% is way too high to not implement protocol at ANY facility.
Jul 9Aren't sex trafficker's reading this too to stay aware. Can't we all have an inhospital policy or special code for giving the victim an upper hand so the trafficker will not be aware?! Just saying.
Jul 10All great ideas. All fraught with potential issues.
I see the language barrier as huge too. The Polaris Project which has done a lot of research and keeps stats gives info out in 200 languages!
Jul 10Quote from EmergentThe situation is sad and pathetic, but I agree that adding more irrelevant questions to every patient's triage is not the answer. We already have a plethora of pointless questions that we plow through with every arrival. We're forced to waste over half of our triage time on clearly irrelevant garbage. (Do we really need to ask a 64-year-old guy with a cut finger who walks in with his wife of 40 years if he is being abused, if he is suicidal, if he has traveled outside the US or been exposed to any communicable diseases, if he is a fall risk etc...? When patients complain about all the irrelevant questions, my pat answer is: "Hey, big brother is watching out for you. Your government wants to be sure we don't miss anything important while you are here with your cut finger.")I personally don't think the Ed is an effective way to counter the ever increasing demands to solve a myriad of social problems that we are being asked to address during a triage. I really think this type of outreach belongs in a different setting.
The ED triage is supposed to be a focused assessment to deal with the problem at hand. Often there are people accompanying the patient, which makes it impossible to ask the very personal questions that we are supposed to ask. The blue dot idea is clever, but word of this will spread like wildfire. It will hardly be a secret.
I find, the more questions I'm forced to asked during triage that aren't relevant to the case at hand, the less effective the whole thing becomes.
If a woman (or man) comes in with signs of abuse, the protocol should be that no other person is allowed in the room, and a very frank, real discussion should be had. This is a commonsense approached that, unfortunately, is lacking today. Instead we like to cast a wide net, by asking everyone a bunch of screening questions, but we rarely catch any fish that way...
I vote to add an awareness module into our mandatory annual online learning, but the suspicious symptoms and behaviors are already known red flags. Emergent's common sense approach of a protocol for removing visitors for a candid conversation with anyone who has signs of abuse or shaky registration information makes more sense than one more wide net hitting those who are obviously not candidates.
Jul 12In Virginia the State Police are working with the State to provide training, education, resources to address this growing problem. We had training at one of the local hospital were one of the state investigators gave us very specific information. They estimate there are 300,000+ victims per year and the majority have contact with some kind of first responders, most in the ED. The things to watch for, and how to talk with them, is different than others types of abuse.
Human Trafficking - Resources
Jul 20Our DV screening questions are part of a set of secondary triage questions which are asked by the primary nurse once a patient gets back to the room. There is an option to click "visitors in room" or "cognitively impaired" as an option for the direct screening questions.
Jul 20The victim in this article was saved by a savvy flight attendant. Awareness is #1, and what to do is #2. Our facility has made it a mandated report. If we suspect trafficking we are to call the police. This flight attendant is my hero!
Flight attendant rescues teen girl from human trafficking - NY Daily News
Jul 23Here's a news story:
8 dead, about 3 injured are found in hot semitrailer in Texas in '''horrific''' human-trafficking incident
Eight people were found dead and about 30 others injured inside a brutally-hot semitrailer parked in a Walmart parking lot in San Antonio, Texas in what authorities are calling "a horrific scene."
Police described the incident as an apparent "human trafficking crime."
Authorities became aware of the truck overnight after a Walmart employee, who had been approached by someone who had been in the truck asking for water, notified police of the interaction, San Antonio Police Chief William McManus said this morning at a press conference, alongside other officials from the city.
Jul 23It sounds like that was more of an illegal immigrant smuggling operation. There have been cases like this before where people died.
Isn't human trafficking more of a slavery situation where people are held against their wills? I thought it illegal immigration, because people were seeking to work in the United States and pay smugglers a price to sneak them into the country, some of whom are quite unscrupulous.
Jul 24I believe they are stating this is human trafficking because these people were locked in the van once it arrived at the Walmart parking lot and then the story indicates that people in cars would come to the truck and pick up people from the van.
Yes, human trafficking is considered forced labor or some type of sexual servitude.
However, illegal immigrants could be part of the human trafficking trade if they are forced to work when they arrive in the US in order to pay for their passage
Jul 24I believe Emergent is right. If you pay someone for illegal transport, and they provide it with no strings, it is smuggling. Once strings are attached either disclosed prior or sprung as a surprise it becomes trafficking.
Jul 25My understanding from the article was that these people were "locked in" the truck - to me that means trafficking as they were not free to leave once they got across the border - so strings attached
Jul 31Another story out of Iowa:
Hiding in Plain Sight: A Story of Human Trafficking in Iowa | whotv.com