WISCONSIN STATE CRIME LABORATORY BUREAU MEDICAL-FORENSIC EVIDENCE COLLECTION KIT INSTRUCTIONS (For Hospital Personnel) Evidence collection should be determined by assault history and examination findings on a case-by-case basis. This kit contains only the items necessary for the collection of samples/evidence required by the Crime Laboratory. It can be used to collect appropriate samples from both male and female victims and suspects. This kit can also be used as a “Biological Standards” kit. Do not chemically fix or stain slides, and do not make the sample on the slide greater than the size of a nickel. A slide with a designated circle could also be used. Swabs and slides should be allowed to air dry as long as possible prior to packaging. Items required by the hospital for routine laboratory tests are not included. These items should be drawn from hospital stock and recovered after the Crime Laboratory’s samples are taken. The collector should wear gloves and change them frequently during the collection of evidence. If the collector is coughing or sneezing, a mask should be worn. If you have any questions about this kit or the recovery of physical evidence, please contact the Crime Laboratory 24 hours per day at 608-266-2031 or 414-382-7500. SUMMARY OF SAMPLES THAT CAN BE COLLECTED USING THIS KIT STEP 1 WI Crime Lab Information Sheet STEP 2 Pre-void External Genital Wipe STEP 3 Optional Toxicology STEP 10 Dried Secretions STEP 11 Pubic Hair Combings STEP 12 Pubic Hair Standards or Mons Pubis Swabs STEP 4 Oral Swabs, Smear & Floss STEP 13 External Genital Swabs STEP 5 Buccal Cell Standard (DNA) STEP 14 Vaginal Swabs & Smear STEP 6 Fingernail Evidence STEP 15 Cervical Swabs & Smear STEP 7 Clothing STEP 16 Penis Swab STEP 8 Skin to Skin Contact STEP 17 Anal Swabs & Smear Step 9 Debris STEP 18 WI Crime Lab Evidence Collection Sheet/Inventory **Note: Sample envelopes are self-sealing. Do not lick the envelopes to seal them. STEP 1 WI CRIME LAB INFORMATION SHEET Fill out all information requested on form. The examining medical professional should sign and date the form where indicated. (Please note if the patient is known to have had a vasectomy or is a bone marrow recipient.) STEP 2 PRE-VOID EXTERNAL GENITAL WIPE Instruct the patient to wipe the genital area with the 4 X 4 gauze prior to voiding. Once gauze is Air Dried, return it to the envelope. Seal and fill out all information requested on the envelope. STEP 3 OPTIONAL TOXICOLOGY: Collect samples only if date rape drugs are suspected of being ingested, e.g., the victim lost consciousness or had significant periods of unexplainable memory loss. If a drug facilitated sexual assault is suspected, all toxicology samples should be sent to the WI Crime Laboratory for analysis. BLOOD SAMPLE: Fill a 10ml gray-top tube (or similar) with blood. Toxicology blood samples should be collected within 24 hours of suspected ingestion. URINE SAMPLE: Do not void the bladder prior to urine collection. Collect from the patient according to hospital protocol. Fill a 10ml gray-top tube (or suitable urine container) with the collected urine. Urine samples should be collected within four (4) days of suspected ingestion. The WI State Laboratory of Hygiene OUI Kit is the preferred biological mailing container. Seal samples and place each inside a sealed plastic bag to retain any leakage. Place in appropriate biological mailing container to protect the samples from breakage. DO NOT PLACE THESE SAMPLES IN THE KIT BOX. Fill out all information requested on label. Affix the label to the appropriate biological mailing container. DO NOT SEND THESE SAMPLES TO THE STATE LABORATORY OF HYGIENE, SEND TO THE WI CRIME LABORATORY. STEP 4 ORAL SWABS (2), SMEAR (1) & FLOSS (collect only if oral-genital contact occurred) Unwaxed dental floss can be used for the areas between the teeth. Have the patient floss his/her own teeth using a minimal amount of floss. (Note: The goal is to maximize the potential evidence on a small area of floss.) Also, using two (2) swabs simultaneously, thoroughly swab the oral cavity, especially the area between the patient’s cheeks and gums. Immediately prepare a smear using both swabs simultaneously. Allow swabs (2) and smear (1) to thoroughly Air Dry. Return the smear to the slide holder and snap shut. Place both swabs in swab box and then check off the appropriate box on swab box. Place swab box and slide holder in envelope. Have patient place floss in the envelope also. Seal and fill out all information requested on envelope. STEP 5 BUCCAL CELL STANDARD (DNA) Have the person providing the sample rinse his or her mouth with water before collecting the sample. Using one swab, place the swab in solid contact with the inner cheek and gum surface during sampling. Gently move the cotton tipped swab in and out five or six