Consent and Competency

Question 1

Consent for treatment

Answer 1

Patient gives verbal permission
Patient gives written permission
Patient does not object as you begin assessment

Question 2

Legal consent to treatment

Answer 2

18 years of age or older
OR
Emancipated - Less than 18 and married or legally released from custody of parent or guardian

Question 3

Age Exceptions to consent

Answer 3

An unmarried pregnant minor may consent to or refuse treatment for medical problems related to her pregnancy only

An unmarried minor mother may consent to or refuse treatment for her child

Question 4

If a patient is incapacitated or otherwise not mentally competent …

Answer 4

… decisions regarding the patient’s medical treatment can be made by an agent with durable medical power of attorney or health care surrogate

Question 5

The agent must be …

Answer 5

… a person who is 18 years of age or older, who must present with a notarized POA document, signed by the patient and two witnesses.

Question 6

Document MUST specifically state …

Answer 6

… that the agent’s POA (1) includes all health care decisions on behalf of the pt; and (2) is intended to be exercisable if the pt is incapacitated

Question 7

An agent with POA of health care surrogate …

Answer 7

… may verbally revoke a DNRO and request that JFRD initiate or continue CPR on the pt, even if a DNRO exists.

Question 8

An agent with POA may not …

Answer 8

… verbally withhold consent for CPR in the absence of a DNRO.

Question 9

Resuscitation may only be withheld or withdrawn …

Answer 9

… upon presentation of a valid DNRO

Question 10

Refusal: Mentally Competent

Answer 10

Awake, alert, and fully oriented to person, place, time, and event

No significant mental impairment (alcohol, drugs, head injury or significant illness)

Not at risk for self-harm, suicide, or homicide