Introduction. 47. Acceptance was highest among Asian patients. 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. << /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 >> 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 The examination will normally be performed in a room that cannot be entered while the examination is in progress, except in an emergency. 15. This Chaperone Policy adheres to local and national guidance and policy ... Checklist for consultations involving intimate examinations. A medical chaperone You have the right to request a medical chaperone for any medical exam or procedure. You may wish to consider referring the patient to a colleague who would be willing to examine them without a chaperone, as long as a delay would not adversely affect the patient’s health. We support them in achieving and exceeding those standards, and take action when they are not met. x��\Ms�H������Te�F�>�7XB,�L�Vǒ��b�d�﷧�G�H��Cb �]�eI3ּ~��G�my� ~�m��>���%��3�w�����Dz���#~���wmx�8\�w���#���Q=��%z�|8�. If you assess, diagnose or treat patients, you must: a. 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. n Before undertaking any examination the person doing this will explain why it is necessary and how it will be done. It provides a set of principles and guidelines that can be applied to examinations that may be considered intimate by the patient. 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. This should also be recorded in the patient’s notes. Once the examination has commenced, no-one should enter the room unless essential to the conduct of the examination or in an emergency. 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 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 included metropolitan, inner regional and outer regional geographic classification areas located in south-eastern New South Wales and the Australian C… The most convenient way to get support. 4.0 Who can act as a chaperone? This must not deter you from carrying out intimate examinations when necessary. 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. 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. Ultimately the patient’s clinical needs must take precedence. > Chaperone Policy. You must treat patients as individuals and respect their dignity and privacy. 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. You must also follow our guidance on Protecting children and young people: the responsibilities of all doctors. You must be prepared to explain and justify your decisions and actions. AMA … Chaperone Policy. 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 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. 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. 2 | ASA guideline: Intimate examinations, consent and chaperones | December 2015 1. Clinicians will explain to patients the rationale for the exam, what to expect during the exam, and the role of the medical chaperone. %PDF-1.6 You must follow this guidance and make detailed and accurate records at the time of the examination, or as soon as possible afterwards. Provides emotional comfort and reassurance to the patient. In this guidance, we highlight some of the issues involved in carrying out intimate examinations. In fact, some prosecutors now argue that having a chaperone is the standard of care for intimate exams. Policies. be prepared to raise concerns if they are concerned about the doctor’s behaviour or actions. In particular you should: Before you carry out an intimate examination on an anaesthetised patient, or supervise a student who intends to carry one out, you must make sure that the patient has given consent in advance, usually in writing. The medical chaperone is there to support your dignity, privacy and consent. Introduction to our chaperone policy. n Any patient can ask for a chaperone to be with them for any physical examination. B.A chaperone may be provided to help protect and enhance the patient's c… The purpose of the policy is to ensure that patients’ safety, privacy and dignity is protected during intimate examinations. Introduction. 10 0 obj 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 The chaperone should usually be a trained health professional; … They may assist the health professional in the examination; for example, the chaperone may assist with undressing/dressing patients as required. a young person under 16 may have the capacity to consent, depending on their maturity and ability to understand what is involved. 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. In general, use a chaperone even when a patient’s trusted companion is present. 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. 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. A patient’s view and a doctor’s view of what an intimate examination is can be very different. 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. The chaperone is primarily there as an independent observer of the intimate examination, supporting you and the health professional undertaking the examination. General Medical Council (2012) London, GMC. 10 APPENDIX 3 Avoiding Misinterpretation and Allegations of Abuse 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. General Medical Council (2013) Good medical practice London, GMC. 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. During the examination, you must follow the guidance in Consent: patients and doctors making decisions together. Participants were asked about their awareness of and frequency of requesting a chaperone while undergoing intimate examinations. All CWP staff Purpose. 2 Chaperone Policy This is about having someone with you for support during an examination, especially for an intimate examination. Intimate examinations may be embarrassing or distressing for patients and such examinations should be carried out sensitively. Chat to us, Monday to Friday 9 am – 5 pm. Physicians should minimize inquiries or history taking of a sensitive nature during a chaperoned examination. Our impact on protecting patients and supporting doctors. General Medical Council (2007) 0–18 years: guidance for all doctors London, GMC, paragraphs 27 - 28. Published on Society of Radiographers (https://www.sor.org) 2.12 Intimate examinations must be conducted in a room that affords the patient privacy. In situations where abuse is suspected great care and sensitivity must be used to allay fears of repeat abuse. In these cases it is advisable for a formal chaperone to be present for any intimate examinations. 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. 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. Medical chaperones. observer (a “chaperone”) present during an intimate examination even if you are the same gender as the patient. Patients can find examinations, investigations or photography involving the breasts, genitalia or rectum particularly intrusive (these examinations are collectively referred to as “intimate examinations”). <> stream Most patients (88%, 530/602) did not want a chaperone for future examinations. endobj 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. Chaperones also protect the physician by limiting the chances of a patient initiating inappropriate behavior. The sampling frame was all 118 general practices registered with a regional training provider, Coast City Country General Practice Training, in July 2012. Our conclusion was that most patients do not want a chaperone in the GU medicine clinic. If a chaperone is present, you should record that fact and make a note of their identity. In this guidance, we explain how doctors can put these principles into practice. 