chaperone policy for intimate examinations

n Before undertaking any examination the person doing this will explain why it is necessary and how it will be done. Participants were asked about their awareness of and frequency of requesting a chaperone while undergoing intimate examinations. A patient’s view and a doctor’s view of what an intimate examination is can be very different. This Chaperone Policy adheres to local and national guidance and policy ... Checklist for consultations involving intimate examinations. 2 Chaperone Policy This is about having someone with you for support during an examination, especially for an intimate examination. Intimate or personal care and examinations must be practiced in a safe, sensitive and respectful ... Intimate examinations include the examination of breasts, genitalia or rectum (although other areas ... (Chaperone Policy). A medical chaperone You have the right to request a medical chaperone for any medical exam or procedure. General Medical Council (2012) London, GMC. You must provide a good standard of practice and care. In these situations healthcare professionals should refer to the local child protection policies and In this guidance, we explain how doctors can put these principles into practice. A chaperone should usually be a health professional and you must be satisfied that the chaperone will: A relative or friend of the patient is not an impartial observer and so would not usually be a suitable chaperone, but you should comply with a reasonable request to have such a person present as well as a chaperone. Guidance on balancing your beliefs with those of your patients, Related guidance and resources to help with ethical issues, We're introducing the MLA from 2024, find out what it means for you, Supporting learners with disabilities and long term health conditions, Details on our processes and where you can go for support, Help to raise your concern in the right way, The state of medical education and practice in the UK 2020, Data on the register, revalidation, education and fitness to practise. AMA … be sensitive and respect the patient’s dignity and confidentiality, reassure the patient if they show signs of distress or discomfort, be familiar with the procedures involved in a routine intimate examination, stay for the whole examination and be able to see what the doctor is doing, if practical. This policy promotes respect for the patient dignity and the professional nature of the examination. 15. Physicians should minimize inquiries or history taking of a sensitive nature during a chaperoned examination. 9 0 obj They may assist the health professional in the examination; for example, the chaperone may assist with undressing/dressing patients as required. The purpose of the policy is to ensure that patients’ safety, privacy and dignity is protected during intimate examinations. It is acceptable for a healthcare professional to perform an intimate examination without a chaperone if the situation is life threatening or speed is essential in the care or treatment of the patient. give the patient privacy to undress and dress, and keep them covered as much as possible to maintain their dignity; do not help the patient to remove clothing unless they have asked you to, or you have checked with them that they want you to help. By continuing to browse, you agree to our use of cookies. Our conclusion was that most patients do not want a chaperone in the GU medicine clinic. The chaperone is primarily there as an independent observer of the intimate examination, supporting you and the health professional undertaking the examination. Introduction. You must also follow our guidance on Protecting children and young people: the responsibilities of all doctors. Introduction to our chaperone policy. << /Type /Page /Parent 1 0 R /LastModified (D:20210115144145+00'00') /Resources 2 0 R /MediaBox [0.000000 0.000000 595.276000 841.890000] /CropBox [0.000000 0.000000 595.276000 841.890000] /BleedBox [0.000000 0.000000 595.276000 841.890000] /TrimBox [0.000000 0.000000 595.276000 841.890000] /ArtBox [0.000000 0.000000 595.276000 841.890000] /Contents 10 0 R /Rotate 0 /Group << /Type /Group /S /Transparency /CS /DeviceRGB >> /Annots [ 7 0 R ] /PZ 1 >> 47. We support them in achieving and exceeding those standards, and take action when they are not met. Chat to us, Monday to Friday 9 am – 5 pm. Intimate examinations can be embarrassing or distressing for patients and whenever you examine a patient you should be sensitive to what they may think of as intimate. You should record any discussion about chaperones and the outcome in the patient’s medical record. A chaperone should usually be a health professional and you must be satisfied that the chaperone will: be sensitive and respect the patient’s dignity and confidentiality; reassure the patient if they show signs of distress or discomfort; be familiar with the procedures involved in a routine intimate examination Ultimately the patient’s clinical needs must take precedence. A.The purpose of this policy is to provide a consistent, standard and safe care environment within Michigan Medicine. Published on Society of Radiographers (https://www.sor.org) 2.12 Intimate examinations must be conducted in a room that affords the patient privacy. You will be offered a medical chaperone for intimate exams (specifically, genital, pelvic, rectal or breast exams) is a medically trained observer who is present during a medical exam or procedure. Medical chaperones. During the examination, you must follow the guidance in Consent: patients and doctors making decisions together. 10 0 obj The general medical council (GMC) have published guidelines, ‘intimate examinations and chaperones 2013 , which recommend all patients irrespective of gender be offered a chaperone during an intimate examination.This should be documented within the medical notes at the time or immediately … Policies. It provides a set of principles and guidelines that can be applied to examinations that may be considered intimate by the patient. Health professionals should only perform sensitive examinations, procedures or care in accordance with this policy. This must not deter you from carrying out intimate examinations when necessary. Chaperone Policy. The latest GMC guidance Intimate examinations and chaperones (2013) says that doctors should offer the patient the option of a chaperone wherever possible before conducting an intimate examination. n Any patient can ask for a chaperone to be with them for any physical examination. Chaperone Policy. endobj The chaperone is to ensure that no visitors enter clinical areas where there may be intimate examinations or procedures taking place; this protects and promotes the privacy, dignity and respect of patients; The chaperone must ensure that no patient records or other patient-identifiable information is disclosed to … This is likely to include examinations of breasts, genitalia and rectum, but could also include any examination where it is necessary to touch or even be close to the patient. B.A chaperone may be provided to help protect and enhance the patient's c… Regardless of the gender of the professional performing the examination the chaperone should be a staff member, such as a maternity / nursing care assistant or medical student, or a This applies whether or not you are the same gender as the patient. The chaperone must be an adult who understands the purpose and scope of the intimate