National guidance for child protection in Scotland - Scottish ...

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19. Systems examination (if relevant) CVS Pulse rate/character CNS Pupil size and reactions BP Heart sounds Eye movement/nystagmus Other findings Conjunctiva RS Conscious level Trachea/air entry/percussion note etc Balance/co-ordination Breath sounds PEFR (if indicated) Reflexes Abdomen L.K.K.S Tenderness/masses Bowel sounds Diagram (if indicated) 20. Genital examination Tick as indicated Position used Extra lighting Separation Yes No Colposcope Traction Yes No Additional magnification Prone Yes No Supine Left lateral Yes No Yes No 61
Details of female genital findings Genital examination position Internal findings (if applicable) Vaginal wall Thighs Pubic area Cervix Size of speculum if used: small medium large Pubic hair (Tanner stage _________ ) Foley catheter used Yes No Labia majora Sterile water used Yes No Labia minora Lubricant used type Yes No Fourchette Fossa navicularis Vestibule Hymen 62
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CHILD PROTECTION GUIDANCE for Healt
Page 3 and 4:
© Crown copyright 2013 You may re-
Page 5 and 6:
MINISTERIAL FOREWORD Keeping Scotla
Page 7 and 8:
affecting children, young people an
Page 9 and 10:
and must be familiar with local pro
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experiencing difficulties in lookin
Page 13 and 14: Chapter 2 Roles and Responsibilitie
Page 15 and 16: Chapter 3 Sharing a Child Protectio
Page 17 and 18: Healthcare staff have a duty to co-
Page 19 and 20: Specific advice is provided below r
Page 21 and 22: Emergency and Urgent Care Medical S
Page 23 and 24: Specialist Child Protection Paediat
Page 25 and 26: PART 2 HEALTH SERVICES RESPONSIBILI
Page 27 and 28: NHS 24 NHS 24 is Scotland’s Natio
Page 30 and 31: Specification for a Child Protectio
Page 32 and 33: The Executive Director Lead Child P
Page 34 and 35: Provide advice and support on child
Page 36 and 37: Healthcare staff should seek advice
Page 38 and 39: individuals made through provisions
Page 40 and 41: All medical staff require both sing
Page 42 and 43: from the reporter or from an agent
Page 44 and 45: Appendix 1 Key Definitions and Conc
Page 46 and 47: Informal kinship care refers to car
Page 48 and 49: What is Harm and Significant Harm i
Page 50 and 51: Where a child is thought to be at r
Page 52 and 53: decision to remove a child's name w
Page 54 and 55: GIRFEC PRACTICE MODEL 51
Page 57 and 58: Proformas for Medical Assessment Ap
Page 59 and 60: 8. Reason for referral Briefing tak
Page 61 and 62: 11. Birth/Medical history 14. Devel
Page 63: 18. General examination Name(s) of
Page 68 and 69: Details of anal findings Natal fold
Page 70: Body diagrams Appendix A 67
Page 74 and 75: No access visit - when a visit has
Page 76 and 77: Missing Family Alert The purpose of
Page 78 and 79: High Risk Families High Risk Famili
Page 80 and 81: Risk taking behaviours as a result
Page 82 and 83: and child protection orders) to pro
Page 84 and 85: Children and Young People with Disa
Page 86 and 87: High Risk Families ACMD (2003). Hid
Page 88 and 89: Hester, M., Westmarland, N., Gangol
Page 90 and 91: Straus, M.A., Hamby, S.L., Finkelho
Page 92: © Crown copyright 2013 ISBN: 978-1
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