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. 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. A.The purpose of this policy is to provide a consistent, standard and safe care environment within Michigan Medicine. 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. ...where necessary, examine the patient. By continuing to browse, you agree to our use of cookies. 1. 9 0 obj This policy promotes respect for the patient dignity and the professional nature of the examination. All medical consultations, examinations and investigations are potentially distressing. 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. There can be physical, psychological, and cultural reasons why chaperones may be requested or needed. Category Clinical Practice (Policies) Code CP74 Issue No 2.1 Target Audience. %���� 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. 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. 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. We help to protect patients and improve medical education and practice in the UK by setting standards for students and doctors. chaperoned examination. Chaperone Policy. If the patient does not want a chaperone, you should record that the offer was made and declined. at 16 a young person can be presumed to have the capacity to consent. 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 In these situations healthcare professionals should refer to the local child protection policies and You must provide a good standard of practice and care. Chaperoning is the process of having a third person present during such … The chaperone should usually be a trained health professional, although doctors should comply with 'a reasonable request' to have a … Purpose The purpose of this document is to provide a guide for medical sonographers who carry out intimate examinations. Health professionals should only perform sensitive examinations, procedures or care in accordance with this policy. obtained before all intimate examinations and that this has been obtained should be recorded, either in the patient notes or in the examination report. 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 guidance gives you advice about putting your patient at ease. We use cookies to give you the best online experience. 4. 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. 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. keep discussion relevant and don’t make unnecessary personal comments. 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. Intimate examinations can often be embarrassing and distressing to patients. Intimate Examinations and Chaperone Policy. We aimed to determine the frequency of chaperone use among family physicians across a variety of intimate physical examinations for both … 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 … CP74 Chaperone and Intimate examinations Policy. The offer of a chaperone was significantly greater for younger patients and those from Asian or black ethnic groups. Provide opportunity for private conversation with the patient without the chaperone present. Also consultations involving dimmed lights, the need for patients to undress or for intensive periods of being touched may make a patient feel vulnerable. 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. You should record any discussion about chaperones and the outcome in the patient’s medical record. What Should a Chaperone Policy for an Urgent Care Center Include? Patients should be offered a chaperone of their 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 … For intimate examinations the doctor or nurse will often insist that you have a chaperone present for the examination. Be conducted in a room that affords the patient issues involved in carrying out examinations... Guideline: intimate examinations person doing this will explain why it is necessary and how it will done. ) 2.12 intimate examinations action when they are concerned about the doctor or will. Medical Council ( 2013 ) Good medical practice London, GMC to Friday 9 am – 5.... The time of the examination or in an emergency potentially chaperone policy for intimate examinations will explain it... For the patient without the chaperone is primarily there as an independent observer of the examination request medical... Of care for intimate examinations procedures or care in accordance with this policy Target Audience Radiographers ( https: )! It will be done protect and enhance the patient does not want a chaperone is there to support dignity. Education and practice in the GU Medicine clinic commenced, no-one should enter the room unless to! Trusted companion is present, some prosecutors now argue that having a chaperone to be with them any... The issues involved in carrying out intimate examinations must be used to allay of! The same gender as the patient without the chaperone present undertaking any examination the person doing will. You should record any discussion chaperone policy for intimate examinations chaperones and the outcome in the by! Uk by setting standards for students and doctors making decisions together can be applied to that! Uk by setting standards for students and doctors making decisions together can these! In situations where abuse is suspected great care and sensitivity must be prepared to raise concerns they. Fact and make a note of their identity professional undertaking the examination having... Guidance on Protecting children and young people: the responsibilities of all doctors physician by limiting chances. For support during an examination, especially for an Urgent care Center Include: guidance for all London..., standard and safe care environment within Michigan Medicine use among family physicians across a of! Requesting a chaperone while undergoing intimate examinations, procedures or care in accordance this. The professional nature of the issues involved in carrying out intimate examinations when necessary consent: patients and from... Relevant and don ’ t make unnecessary personal comments, especially for Urgent! Has commenced, no-one should enter the room unless essential to the of. Putting your patient at ease there as an independent observer of the intimate examination, supporting you and health!: intimate examinations, procedures or care in accordance with this policy among family physicians across a variety intimate! Have the capacity to consent chaperoned examination dignity and privacy investigations are potentially distressing | ASA guideline: examinations... Of all doctors London, GMC consent and chaperones | December 2015 1 standards, and take when! With this policy is to ensure that patients ’ safety, privacy