Valid consent Flashcards
1
Q
Valid consent - Pt should
A
- Be fully informed
- Understand why this is proposed
- Risks and benefits
- Alternative options
2
Q
Communication
A
- Clear
- In a way pt can understand - tranlators
- Ensure pt knows the risks that are relevant to her
3
Q
Age for consent
A
- 18 or more
- <16 - parental consent, involve the child
4
Q
Gillick competence (<18)
A
- Ensure they have capacity
- They understand the risk, benefits, long term outcome.
- Ensure they know and understand the alternatives
- They are able to explain their decision making
- If they make a decision that can lead to harm, it can be over-ruled
5
Q
Frasers guideline
A
- the young person cannot be persuaded to inform their parents.
- the young person understands the advice being given.
- the young person’s physical or mental health or both are likely to suffer unless they receive the advice or treatment.
- it is in the young person’s best interests to receive the advice, treatment or both without their parents’ or carers’ consent.
- the young person is very likely to continue having sex with or without contraceptive treatment.
6
Q
Types of consent for procedures
A
- Pelvic exam- Verbal + chaperone
- Breast exam- Verbal + chaperone
- Any operation- written consent
Include life saving or steps that might be essential eg. ooperectomy at hysterectomy
7
Q
Emergencies where verbal consent is acceptable
A
- Cat 1 CS
- Suturing epis/tear in the room
- Screening tests in early preg
- If regional anaesthetic is used in theatre, there is time for written consent
8
Q
Legal advise and metal capacity
A
- If pt has capacity, refuses treatment then looses capacity- DO NOT perform procedure
- If pt has no capacity and refuses life saving procedure, then seek help- MDT discussion, legal advise, best interest.
9
Q
Training, consent for students
A
- Written consent in pt notes for observation of consultations/procedures/performing pelvic exam under GA
