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#1 Posted : 26 March 2009 15:55:00(UTC)
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Posted By Mark Eastbourne
Hi

Sorry, just need some clarification if possible.

I work at a college, a young student self harmed herself but first aider was told not to contact parent because it is her right not to want her parent to know, which she didn't.

Is this right? Any legal implication for us as an organisation!?

Anyone come across anything similar?

Mark

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#2 Posted : 26 March 2009 16:07:00(UTC)
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Posted By Neil R
Patients wishes i'm afraid, nothing you can do in that respect.
All you can do is as an organisation offer cofidential support and/or councelling. The root cause of the self harming may be linked to the parents, you just don't know.
Offer support and councelling to the person, theres no legal implications for you.
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#3 Posted : 26 March 2009 16:32:00(UTC)
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Posted By Bob Youel
Its first aid at work but as the student is not at work get this area bottomed - Talk to HR and similar posts to clarify your policy and the way to go

I do not think that its as simple as it looks as a 16 year old can have certain things associated with them without parental permission and a 17 year old is nearly an adult so there may be other areas to consider! So clarify the position first before you make any final decisions.

As already noted, self harm needs to be confirmed etc by experts and is a very complicated subject noting that a first aider may be getting lead down a path which can increase an employers liability etc and as already said by others there must be a core problem which wants sorting

The core problem may be something home or school related or even a friend issue - so it may be a case of providing very basic advice to the child without telling the parents but, as already said, you need as much knowledge etc as you gan get before you address issues with the child / others

in that kind of environment this issue would have been faced before so some competence should be close at hand

best of luck
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#4 Posted : 26 March 2009 21:23:00(UTC)
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Posted By Phil Rose
Having been on a child protection course, I feel i should be able to add a sensible helpful comment but feel a bit 'kerfuddled' without my notes.

However, I am not sure if 'patient wishes' is correct (but I could be wrong)

Phil
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#5 Posted : 27 March 2009 08:42:00(UTC)
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Posted By Martyn Hendrie
It struck me reading this that the basis of the question was simply because the person was not yet 18. At 17 the person is old enough and in different circumstances could be married and completely outside parental control.

For all the first aider knows the parents could be a contributing factor to any self harm.

IMHO better to encourage the person to speak to a qualified counsellor (the college may already employ someone) who can then help the person
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#6 Posted : 27 March 2009 08:58:00(UTC)
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Posted By Mike DF
I agree with the answers above in that the First Aider should not tell the person. Discuss it with HR but make sure you keep a record of times, conversations etc. Keep it anonymous for data protection reasons but the notes may come in handy should things escalate to more than self harm.

You cannot overstep the role of the FA wish is really just to maintain life until professional help arrives.
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#7 Posted : 27 March 2009 13:45:00(UTC)
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Posted By Phil Rose
Mark

Can I suggest that you have a look at, every child matters

http://publications.teac...SafeGuard.Chd%20bkmk.pdf

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#8 Posted : 27 March 2009 14:29:00(UTC)
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Posted By Cynthia Edwards
Mark

16 and 17 year olds can give consent to medical procedures and request confidentiality from medical practitioners without their parents' permission
As far as I can see, there are no legal implications for the college by respecting the young person's wishes.

Cynthia
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#9 Posted : 27 March 2009 20:50:00(UTC)
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Posted By C. Wright
Whilst working with a youth project we were always told that in cases where there was doubt to the origins of an injury social services should be informed they will find out if there is a history of harming and if so who the case worker is so they can be helped with counselling
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#10 Posted : 29 March 2009 11:58:00(UTC)
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Posted By s_jesu
American safety and Health Institute instructs the first aiders to get the conscern of the injured before provided first aid.
So as first aider he or she cannot inform any information, but the college authorities can take action within thier limitations.

S JESU
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#11 Posted : 29 March 2009 16:23:00(UTC)
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Posted By jervis
Has it been reported in first aid book if so i would and at 17 they are classified as a child so maybe this could of been reported!!!!
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#12 Posted : 29 March 2009 18:45:00(UTC)
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Posted By Martyn Hendrie
A person over 16 but under 18 is legally classified as a "young person" not a child.

MHSW Regs
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#13 Posted : 29 March 2009 19:14:00(UTC)
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Posted By D H
Mark - did you have a procedure in place to deal with type of incident?

I think not - but use it as a learning curve and get something established as it could happen again.

I would suggest that you remove this person from your premises - but there may be a law against this - someone will have "human rights issue"

And I stand ready to be shot at here - but the people involved as well as you have a duty of care.

Failure to contact the parents and let them know of this event could be seen as negligence in a court of law if that person does something similar in another place.

You knew what they were capable of but did not alert someone.

I would suggest this is not a safety matter - more H R

Dave
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#14 Posted : 29 March 2009 19:44:00(UTC)
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Posted By jervis
Thanks for correcting me Martyn always useful to no.
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#15 Posted : 29 March 2009 21:53:00(UTC)
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Posted By Pete48
This is a student at an FE college. A disclosure has been made by a young person to an employee of the college. If you honestly do not know what to do I suggest that you contact urgently the nominated person in your college and take guidance from them. If you do not know who that is, report this to your HR people and ask them for guidance.
There are protocols to follow and it is vitally important for the continued safety of the young person that these are followed.
Please do check quickly.
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#16 Posted : 30 March 2009 09:09:00(UTC)
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Posted By MT
D H - I have to ask what you mean by "I would suggest that you remove this person from your premises". Are you seriously suggesting that as this person clearly has a problem which they need help and support with, that they should be excluded from college because of it?
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#17 Posted : 30 March 2009 23:19:00(UTC)
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Posted By Karl B
Hi all,
Posting as a first aider, FPOS IHCD I, Royal collage of surgeons etc, and a trainer within a medical academy, I have this question to ask. Would your responses be the same if the patient in question had an alcohol or drugs problem at 17?
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#18 Posted : 31 March 2009 11:17:00(UTC)
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Posted By Peter F
Why did the first aider become involved? Why didn't someone talk to the person and allow them to clean the wound themselves.
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#19 Posted : 01 April 2009 10:20:00(UTC)
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Posted By Mark Eastbourne
Don't mean to bring this to the top but just wanted to thamk everyone for their responses.

Seems the key here is the "Every Child Matters" initiative - thanks Phil.

Although all staff have undertaken mandatory training, the training did not highlight this type of scenario and as such we are manning to mitigate this happening again.

Thank you for your thoughts,

Mark
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