The examination should be carried out in a designated room with the necessary paediatric immobilisation and distraction equipment. Two radiographers working together should carry out the skeletal survey(2) [2]and one of these should be specifically trained in paediatric forensic techniques.

Prior to the examination, and in accordance with departmental protocol and IR(ME)R procedure, the examining radiographer(s) must correctly identify the child.

A nurse, healthcare professional or social worker must be present during the examination to assist, and act as witness.

Parents/guardians or foster carers may also assist during the examination including parents under the age of 18 years.

A full explanation should be given to the parents/guardians or foster carers and staff acting as witnesses to ensure that they understand the examination and what may be expected of them.

The examination is lengthy and may be distressing for both child and parent(s). If either of the parents feel they do not want to be present, another family member or healthcare professional may assist in their place.

There may be occasions during the imaging procedure when the parents/guardians or foster carers may become difficult or obstructive. It may become necessary for the radiographer to stop the procedure and explain the situation to the referrer, and document the actions taken.