12/2/2023 0 Comments Medical chaperone blogIn all cases, you should explain carefully to the patient what the examination entails and why it is necessary. If you do decide to go ahead, be scrupulous in your documentation. Apparent difficulty in recognising professional boundaries.Such decisions are not an easy judgment call, but you should be particularly wary of carrying out an unchaperoned intimate examination if the patient has any of the following problems: If a chaperone is present during an examination, record their identity and status in the patient’s notes If the patient still refuses, then you must decide whether to proceed without a chaperone or to suggest that the patient see another doctor. Sometimes, though, you may feel that it is personally risky for you to proceed without a chaperone present.Īlthough this is a difficult situation to deal with (to insist on a chaperone implies that you distrust the patient), you should trust your instincts and simply tell the patient that, because of the nature of the examination, you would prefer a chaperone to be present. In most cases this is not a problem – just record in the patient’s notes that a chaperone was offered and the patient declined the offer. For example, many patients reject the offer of a chaperone because they find it embarrassing to have another person present during an intimate examination. The issue of chaperonage is not always straightforward. Intimate examinations include examination of the breasts as well as the genitalia and rectum. You should, therefore, out of respect for the patient and for your own protection, always offer a chaperone when you intend to carry out an intimate physical examination, even if you and the patient are of the same sex. While their role is ostensibly to reassure patients, chaperones also protect doctors from false allegations of sexual abuse.
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