informed consent Flashcards
what is informed consent
-document signed before invasive procedures
what are exceptions to informed consent
bladder catheterization, NG intubation and venipuncture in the hospital (inpatient) setting.* ■ Exceptions in ED: the ‘need for consent may be outweighed by the need for urgent intervention.’
what are the components of informed consent
■ Diagnosis (or likely diagnosis) ■ Proposed Treatment or Procedure ■ Alternative treatment options: surgical or medical, with their risks & benefits ■ Risk and benefit of treatment ■ Risk of refusing treatment
what are components of patient autonomy and informed consent
■ Patient has the right to ask questions ■ Patient has the right to know who else will be in the room (students, residents, nurses, etc.)—or to ask them to leave ■ Patient has the right to refuse the procedure ■ Patient may want a third party in the room, or not. (resident, friend/partner, equipment rep)
where should the consent form remain?
in the chart
what is important when explained a procedure to pt
- using words pt will understand
- giving pt time to decide
when should you wear gloves?
-when contact with blood or bodily fluid is certain or likely (urine, feces, wound secretions, fluid in resp tract care, thoracentesis, paracentesis)
what do you include in the documentation
■ Who was in the room? ■ Who assisted? ■ Was the patient given the opportunity to ask questions? ■ What specific risks were discussed?
what should you tell the pt about the post op period
■ Instruct the patient on what to expect – Color of drainage – Amount of drainage – Pain control ■ When should they worry? ■ When should they follow-up? (should always)
example of how procedure should be documented
1) procedure
2) dx
3) informed consent including who was in room with pt
4) specifics of procedure performed
5) who assisted
6) how procedure was tolerated
7) estimated blood loss
8) culture
9) disposition of pt