times, rotating the swab while rubbing. Repeat this process with the second swab on the other inner cheek and gum surface. Note: Do not collect from the teeth or along the edges of the teeth. The goal is to collect as many cells from the inside cheek as necessary. These cells contain the DNA for testing purposes. The buccal cell standard should be collected if any other samples have been collected. Place the swabs in the swab box to dry. Do not let the cotton tip of the swab touch anything except the swab box. Allow both swabs to thoroughly Air Dry. Return the swab box to the envelope. Seal the envelope and fill out all information requested on the envelope. STEP 6 FINGERNAIL EVIDENCE The swabbing of the fingernails for each hand should be performed over one of the sheets of collection paper provided. Unfold the paper and collect fingernail swabs over the paper as to catch any loose debris that falls during the collection process. Potential evidence under an individual’s fingernails or on an individual’s finger tips should be recovered by swabbing with a tapered cotton swab moistened with distilled water. A second dry swab should be used to collect any moisture remaining after having swabbed with the first moist swab. After swab collection is complete, carefully re-fold the paper. Each hand should be done individually using this process. The swabs should be Air Dried, placed in the appropriate swab box provided, and returned to the envelope, along with the folded collection paper. Seal and fill out all information on the envelope. STEP 7 CLOTHING Have the patient undress while standing on two (2) pieces of examination table paper. As each article of clothing is removed, it should be placed in a new, clean paper bag. A separate paper bag should be used for each article of clothing. Carefully fold the examination table paper that the patient undressed over and place it in a separate paper bag as well. Do not collect the examination table paper that touches the floor. Label each paper bag with the item collected. Seal (no staples), date and initial each paper bag collected. STEP 8 SKIN TO SKIN CONTACT Examples of skin to skin contact may be strangulation, grabbing, scratching. Skin cells should be collected by gently swabbing or rolling the contact area with a cotton tipped swab moistened with distilled water. A second dry swab should be used to collect any moisture remaining on the body after having swabbed with the first moist swab. The swabs should be Air Dried, placed in the swab box provided, and returned to the envelope. Label the envelope as to what body area the swabs were collected from. Seal and fill out all information on the envelope. (Note: The goal is to maximize the potential evidence on as few swabs as possible.) STEP 9 DEBRIS Any foreign debris such as hairs, vegetation or fibers should be collected and placed in the envelope labeled Debris. Label the envelope as to what body area the debris was found. Place debris from different locations in separate envelopes. Seal and fill out all information on the envelope. STEP 10 DRIED SECRETIONS Examples of dried secretions may be saliva on a bite mark or area kissed or licked and dried blood. Also, if bite marks are noted on the patient’s body, contact the Crime Laboratory for specific instructions for photographic documentation. Dried secretions should be collected by gently swabbing or rolling contact area with a cotton tipped swab moistened with distilled water. A second dry swab should be used to collect moisture remaining on the body after having swabbed with the first moist swab. The swabs should be Air Dried, placed in the swab box provided, and returned to the envelope. Label the envelope as to what body area the swabs were collected. Seal and fill out all information on the envelope. (Note: The goal is to maximize the potential evidence on as few swabs as possible.) STEP 11 PUBIC HAIR COMBINGS Place the paper towel provided under the pubic region of the patient and comb through the entire area to dislodge any foreign hairs or other material that may be present. Place the used comb onto the paper and fold the paper around the comb being careful not to lose any of the dislodged evidence. Place the wrapped comb in the Pubic Hair Combings envelope. Seal and fill out all information requested on envelope. Pubic hair containing a large amount of material/substance may be cut and collected. If the patient does not have pubic hair, still collect Step 12 Pubic Hair Standards or Mons Pubis swabs. STEP 12 PUBIC HAIR STANDARDS OR MONS PUBIS SWABS Note: The victim/suspect may collect his/her own pubic hair standards as long as he/she follows the procedures described below and is supervised by medical personnel. Obtain at least twenty (20) hairs by cutting them at the skin surface. The hairs should be collected