2.6.6 Invasive Procedures |
REGULATIONS AND STANDARDS
England: STANDARD 3 - Promoting positive behaviour and relationships
STANDARD 4 - Safeguarding Children
STANDARD 6 - Promoting good health and wellbeing
Wales: Standard 7: Privacy and Confidentiality See: Children's Homes Regulations and Standards (Wales) 2002
OUTCOME STATEMENT
Children live in a healthy environment, their health needs are identified and services provided to meet them, and their good health is promoted.
Invasive procedures include the following:
- Catheter care,
- Oxygen therapy,
- providing assistance with rectal medication such as diazepam,
- the inserting of suppositories or pessaries,
- injections,
- feeding through naso-gastric or gastrostomy tubes
- supporting physiotherapy programmes and the management of prostheses
- tube feeding
Invasive procedures may only be applied by competent staff, either trained or appropriately supported and on the following conditions:
- with the written authority of a prescribing doctor or responsible nurse; who must provide the information and support outlined below;
- with the consent of a parent or person with Parental Responsibility;
The consent of the child should also be obtained. To undertake such procedures without the child's consent may be an assault but, in certain circumstances, the child's consent may be over ridden; so long as the written authority of a medical practitioner and the consent of the parent/person with Parental Responsibility have been obtained.
Also see Consents Guidance.
The doctor or nurse giving authorisation should stipulate, preferably in writing, the following:
- the arrangements/procedures to be followed;
- whether the child requires any assistance, and who should give it;
- whether any person providing assistance has agreed and requires training or guidance.
- how the procedures will be recorded
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