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Nhs students and lack of consent.

809 replies

MarbleQueen · 21/01/2022 21:26

I’m wondering if something has changed within the Nhs. At one time you were asked if you minded having a student being present.In my area they are present at every appointment without any discussion and I’m getting fed up with it.

In the last two years these things have happened.

A student midwife was brought into my room and participated in my delivery without any discussion. She was instructed to break my waters and deliver my baby without any discussion with myself. The midwife focused on talking her through things instead of supporting me. I was alone because of covid restrictions. I later discovered it was the first baby she delivered. I felt like a piece of meat.

I went for a smear and when I walked in the room there was a nurse and 3 very young women present. When I asked who they were I was told they were trainee health care assistants. I objected and the nurse insinuated I was being a bit silly and shy. I left that appointment without it being done.

I had a dentist appointment for my first ever dental treatment. I told them I was nervous. Again when I went in, I was told, not asked that the 2 people present were dental students and would only be observing. The dentist focused on explaining things to them and actually allowed one to place the filling. I didn’t agree to this.

I went to a gp apointment for something intimate to find a man around 18 years old sat in the room. Again I had to ask who he was and was told he was a student. I had to ask for him to leave and it was really uncomfortable.

I had an apointment to have a very unpleasant procedure. There was the usual student perched in the corner without any discussion. Again I had to ask who they were and was told, not asked, that they would be observing. The doctor focused on explaining things to them and when the procedure was finished I actually realised 3 more students had been brought in to watch without me noticing.

I have previously had a type of abdominal cancer. I have checks with scans and have seen the same consultant for years. On my last visit there was the usual student perched in the corner without any discussion. On this occasion, and this occasion only, the surgeon suggested doing a VE. I asked him what information he was hoping to get from this considering he had a recent MRI scan in front of him and he simply dropped it. I strongly suspect this was going to be for the students benefit because it certainly wasn’t going to benefit me.

Each of these places have standard notices in their waiting rooms informing you that a student might be present but this is not consent. I think this is now something you have to actively opt out of instead of opting in.

Has anyone else noticed this happening? I worry about what these students are learning about consent in these circumstances.

OP posts:
1smallhamsterfoot · 21/01/2022 21:54

Why would you not tell them to leave?!?

Guavaf1sh · 21/01/2022 21:54

This reply has been deleted

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Coldilox · 21/01/2022 21:53

There has been no change, they still need to ask for consent. I was asked for consent yesterday for a student nurse to be present at the breast clinic.

I always say yes, regardless of procedure/situation.
I’m married to a nurse and know how important it is to be able to observe and learn.

But it’s ok if you don’t consent and there should be no pressure.

PearPickingPorky · 21/01/2022 21:51

I worry about what these students are learning about consent in these circumstances.

I feel the same as you.

And bring able to gain consent is an incredibly important part of being a healthcare worker.

It's very troubling.

ParkingDiagram · 21/01/2022 21:51

You’ve clearly been unlucky to have so many events of students observing. I’ve somehow managed to never once have that happen but it very much depends on the situation.

Dental - no problem.
Gynae - no way.
GP appointment - depends on topic but mostly ok.

MrsJaxTellerPlease · 21/01/2022 21:51

In my trust there are posters everywhere saying that it's a teaching hospital and students will be present. You are more than welcome to ask them to leave however. That said, I've been in both sides of this. I've never had any issue with students being present or attempting procedures. Everyone has to learn. In really appreciated all the women that let me try when I was training.

Diggersaursarethebest · 21/01/2022 21:49

You should absolutely insist on students being sent out if you are uncomfortable OP. You could even ask for something to be put on your file to avoid being continually confronted with students in the future.
But the thing is, if no one consents to being observed or allowing students to perform procedures under supervision then in a few years there won’t be any medical staff? Maybe your local hospital are having issues with not enough patients accepting students so they are having to be less apologetic/more pushy about them.

Globaluser · 21/01/2022 21:49

I personally wouldn’t mind students being present and don’t even expect to be told if they are.
But any of them actually preforming any procedure on me, well I’d like to be asked.
It should be written consent in my opinion, you know, in case something goes wrong.

Jellycatspyjamas · 21/01/2022 21:47

I’d be deeply uncomfortable with that, and tbh would probably complain every time. I don’t mind students for some things but the practitioner should seek consent first. There are some things I just wouldn’t allow a student to observe - yes they need to learn but I also have a right to privacy.

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