from various areas within the pubic region. Place the hairs in the paper fold and then insert into the Pubic Hair Standards envelope. Seal and fill out all information requested on envelope. If the patient does not have pubic hair, swab the mons pubis. The sample should be collected by gently swabbing or rolling area with a cotton tipped swab moistened with distilled water. A second dry swab should be used to collect moisture remaining on the mons pubis area after having swabbed with the first moist swab. The swabs should be Air Dried, placed in the swab box provided, and returned to the envelope. Seal and fill out all information on the envelope. (Note: The goal is to maximize the potential evidence on as few swabs as possible.) STEP 13 EXTERNAL GENITAL SWABS Swab the entire external genital area. This sample should be collected by gently swabbing or rolling area with a cotton tipped swab moistened with distilled water. A second dry swab should be used to collect moisture remaining on the external genital area after having swabbed with the first moist swab. The swabs should be Air Dried, placed in the swab box provided, and returned to the envelope. Seal and fill out all information on the envelope. (Note: The goal is to maximize the potential evidence on as few swabs as possible.) STEP 14 VAGINAL SWABS (4) AND SMEAR (1) Using four (4) swabs simultaneously, thoroughly swab the vaginal vault making sure to coat all four (4) swabs completely. Immediately prepare one smear using all four swabs simultaneously. Do not chemically fix or stain slides. Allow swabs (4) and smear (1) to thoroughly Air Dry. Return smear to slide holder and snap shut. Place all four swabs in swab box and the check off appropriate box on swab box. Return swabs and smear to envelope. Seal and fill out all information requested on envelope. STEP 15 CERVICAL SWABS (2) AND SMEAR (1) This sample should be taken from the cervical os. Using one swab at a time gently insert the cotton tip of the swab into cervical os and rotate swab. Immediately prepare one smear using both swabs. Do not chemically fix or stain slides. Allow swabs (2) and smear (1) to thoroughly Air Dry. Return smear to slide holder and snap shut. Place both swabs in swab box and then check off appropriate box on swab box. Return swabs and smear to envelope. Seal and fill out all information requested on envelope. STEP 16 PENIS SWABS When collecting penile swabs, the entire external area of the penis should be swabbed. Care should be taken to avoid the area around the urethral opening. Swabs of the penis should be collected by gently swabbing or rolling entire penis with a cotton tipped swab moistened with distilled water. A second dry swab should be used to collect moisture remaining on the penis after having swabbed with the first moist swab. The swabs should be Air Dried, placed in the swab box provided, and returned to the envelope. Seal and fill out all information on the envelope. STEP 17 ANAL SWABS (2) AND SMEAR (1) Swab the entire external anal area. This sample should be collected by gently swabbing or rolling area with a cotton tipped swab moistened with distilled water. A second dry swab should be used to collect moisture remaining on the body after having swabbed with the first moist swab. Immediately prepare one smear using both swabs. Do not chemically fix or stain slides. Allow swabs (2) and smear (1) to thoroughly Air Dry. Return smear to slide holder and snap shut. Place both swabs in swab box and then check off appropriate box on swab box. Return swabs and smear to envelope. Seal and fill out all information requested on envelope. If a rectal assault occurred, collect swabs from the rectal canal. Step 10 Dried Secretions envelope should be used and labeled as Rectal Swabs. This sample should be collected by swabbing with cotton tipped swabs moistened with distilled water. The swabs should be Air Dried, placed in the swab box provided, and returned to the envelope. Seal and fill out all information on the envelope. STEP 18 WI CRIME LAB EVIDENCE COLLECTION SHEET/INVENTORY FORM Please include a copy of your Evidence Collection Sheet/Inventory form with the kit prior to sealing. If you do not have one, please complete the “Wisconsin Crime Lab Evidence Collection Sheet/Inventory” provided. Note: Please do not place uncollected sample envelopes in the kit box prior to sealing. FINAL INSTRUCTIONS After the kit specimens have been collected, air dried and packaged, return to kit box. Fill out all the information on the front of the kit and affix the biohazard label and evidence seals where indicated on the kit box top. The evidence collection kit can be stored at room temperature. The Optional Toxicology Samples must be refrigerated. Both kits should be properly stored until submission to the WI State Crime Laboratory.