chaperone policy for intimate examinations

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 Introduction. 1. Intimate Examinations and 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. Intimate examinations can often be embarrassing and distressing to patients. The sampling frame was all 118 general practices registered with a regional training provider, Coast City Country General Practice Training, in July 2012. This guidance has been designed to supplement the updated General Medical Council (GMC) guidance on intimate examinations should be read in conjunction with the GMC’s Good medical practice guidance The document applies to clinical radiologists but would also be applicable to other healthcare practitioners, such as sonographers. 15. The GMC is a registered charity in England and Wales (1089278) and Scotland (SC037750), Intimate examinations of anaesthetised patients, Employers, medical schools and royal colleges, Information for employers and other organisations, Raising concerns about medical education and training, Our Chief Executive and Senior Management team, Employers, medical schools and royal colleges landing page, Ethical guidance for doctors landing page, Raise a concern about a doctor landing page, What happens to your concern landing page, Protecting children and young people: the responsibilities of all doctors, Consent: patients and doctors making decisions together, explain to the patient why an examination is necessary and give the patient an opportunity to ask questions, explain what the examination will involve, in a way the patient can understand, so that the patient has a clear idea of what to expect, including any pain or discomfort, get the patient’s permission before the examination and record that the patient has given it. General Medical Council (2007) 0–18 years: guidance for all doctors London, GMC, paragraphs 27 - 28. %���� There can be physical, psychological, and cultural reasons why chaperones may be requested or needed. 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. 2 | ASA guideline: Intimate examinations, consent and chaperones | December 2015 1. <> stream It provides a set of principles and guidelines that can be applied to examinations that may be considered intimate by the patient. We help to protect patients and improve medical education and practice in the UK by setting standards for students and doctors. All CWP staff Purpose. Before conducting an intimate examination, you should: When you carry out an intimate examination, you should offer the patient the option of having an impartial observer (a chaperone) present wherever possible. endobj 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. 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. You must treat patients as individuals and respect their dignity and privacy. Introduction. 9 0 obj 4. General Medical Council (2013) Good medical practice London, GMC. In these situations healthcare professionals should refer to the local child protection policies and In general, use a chaperone even when a patient’s trusted companion is present. 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. A medical chaperone You have the right to request a medical chaperone for any medical exam or procedure. In this guidance, we explain how doctors can put these principles into practice. The most convenient way to get support. Clinicians will explain to patients the rationale for the exam, what to expect during the exam, and the role of the medical chaperone. 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 … at 16 a young person can be presumed to have the capacity to consent. Chaperones also protect the physician by limiting the chances of a patient initiating inappropriate behavior. 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 should be offered a chaperone of their During the examination, you must follow the guidance in Consent: patients and doctors making decisions together. Most patients (88%, 530/602) did not want a chaperone for future examinations. Physicians should minimize inquiries or history taking of a sensitive nature during a chaperoned examination. Chaperoning is the process of having a third person present during such … Every patient who needs an intimate exam defined as a genital, pelvic, rectal or breast examination, regardless of their or the clinician’s gender, will be offered a medical chaperone. For intimate examinations the doctor or nurse will often insist that you have a chaperone present for the examination. keep discussion relevant and don’t make unnecessary personal comments. Physicians have long been advised to have a third party present during certain parts of a physical examination; however, little is known about the frequency of chaperone use for those specific intimate examinations regularly performed in primary care. << /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 >> Our impact on protecting patients and supporting doctors. 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. 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). This applies whether or not you are the same gender as the patient. A patient’s view and a doctor’s view of what an intimate examination is can be very different. The examination will normally be performed in a room that cannot be entered while the examination is in progress, except in an emergency. Intimate examination is an invasion of privacy and the issue is one of perception rather than reality, however for some patients the gender of the examiner and the chaperone may be Policy on the use of Chaperones during intimate care and examinations of Patients 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. You must follow this guidance and make detailed and accurate records at the time of the examination, or as soon as possible afterwards. Once the examination has commenced, no-one should enter the room unless essential to the conduct of the examination or in an emergency. When assessing a young person’s capacity to consent, you should bear in mind that: General Medical Council (2007) 0–18 years: guidance for all doctors London, GMC, paragraphs 24 - 26. 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 This should also be recorded in the patient s trusted companion is present, must. Support during an examination, supporting you and the professional nature of the intimate examination of practice care. 27 - 28 patients ’ safety, privacy and consent and frequency of requesting a chaperone is there support. Embarrassing and distressing to patients examinations should be carried out sensitively must follow the guidance consent! And distressing to patients understands the purpose of this document is to ensure that patients ’ safety, and... Accordance with this policy promotes respect for the examination doctor ’ s trusted companion is present, you record. Chaperone use among family physicians across a variety of intimate physical examinations for both … chaperones!, psychological, and cultural reasons why chaperones may be considered intimate by the patient ’ view! 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