1. Contact with the medical practitioner
The child protection worker will contact the medical practitioner to request a report on the:
- type of operation and/or anaesthetic required
- expected outcomes and any possible risks or complications
- possible consequences if the procedure is not performed.
The hospital or medical practitioner may provide a standard list of risks and complications that cover particular medical procedures. Refer to the Health Facts resource documents in related resources for common risks associated with the insertion of grommets, Adenoidectomy and Tonsillectomy.
2. Provide information to the child and consider their wishes and views
The child protection worker will provide information to the child about the procedure and consider views expressed, having regard to the child’s age and level of understanding.
In situations involving a preverbal child or a child who has developmental impairment, the child protection worker will undertake an assessment to ascertain the child's needs and best interests.
A mature minor can provide informed consent for the procedure where a doctor has assessed that he/she has sufficient understanding and maturity to make decisions and give consent – refer to the Gillick Principle (resource document).
3. Inform the parent(s) and seek their views (where possible)
The child protection worker will contact the child’s parent(s) – where possible and appropriate – to inform them of the procedure required, seek their views, and involve them in the decision-making process.
4. Provide information to the carer(s)
The child protection worker will provide information to the carer(s) about the procedure and involve them in the process. The child protection worker may need to arrange for support and/or resources for the carer(s) to assist them in caring for the child once the child returns to the placement.
5. Complete the necessary documentation
The child protection worker will access the template 'Operative Procedures and Anaesthetic' from the 'templates' tab within the child's '360 degree view' in Assist (click on the 'Open' button to view and edit the document). Once opened, add all the relevant details to the template submission. Refer to the Assist User Guides – Templates relating to children in care.
The following must also be completed:
- Form 335 - Consent for Anaesthetic and Operative Procedures
- Form 269 - Letter to Medical Practitioner; the letter should include the child’s known medical conditions (for example allergies, genetic implications), with a request that relevant medical staff be alerted.
Note: If the hospital or medical practitioner provides its own consent form, it should be completed and signed by the district director instead of Form 335. The completed consent form must be forwarded to the hospital/medical practitioner in a timely manner.
6. Endorsement and approval process
The endorsement and approval process is completed electronically via email.
The child protection worker sends the documentation to the team leader to check, consider, endorse and submit to the assistant district director/district director.
If appropriate, the assistant district director/district director approves the submission and signs the consent form.
If the matter is contentious, the assistant district director/district director will forward the submission to the relevant Executive Director to note.
7. Recording
Once approved, the child protection worker must scan and save a copy of the approved documents onto the case file in Objective, and forward the original signed documentation to the medical practitioner or hospital. The documentation, including the signed consent form, must be provided to the surgery or hospital promptly.
The child protection worker must update relevant details in the health dimension of the Child Information Portal (CIP). Refer to Assist User Guides - Child Information Portal and QCR.