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Policy for Chaperones for Sensitive Physical Exams (12.05)

Policy for Chaperones for Sensitive Physical Exams (12.05) - Policies, Clinical, UWHC Clinical, Department Specific, Ambulatory, Clinic Specific

12.05

12.05 Policy for Chaperones for Sensitive Physical Exams  
Category:  UWHC Departmental Policy   
Policy Number:  12.05    
Effective Date:  February 26, 2014   
Version:  Revision    
Manual:  Ambulatory    
Section:  Clinic Specific (Ambulatory)   
 
 
I. PURPOSE

To provide guiding principles for offering and documenting the presence of chaperones for patients undergoing
sensitive physical exams related to abuse or suspected abuse. Sensitive exams are defined as inspection of any
body area or any exam that from a cultural, psychological or emotional perspective feels private or intrusive to the
patient.

II. POLICY

UWHC clinicians who need to provide sensitive exams on patients, regardless of gender or age, are encouraged to
offer a chaperone to accompany them throughout the exam. The offer and response of the patient should be
documented in the patient’s electronic medical record.

III. PROCEDURE
A. If the patient would like to have a primary support person accompany them through a sensitive exam, the
primary support person shall be allowed. Document the presence of a chaperone in the clinical
note. NOTE: When domestic abuse or child maltreatment is suspected, it may not be appropriate to have
certain primary support persons or partners present. In these situations, if the primary support person is
not present, a staff member should offer a staff chaperone.
B. If the patient does not want a primary support person to be present for the sensitive exam, but would like
a chaperone present, a clinic staff member may be offered when available. If a staff member is not
available and the exam can be deferred until one is available, that option should be made available to the
patient.
C. If the clinician is uncomfortable with providing a sensitive exam on his/her own, it is acceptable for the
clinician to ask that a chaperone be present. If a chaperone is not available, the clinician may defer the
exam until a chaperone is able to be present.
D. Documentation in the electronic medical record is strongly recommended. Documentation should
include that a chaperone was offered, the patient's response to the offer, and who, if anyone, was present
as the chaperone. If a staff member is utilized as the chaperone, document the staff member's name and
credentials.
IV. REFERENCES

UWHC Administrative Policy 7.33 - Guidelines for Participation of Patients’ Primary Supports and Guidelines for
Visitors
UWHC Administrative Policy 4.34 - Patient Rights and Responsibilities

V. REVIEWED AND APPROVED BY

Ambulatory Policy and Procedure Committee
UWHC Psychiatric CNS

UWHC Child Protection Team
UWHC Risk Management
UWHC Cultural Congruence for Nursing
Meriter SANE program
Clinics Administration

SIGNED BY

Deborah D. Tinker, MSN RN, CENP, Director, Ambulatory Nursing