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