22 tasks, each one witnessed by the sources that watched the job — and behind every one, a prompt you can use tonight.
A typical day mixes clinical care with documentation and advocacy. You might see 4–8 patients for sexual assault exams, collect evidence, do wound care, draw blood, and run point-of-care tests.
Between patients you chart in Epic or MEDITECH, call police or social services, phone doctors, and coordinate follow-up. Shifts often include on-call nights or weekends because exams happen after incidents.
Most FNEs chart in hospital EHRs like Epic, MEDITECH, or outpatient systems like eClinicalWorks. You will enter exam findings, photos, lab orders, and chain-of-custody notes there.
You also use Microsoft Outlook for scheduling, Excel for simple logs or evidence inventories, and Google Docs for training materials or protocols shared across teams.
The U.S. Bureau of Labor Statistics (BLS) reports a 2025 median annual wage of $97,550 for this occupational category. BLS lists about 3,379,720 employed in the broader nursing group.
BLS also gives a lowest tenth of $68,940 and a top tenth of $137,470. Local pay varies by state, hospital, and whether you are an APRN who can prescribe.
Start as an RN and complete an FNE training program or SANE (Sexual Assault Nurse Examiner) certification—many hospitals require specific hours of supervised exams and didactic training.
You also learn chain-of-custody procedures, evidence packaging, and courtroom testimony. Training often covers using scopes/cameras, drawing blood, and documenting in Epic or MEDITECH.
Both do triage, wound care, and basic procedures, but FNEs focus on forensic documentation, evidence collection, and victim advocacy—things ER nurses may not be trained to do.
FNEs often complete SANE training, work closely with law enforcement and prosecutors, and must follow strict chain-of-custody and documentation rules in the EHR for legal use.
You can use AI for drafting notes or organizing references, but never to replace clinical judgment or chain-of-custody records. Any AI-generated text must be checked, corrected, and approved before entering Epic or MEDITECH.
Never upload identifiable patient images or evidence to third-party AI services. Follow your facility’s privacy policy and HIPAA rules; consult your legal or compliance team before using AI tools.
Clinically: strong assessment skills, wound care, specimen collection, phlebotomy, and comfort with local or IV anesthetics. You must know how to order labs and enter results in EHRs like Epic.
Soft skills: clear, calm communication; advocacy for patients; teamwork with nurses, doctors, police, and social services; and managing multiple cases under stress while keeping precise documentation.