examination. There are a range of steps you can take to identify when a patient needs more information, or a different approach to the consultation is needed and a chaperone would be appropriate. TAMESIDE HOSPITAL NHS FOUNDATION TRUST CHAPERONE POLICY Chaperone Policy versioin 3.0 14 August 2015 Page 7 of 20 - Formal Chaperone may be referred to as a staff member, a person who acts as a witness for a patient and a HCP (ie Doctor) during an intimate medical examination or procedure being undertaken and may also assist If either you or the patient does not want the examination to go ahead without a chaperone present, or if either of you is uncomfortable with the choice of chaperone, you may offer to delay the examination to a later date when a suitable chaperone will be available, as long as the delay would not adversely affect the patient’s health. observer (a “chaperone”) present during an intimate examination even if you are the same gender as the patient. If you assess, diagnose or treat patients, you must: a. We use cookies to give you the best online experience. Provides emotional comfort and reassurance to the patient. obtained before all intimate examinations and that this has been obtained should be recorded, either in the patient notes or in the examination report. Two recent studies investigating the use of chaperones and chaperone policies in UK emergency departments suggest that the vast majority of departments do not have a formal chaperone policy.1 2 Furthermore, one of the studies suggests that doctors regularly conduct intimate examinations on patients without a chaperone being present.2 We report the results of an audit of junior doctors' use … All medical consultations, examinations and investigations are potentially distressing. keep discussion relevant and don’t make unnecessary personal comments. Current GMC guidance, Intimate examinations and chaperones (2013) says that doctors should offer the patient the option of a chaperone wherever possible before conducting an intimate examination, whether or not they are the same gender as the patient. Intimate examinations may be embarrassing or distressing for patients and such examinations should be carried out sensitively. This included metropolitan, inner regional and outer regional geographic classification areas located in south-eastern New South Wales and the Australian C… The chaperone should usually be a trained health professional, although doctors should comply with 'a reasonable request' to have a … 4. The sampling frame was all 118 general practices registered with a regional training provider, Coast City Country General Practice Training, in July 2012. There can be physical, psychological, and cultural reasons why chaperones may be requested or needed. Our impact on protecting patients and supporting doctors. This guidance gives you advice about putting your patient at ease. All CWP staff Purpose. You must treat patients as individuals and respect their dignity and privacy. These local policies often give advice on how to proceed if a patient refuses to have a chaperone present and the practitioner feels they may be at risk. The conduct of intimate examinations in medical settings has been a subject of controversy for many years, because of potential difficulties and pitfalls for both doctors and patients. %���� Patients can find examinations, investigations or photography involving the breasts, genitalia or rectum particularly intrusive (these examinations are collectively referred to as “intimate examinations”). be prepared to raise concerns if they are concerned about the doctor’s behaviour or actions. The chaperone should usually be a trained health professional; … Only serious or persistent failure to follow our guidance that poses a risk to patient safety or public trust in doctors will put your registration at risk. DEFINITIONS Chaperone – There is no common definition of what is a chaperone; the role varies according to the needs of the patient, the HCP, and the examination or procedure being carried out. Clinicians will explain to patients the rationale for the exam, what to expect during the exam, and the role of the medical chaperone. 2 | ASA guideline: Intimate examinations, consent and chaperones | December 2015 1. Chaperoning is the process of having a third person present during such … This Policy is designed to protect both patients and staff from abuse or allegations of abuse, and to assist patients in making an informed choice about their examinations and consultations. Intimate Examinations and Chaperone Policy. 4.0 Who can act as a chaperone? Once the examination has commenced, no-one should enter the room unless essential to the conduct of the examination or in an emergency. ...where necessary, examine the patient. Provide opportunity for private conversation with the patient without the chaperone present. explain what you are going to do before you do it and, if this differs from what you have told the patient before, explain why and seek the patient’s permission, stop the examination if the patient asks you to. Intimate examinations can often be embarrassing and distressing to patients. a young person under 16 may have the capacity to consent, depending on their maturity and ability to understand what is involved. Purpose The purpose of this document is to provide a guide for medical sonographers who carry out intimate examinations. In situations where abuse is suspected great care and sensitivity must be used to allay fears of repeat abuse. If the patient does not want a chaperone, you should record that the offer was made and declined. 1. If you don’t want to go ahead without a chaperone present but the patient has said no to having one, you must explain clearly why you want a chaperone present. Patients should be offered a chaperone of their In fact, some prosecutors now argue that having a chaperone is the standard of care for intimate exams. This should also be recorded in the patient’s notes. chaperone policy for intimate examination 1.0 INTRODUCTION 1.1 Healthy Options for Women is committed to providing a safe, comfortable environment where patients and staff can be confident that best practice is being followed at all time and the safety of everyone is of paramount importance. The examination will normally be performed in a room that cannot be entered while the examination is in progress, except in an emergency. The medical chaperone is there to support your dignity, privacy and consent. What Should a Chaperone Policy for an Urgent Care Center Include? In this guidance, we highlight some of the issues involved in carrying out intimate examinations. Category Clinical Practice (Policies) Code CP74 Issue No 2.1 Target Audience. Safe care environment within Michigan Medicine embarrassing or distressing for patients and improve medical education and practice the. Be done protect the physician by limiting the chances of a chaperone was significantly greater for younger patients and making. An emergency principles and guidelines that can be physical, psychological, and take action when are! Greater for younger patients and such examinations should be carried out sensitively and guidelines that can be presumed have... When a patient ’ s notes greater for younger patients and doctors were asked about their awareness and. If a chaperone is primarily there as an independent observer of the issues involved in carrying out examinations... 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