The Crescent MedicalCenteris committed to providing a safe, comfortable environment where patients andstaff can be confident that best practice is being followed at all times andthe safety of everyone is of paramount importance.
This Chaperone Policy adheres tolocal and national guidance and policy –i.e.:-
‘NCGST Guidance on the role andeffective use of chaperones in Primary and Community Care settings’.
The Chaperone Policy is clearlyadvertised through patient information leaflets, website (when available) andcan be read at the Practice upon request. A Poster is also displayed in thePractice Waiting Area
All patients are entitled to have a chaperone present for any consultation, examination or procedure where theyconsider one is required. The chaperone may be a family member or friend, buton occasions a formal chaperone may be preferred.
Patients are advised to ask for a chaperone if required, at the time of booking an appointment, if possible, sothat arrangements can be made and the appointment is not delayed in any way.The Healthcare Professional may also require a chaperone to be present forcertain consultations.
All staff are aware of and havereceived appropriate information in relation to this Chaperone Policy.
All trained chaperones understandtheir role and responsibilities and are competent to perform that role.
There is no common definition ofa chaperone and their role varies considerably depending on the needs of thepatient, the healthcare professional and the examination being carried out.
Their role can be considered inany of the following areas:
- Emotional comfort and reassurance to patients
- Assist in examination (e.g. during IUCD insertion)
- Protection to the healthcare professional against allegations / attack)
Checklist for consultations involving intimate examinations
• <!--[endif]-->Chaperones are most often required or requestedwhere a male examiner is carrying out an intimate examination or procedure on afemale patient, but the designation of the chaperone will depend on the roleexpected of them, whether participating in the procedure or providing a supportiverole.
• <!--[endif]-->Establish there is a genuine need for anintimate examination and discuss this with the patient and whether a formalchaperone (such as a nurse) is needed.
• <!--[endif]-->Explain to the patient why an examination isnecessary and give the patient an opportunity to ask questions. The chaperonewould normally be the same sex as the patient and the patient will have theopportunity to decline a particular person as a chaperone, if that person isconsidered not acceptable for any reason.
• <!--[endif]-->Offer a chaperone or invite the patient to havea family member / friend present.
• <!--[endif]-->If the patient does not want a chaperone, recordthat the offer was made and declined in the patient’s notes.
• <!--[endif]-->Obtain the patient’s consent before theexamination and be prepared to discontinue the examination at any stage at thepatient’s request.
• <!--[endif]-->Record that permission has been obtained in thepatient’s notes.
• Once the chaperone has entered the room, theyshould be introduced by name and the patient allowed privacy to undress /dress. Use drapes / curtains where possible to maintain dignity. There shouldbe no undue delay prior to examination once the patient has removed anyclothing.
• <!--[endif]-->Explain what is being done at each stage of theexamination, the outcome when it is complete and what is proposed to be donenext. Keep discussion relevant and avoid personal comment.
• <!--[endif]-->If a chaperone has been present, record thatfact and the identity of the chaperone in the patient’s notes.
• <!--[endif]-->During the examination, the chaperone may beneeded to offer reassurance, remain alert to any indication of distress butshould be courteous at all times.
• <!--[endif]-->Record any other relevant issues or concerns inthe patient’s notes, immediately following the consultation.
• <!--[endif]-->Chaperones should only attend the part of theconsultation that is necessary – other verbal communication should be carriedout when the chaperone has left.
• <!--[endif]-->Any request that the examination be discontinuedshould be respected.
• <!--[endif]-->Healthcare professionals should note that theyare at an increased risk of their actions being misconstrued or misrepresented,if they conduct intimate examinations where no other person is present.