be prepared to raise concerns if they are concerned about the doctor’s behaviour or actions. 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. 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. 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. Physicians should minimize inquiries or history taking of a sensitive nature during a chaperoned examination. General Medical Council (2007) 0–18 years: guidance for all doctors London, GMC, paragraphs 27 - 28. 3.7 A practitioner has a right to request that a chaperone is present during an intimate examination and may in any event normally be required to have one present under local policies which should always be consulted in addition to this guidance. Published on Society of Radiographers (https://www.sor.org) 2.12 Intimate examinations must be conducted in a room that affords the patient privacy. Provides emotional comfort and reassurance to the patient. Health professionals should only perform sensitive examinations, procedures or care in accordance with this policy. Policies. 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. 4.0 Who can act as a chaperone? A.The purpose of this policy is to provide a consistent, standard and safe care environment within Michigan Medicine. This Chaperone Policy adheres to local and national guidance and policy ... Checklist for consultations involving intimate examinations. We help to protect patients and improve medical education and practice in the UK by setting standards for students and doctors. You must provide a good standard of practice and care. Introduction. 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. Patients should be offered a chaperone of their In these situations healthcare professionals should refer to the local child protection policies and The most convenient way to get support. You must follow this guidance and make detailed and accurate records at the time of the examination, or as soon as possible afterwards. In situations where abuse is suspected great care and sensitivity must be used to allay fears of repeat abuse. Chat to us, Monday to Friday 9 am – 5 pm. In general, use a chaperone even when a patient’s trusted companion is present. This must not deter you from carrying out intimate examinations when necessary. 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. Chaperones also protect the physician by limiting the chances of a patient initiating inappropriate behavior. observer (a “chaperone”) present during an intimate examination even if you are the same gender as the patient. Purpose The purpose of this document is to provide a guide for medical sonographers who carry out intimate examinations. You must be prepared to explain and justify your decisions and actions. Our impact on protecting patients and supporting doctors. 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. The chaperone should usually be a trained health professional; … Intimate examinations can often be embarrassing and distressing to patients. The chaperone should usually be a trained health professional, although doctors should comply with 'a reasonable request' to have a … The examination will normally be performed in a room that cannot be entered while the examination is in progress, except in an emergency. In fact, some prosecutors now argue that having a chaperone is the standard of care for intimate exams. It provides a set of principles and guidelines that can be applied to examinations that may be considered intimate by the patient. The royal colleges,1 the General Medical Council, and the defence organisations now emphasise the importance of ensuring that these examinations are not done by unaccompanied doctors. If the patient does not want a chaperone, you should record that the offer was made and declined. <> stream Chaperone Policy. In these cases it is advisable for a formal chaperone to be present for any intimate examinations. 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 Medical chaperones. This included metropolitan, inner regional and outer regional geographic classification areas located in south-eastern New South Wales and the Australian C… 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. 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. It lets you chat to us when it best suits you, without needing to stay glued to the chat screen or waiting on the phone. In this guidance, we explain how doctors can put these principles into practice. Category Clinical Practice (Policies) Code CP74 Issue No 2.1 Target Audience. 10 APPENDIX 3 Avoiding Misinterpretation and Allegations of Abuse 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. The sampling frame was all 118 general practices registered with a regional training provider, Coast City Country General Practice Training, in July 2012. If you assess, diagnose or treat patients, you must: a. A patient’s view and a doctor’s view of what an intimate examination is can be very different. 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