paeds Flashcards
Who is a Paediatric Patient?
A child means every human being below the age of 18 years unless under the law applicable to the child, majority is attained earlier. (United Nations)
NZ HDC Code of Consumer Rights: Children over the age of 16 are considered legal adults.
At what age can a female take decisions about her pregnancy?
Any age
How do you define autonomy?
The person can decide free without coercion.
What does right 7 of the HDC code state?
Right to an informed choice and give informed consent
What age are you allowed to give informed consent?
any age, any mental state as long as they can retain information.
Children, intellectually disabled consumers, the elderly and those with mental illness are all presumed to be competent
What should MRTs do with a frightened child?
Make them feel safe, explain the procedure and give them time time to accept it. However, once parents give consent to a very important procedure, the MRT can go ahead.
What do you not need informed consent (Right 7)?
When they are not able to retain information you are giving them.
Who can consent for a child?
Anyone who is their guadian.
With regards to Tamariki, who can give consent for procedures?
next of kin or the wider whanau. Talk to the maori liason coordinator
What situation can a under 16 be treated like an adult?
When they are married
What does the Guardianship Act of 1968 state and what has replaced this act?
Guardianship Act of 1968 (replaced by Care of Children Act 2004) provides that children of or over 16 may consent to blood donations, & to medical, surgical and dental procedures as if they were of full age.
What do you have to understand when patients sign that they consent to procedures?
They may not actually know what is going on, therefore this may not be a valid consent.
When can you give treatment without consent?
- Emergencies (only necessary treatment should be provided)
- Providing services without consent under the Code
- must be in the best interest of consumer
- Reasonable steps have been taken to ascertain views of the consumer
*Therapeutic privilege
What does CSP5 say about interacting with children?
(Development of rapport required by CSP5 to reduce x-ray repeats)
In your hospital how and when do you restrain children?
You know how and when by following department protocol.
Before any immobilisation device is used
– fully explain procedure &
gain consent
from the caregiver with the child
