Anger at plans for nurses to chaperone doctors - UK | allnurses

Anger at plans for nurses to chaperone doctors - UK

  1. 0 DOCTORS will be forced to use nurse chaperones during intimate examinations under plans being considered by ministers.

    An independent inquiry into the conduct of doctors is to recommend that "qualified healthcare professionals" should be present to judge whether an examination is being carried out appropriately.

    Full article: http://www.sundayherald.com/42832
  2. Visit  Brian profile page

    About Brian, ADN

    Brian has '18+' year(s) of experience and specializes in 'CCU, Geriatrics, Critical Care, Tele'. From 'Minnesota'; Joined Mar '98; Posts: 15,361; Likes: 16,504.

    14 Comments so far...

  3. Visit  BRANDY LPN profile page
    0
    Seems odd to me that there would be any problem with this at all, but that is probally becase we are just so used to this in the US.
  4. Visit  mattsmom81 profile page
    0
    Actually I know many OB GYN's who as policy ask their female nurses to chaperone pelvic exams now. It puts a stop to the occasional claim of improper behavior.

    Many of my male coworkers request I do ( or assist them with) their intimate cares on their female patients for the same reason, and I understand why. Too many people out there looking for a lawsuit unfortunately, and a claim of improper conduct can ruin a career.
  5. Visit  Nurse Ratched profile page
    0
    Seems like the objection is to the idea that a *nurse* should have to be the chaperone - in my workplace we use NA's or nurses in that role - whoever the handiest female happens to be. They are saying it takes a qualified health care professional to determine that parts of the exam are indicated versus gratuitous?
  6. Visit  obeyacts2 profile page
    0
    I dont understand why any male with an ounce of sense would have a problem with a chaperone. Gee, all it takes is some suehappy idiot to make an accusation and if word gets out the doc could be labeled a pervert, true or not.
  7. Visit  chris_at_lucas_RN profile page
    0
    One wonders if the issue is "nurse" and not "chaperone."

    And how is "nurse" defined? CNA's are nursing staff...

    Oh! And here's another thought, are those nurses to be of the same gender as the patient, per the proposed rules?

    I'm with Brandy though--doesn't seem like such a big deal to me, probably because it's odder not to have a chaperone than to have one.

    (As a patient, I prefer it, personally.)
  8. Visit  Farkinott profile page
    0
    It just makes good sense really that if you are dealing in an intimate nature that you protect yourself by having a person of the same sex in the room. I suggest it for females dealing with intmate exams with males too.
    Having worked in indigenous communities it is easier I guess to segregate men's and women's business.
  9. Visit  hipab4hands profile page
    0
    [QUOTE=brian]DOCTORS will be forced to use nurse chaperones during intimate examinations under plans being considered by ministers.

    An independent inquiry into the conduct of doctors is to recommend that "qualified healthcare professionals" should be present to judge whether an examination is being carried out appropriately.

    The doctor's offices and medical clinics I've worked for have had this policy for years--even when it was non-ob gyn related. It's keeps the patient from behaving imappropriately too. i.e. our "problem" patient , who practiced nudism, and insisted on stripping down to no clothes, for any type of office visit.
  10. Visit  SmilingBluEyes profile page
    0
    most nurses are way too busy to chaperone, on top of other duties. I imagine anyone can chaparone a doctor, can't they, if they are employed there????
  11. Visit  hipab4hands profile page
    0
    Quote from SmilingBluEyes
    most nurses are way too busy to chaperone, on top of other duties. I imagine anyone can chaparone a doctor, can't they, if they are employed there????
    The clinics and dr.'s offices I worked in always made sure that there was enough staff available, so that 1 person could.] be in the room with the dr. Most of the time it was a RN, other times it was a medical assistant .
  12. Visit  smk1 profile page
    0
    WHen they say "qualified" do they mean in the sense that the chaperone needs to know if the exam is warranted and being performed correctly (the right procedure in line with AMA standards, and sterile technique being observed if needed etc..) or do they mean just qualified in the sense that anyone working in the clinic would know if a breast exam is needed when the complaint is an earache? If they are going for the former definition of "qualified" then definitely a nurse probably RN should be used, in which case what could be the objection? that RN's don't know how all of the procedures are performed? possibly, in some cases, but are they willing to pay for a NP/PA/MDor DO to come chaperone every exam and procedure to ensure that the person is completely "qualified"? the main issue is having someone of the same sex as the patient in the room to help ensure that no funny business is going on. I also think that it should ideally be a nurse because they are patient advocates and know when certain exams are warranted in most cases and when they are not. But if you can't have a nurse present then at least having the same sex in room will help.
  13. Visit  UK2USA profile page
    0
    As a nurse from the UK I can relate to the frustration that this causes the Dr and the nurse.

    The UK historically has not been as 'sue-happy' as the USA, although it is heading that way. That being said I agree with the comments about common sense and avoiding accusations of indecency. However, the frustrations of these doctors are born of the assumption that they are no longer regarded as professionals who treat without hidden agendas.

    When I qualified from nursing school (and I interviewed for my first staff nurse position) the Royal College of Nursing released a proposal that all male nurses be chaperoned when treating female or paediatric patients. As someone who had just qualified as a paeds nurse I was asked how I would feel if I were to be chaperoned for every patient? My reply was that if the unit wanted to head in this direction then I was wasting my time interviewing for them. I got the job, stayed for two years and was very happy.

    I don't know how I feel about chaperoning. Common sense - yes, lack of faith by my employers in my intentions - maybe, suggesting to the genral public that male staff are not to be trusted - maybe, protecting staff from wrongful accusations - definately.

    My summary... Go with what is safest for you, if you feel hard done by then it is a shame, if you are suspended because of someone's need to get rich quick then it would be a travesty.
  14. Visit  karenG profile page
    0
    interesting this.. I have lived in the UK all my life and been a nurse for over 20yrs.. its accepted that I will chaperone when needed to. I think this is a big fuss over nothing! we do chaperone- especially when the patient is young and the examination is intimate. there are times when the lady says- dont be silly! go away!! but most of the time ladies are happy to be chaperoned. But then I work in general practice now and my docs try hard not to need a chaperone! sadly the spectre of being sued is becoming more a reality over here.

    dont understand what the fuss is about!

    Karen


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