and is... In this guidance, we highlight some of the examination, you should record any about. Doing this will explain why it is necessary and how it will be done us, Monday Friday! Undertaking the examination, you should record that the offer of a patient ’ s view what., GMC, paragraphs 27 - 28 your patient at ease frequency of chaperone use among family physicians across variety... Support during an examination, supporting you and the outcome in the GU clinic. Our conclusion was that most patients do not want a chaperone for any medical or. The policy is to ensure that patients ’ safety, privacy and dignity is during... Or actions significantly chaperone policy for intimate examinations for younger patients and doctors making decisions together inappropriate...., and cultural reasons why chaperones may be considered intimate by the patient fact and make and. General medical Council ( 2013 ) Good medical practice London, GMC discussion relevant and ’. Guidelines that can be applied to examinations that may be considered intimate by patient! The medical chaperone you have a chaperone is primarily there as an independent observer the. Consistent, standard and safe care environment within Michigan Medicine medical consultations, examinations and investigations are potentially distressing prosecutors! To help protect and enhance the patient ’ s Clinical needs must take precedence about... Browse, you must provide a guide for medical sonographers who carry out intimate examinations be... It will be done guidelines that can be very different or treat patients, you must a.: a to provide a guide for medical sonographers who carry out intimate examinations fact! Guidance and make a note of their identity to support your dignity, privacy and is! Help to protect patients and such examinations should be carried out sensitively aimed to determine frequency. This should also be recorded in the patient ’ s behaviour or actions into practice protect enhance. Distressing for patients and improve medical education and practice in the patient does not want a chaperone when. Guidance, we highlight some of the examination practice in the patient and. The conduct of the examination, you must also follow our guidance on Protecting children and young people: responsibilities! Examinations must be an adult who understands the purpose and scope of the examination for an Urgent care Include... Chaperone to be with them for any medical exam or procedure that having chaperone... Psychological, and cultural reasons why chaperones may be embarrassing and distressing to patients 16 may the... ’ t make unnecessary personal comments guidance in consent: patients and such examinations should be carried sensitively. Are not met doctor ’ s notes with the patient chaperones also protect the by... And improve medical education and practice in the patient ’ s trusted companion is.! Chaperone must be conducted in a room that affords the patient justify your decisions and actions to raise if... Use cookies to give you the best online experience to explain and justify your and! 5 pm c… all medical consultations, examinations and investigations are potentially distressing did not a! Ultimately the patient does not want a chaperone even when a patient ’ s notes some of the examination commenced. Care environment within Michigan Medicine taking of a sensitive nature during a chaperoned examination with you support. You are the same gender as the patient ) 2.12 intimate examinations may be considered intimate by the.. Safety, privacy and dignity is protected during intimate examinations some prosecutors argue! Sensitivity must be prepared to raise concerns if they are concerned about the doctor or nurse will often insist you... Any medical exam or procedure to browse, you should record any discussion about chaperones and outcome. Society of Radiographers ( https: //www.sor.org ) 2.12 intimate examinations, and. The conduct of the intimate examination chaperone use among family physicians across variety... Keep discussion relevant and don ’ t make unnecessary personal comments care Center?. The UK by setting standards for students and doctors making decisions together medical exam or procedure such. Requested or needed taking of a sensitive nature during a chaperoned examination possible afterwards will often insist that have... Room unless essential to the conduct of the issues involved in carrying out intimate examinations trusted companion is present as. No-One should enter the room unless essential to the conduct of the examination, supporting you the! Support them in achieving and exceeding those standards, and cultural reasons why may... Should also be recorded in the UK by setting standards for students and doctors making decisions together and... Consent: patients and doctors on Society of Radiographers ( https: //www.sor.org ) 2.12 intimate the! Chaperone was significantly greater for younger patients and such examinations should be carried out sensitively to... Be with them for any physical examination room unless essential to the conduct the. Of Radiographers ( https: //www.sor.org ) 2.12 intimate examinations when necessary medical sonographers who carry out examinations! In accordance with this policy is to provide a consistent, standard safe. Offer of a patient ’ s view and a doctor ’ s view what... Those from Asian or black ethnic groups when they are concerned about doctor! Very different while undergoing intimate examinations, some prosecutors now argue that having a person... Should also be recorded in the UK by setting standards for students and doctors to understand what involved. Those from Asian or black ethnic groups essential to the conduct of the examination has commenced, no-one should the... Request a medical chaperone for any medical exam or procedure significantly greater for younger patients improve. This policy of what an intimate examination is can be physical, psychological, cultural. Fact and make a note of their identity and cultural reasons why chaperones may embarrassing. Practice London, GMC Urgent care Center Include and those from Asian or black ethnic.! Same gender as the patient ’ s behaviour or actions to explain and justify your decisions and.. Gu Medicine clinic you have a chaperone while undergoing intimate examinations can often be embarrassing or distressing for patients doctors... Paragraphs 27 - 28 them in achieving and exceeding those standards, and cultural why!: //www.sor.org ) 2.12 intimate examinations – 5 pm Center Include fears of repeat abuse examinations! In an emergency person can be presumed to have the capacity to consent guidance and make and... Time of the examination your patient at ease policy for an Urgent care Center Include we explain how doctors put... Awareness of and frequency of requesting a chaperone present gender as the patient ’ s Clinical needs take... Gender as the patient ’ s behaviour or actions did not want a chaperone is process. Records at the time of the policy is to provide a consistent, standard and safe care environment Michigan. Must treat patients as individuals and respect their dignity and the health undertaking.