Code of Conduct for Intimate Per Vaginal Examination (PVE)
Per Vaginal Examination (PVE) is a clinical procedure performed by healthcare providers, such as gynecologists or obstetricians, to assess the health of the vagina, cervix, and uterus. Given the intimate nature of the procedure, it is essential to ensure that the process is carried out with respect, professionalism, and sensitivity. The following code of conduct outlines the appropriate practices and ethical guidelines for conducting a per vaginal examination:
Respect for Patient Autonomy and Dignity**
Informed Consent:** The patient must be fully informed about the procedure, including its purpose, process, and potential risks. Consent should be obtained voluntarily, and the patient should feel comfortable asking questions. Consent must be documented in the patient's medical record.
Right to Refuse:** The patient has the right to refuse the examination or withdraw consent at any point during the procedure, and their decision must be respected without any coercion.
*Privacy and Confidentiality:* The patient’s privacy must be respected at all times, both in terms of physical space and medical information. All details of the examination must remain confidential and be shared only with relevant medical professionals.
2. *Patient Comfort and Emotional Support*
*Provide Emotional Assurance:* The patient should be reassured about the procedure and its necessity. The healthcare provider should acknowledge any emotional or physical discomfort the patient may have.
*Use of Comforting Language:* Explain the procedure in clear, non-technical language before performing the examination, so the patient knows what to expect. Offer reassurance throughout the process.
*Encourage Patient Participation:* If possible, encourage the patient to be involved in the process. For example, they can choose the position in which they feel most comfortable or decide whether to have a chaperone present.
Preparation and Professionalism**
Appropriate Setting:** Ensure the examination is conducted in a private, clean, and comfortable setting. A proper examination table with appropriate supports should be used to ensure patient comfort and privacy.
*Hygiene Standards:* Healthcare providers should wash their hands thoroughly before and after the examination. Gloves must be worn to prevent any transmission of infections and to maintain a sterile environment.
*Clear Communication:* Inform the patient about the steps involved before and during the examination. Be prepared to explain what you are doing and why. Clear communication helps build trust and reduces anxiety.
4. *Conducting the Examination*
*Gentle Technique:* The examination should be performed gently and carefully to minimize discomfort or pain. The healthcare provider should ensure that the patient is relaxed before beginning the procedure.
*Minimal Discomfort:* Any discomfort should be minimized, and the patient should be informed about what sensations to expect. If the patient experiences excessive pain, the procedure should be stopped immediately.
5. *Involvement of Chaperones*
*Offer the Option of a Chaperone:* A chaperone should be present during the examination for the comfort and safety of both the patient and the healthcare provider. The patient should be given the choice to have a chaperone present, and their preference should be respected.
*Chaperone’s Role:* A chaperone should be an appropriately trained medical professional who is present to ensure the patient’s comfort and the appropriateness of the examination.
6. *Post-Examination Care*
Provide Aftercare Information:** After the procedure, provide the patient with information on any follow-up care needed and signs to watch for that may indicate complications, such as pain, bleeding, or unusual discharge.
Offer Support:** After the examination, ensure the patient is given time to adjust, offer emotional support, and encourage any further questions. Ensure they feel comfortable leaving the clinic.
*Maintain Confidentiality:* Discuss the results of the examination with the patient in private. Keep any personal information or medical details confidential.
7. *Documentation and Record-Keeping*
Document the Examination:** Record all relevant details of the examination, including patient consent, findings, and any comments from the patient. This documentation should be stored securely and maintained confidentially.
Cultural Sensitivity:** Be mindful of cultural differences and personal beliefs regarding intimate examinations. Respect the patient’s cultural background and values, and approach the examination with sensitivity to these factors.
Professional Boundaries**
Avoid Inappropriate Behavior:** Always maintain professional boundaries. The healthcare provider should avoid any form of inappropriate touching, comments, or behaviour during the examination.
Информация по комментариям в разработке