Consent, Confidentiality & Record Keeping Flashcards
What are 3 reasons to gain consent?
- legal - converts unlawful touching into lawful practice
- ethical - respects a patients right to self determination
- clinical - makes it easier to treat patients with better outcomes
Who are clinicians accountable to?
- the legal system
- GDC
- the patient
Which GDC standard is the following?
- you must obtain valid consent before starting treatment, explaining all the relevant options and the possible costs
standard 3.1
Which GDC standard is the following?
- you must make sure that patients (or their representatives) understand the decisions they are being asked to make
standard 3.2
Which GDC standard is the following?
- you must make sure that the patients consent remains valid at each stage of investigation or treatment
standard 3.3
What are the 4 essential components to the consent process?
- competence
- voluntariness
- information and knowledge
- dynamism
What is the definition of capacity?
the patient has sufficient ability to understand the nature of treatment
What is the legal age of consent for treatment?
16
What is the definition of voluntariness?
the patient has fully agreed to have the treatment or decline, free from coercion
Which GDC standard is the following?
- you must make and keep contemporaneous, complete and accurate patient records
standard 4.1
Which GDC standard is the following?
- you must protect the confidentiality of patients information and only use it for the purpose for which it was given
standard 4.2
Which GDC standard is the following?
- you must only release a patients information without their permission in exceptional circumstances
standard 4.3
Which GDC standard is the following?
- ensure that patients can have access to their records
standard 4.4
Which GDC standard is the following?
- keep patients information secure at all times, whether your records are held on paper or electronically
standard 4.5
What are 3 reasons when patient information can be disclosed?
- danger to the health and safety of others
- where a crime is to be prevented or detected
- need for research, teaching or management purposes
Can you disclose when a patient has a transmissible disease to another health care professional?
yes but discuss and get patient consent
What 6 people get to see patient records?
- the patient
- their legal advocate
- statutory NHS bodies
- third party payers
- regulatory bodies
- your indemnity
What is GDC standard 8?
raise concerns if patients are at risk
What is GDC standard 9?
make sure your personal behaviour maintains patients confidence in you and the dental profession
What is GDC standard 4?
maintain and protect patients information
What information should be included in consent process recording?
- options discussed
- advantages/disadvantages/risks
- patient preference of treatment
Which GDC standard is the following?
- always put patients interest first
standard 8.1
Which GDC standard is the following?
- act promptly if patients or colleagues are at risk
standard 8.2
Which GDC standard is the following?
- have an effective procedure in place for raising concerns
standard 8.4
