Since 2000, the Harborview Abuse and Trauma Center has provided Washington state’s only sexual assault nurse examiner (SANE) training program. SANE training focuses on the medical forensic care of patients who have experienced sexual assault or abuse. Adequately trained nurses are critical to providing necessary evidence and compassionate care for sexual assault survivors. In addition to statewide training programs, the Center provides web-based case review for nurses across the state and consultation to SANE programs across the state. It has also implemented a Tele-SANE pilot project to provide support for rural SANE programs.