Informed consent to a sensitive examination, treatment, procedure, or consultation will be documented in the medical record.No sensitive examination, treatment, procedure, or consultation can be performed until informed consent is obtained or a Provider makes a determination that the patient needs immediate medical care and further delay would increase the risk to the patient’s life or health.If the patient is under the age of 18, lacks decision-making capacity, or declines to participate in decision-making, the Provider or staff will obtain informed consent from the patient’s legally authorized representative.Informed consent will be obtained prior to beginning any sensitive examinations, treatments, procedures, or consultations.Written explanations stating how and why sensitive examinations, treatments, procedures, or consultations are to be performed will be provided to patients.A clear explanation of the nature of any examination or treatment must be given to the patient, and, as applicable, the Chaperone, Support Person, parent, and/or the patient’s legally authorized representative.Universal Precautions shall be followed for sensitive examinations, treatments, procedures, or consultations, or direct digital contact with oral mucosal areas.Do not allow medical students or other parties to observe sensitive examinations, treatment, procedures, or consultations without the patient’s informed consent.Always provide an appropriate gown, allow privacy for undressing and dressing, and employ appropriate disrobing and draping practices to maximize the patient’s physical privacy.Body fluids include: semen vaginal secretions cerebrospinal, synovial, pleural, pericardial, and amniotic fluid. All human blood and certain body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens. Universal Precautions: An approach to infection control.Support Person: A person identified by the patient who offers emotional or communication support or encouragement.Examples include: breast exams, procedures of the pelvic floor or urogenital diaphragm, and vaginal or rectal exams. Sensitive examinations, treatments, procedures or consultations: Those that occur with the patient disrobed, partially disrobed, or in street clothing that involve or expose the breasts (for females), genitalia, or rectum.Provider: Any person employed by the HealthTeam who provides examination, care, treatment, procedures, or consultation.Informed consent: A clear explanation of an exam, treatment, or procedure reasonable alternatives indications and contraindications, as applicable and patient-verbalized understanding of the discussion.Chaperone: An authorized member of the health care team who has been trained in the prevention of sex discrimination (including but not limited to sexual harassment, sexual abuse, and/or sexual assault) and is outside of the direct chain of command of the Provider for whom they are chaperoning.Emphasis on privacy and the presence of a Chaperone provide benefits to both patients and Providers. Patient response to those feelings will vary based on individual beliefs, religion, culture, and experience. Medical examinations, treatments, or procedures, including sensitive examinations, treatments, procedures, or consultations, may predispose patients to feelings of vulnerability and emotional discomfort. Providers who are contracted to work in non-HealthTeam organizations must follow the policies of that organization.Īll medical interactions have the potential to be uncomfortable or difficult for patients. Chaperones must be offered for sensitive examinations, treatments, procedures, or consultations, as defined below, but may be declined by the patient or the patient’s parent, guardian, or authorized legal representative. Patients are entitled to have a Chaperone and a Support Person present for any examination, treatment, procedure, or consultation. Informed consent will be obtained for all sensitive examinations, treatments, procedures, or consultations. All patients are entitled to have their medical interactions conducted with appropriate privacy and confidentiality protections. MSU HealthTeam is committed to providing a safe environment for patients and staff.
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