what is the legal obligation of a health practitioner regarding informed consent
FULLY inform the patient of potential BENEFITS and INHERENT RISKS including FAILURE of meds, procedures, treatments
when is written consent required
any invasive procedure, participation in clinical trials/medical research, prescription of Special Access Scheme drugs
whose responsibility is it to obtain written consent
what is the nurse's responsibility re consent when preparing a patient for a procedure
ENSURE CONSENT (esp written when necessary) has been OBTAINED from patient
what should the nurse do if consent form is not complete
INFORM RMO, WITHOLD pre-meds, DON'T TRANSFER patient to OT
If patient doesn't speak english how do you complete / check their consent prior
have an appropriate INTERPRETER
How is consent checked with the patient
VERIFY all DETAILS verbally that appear on the PREP CHECKLIST
what do you do if the patient has an adverse response
document in the INTEGRATED NOTES
if the patient has questions or anxieties what can you do
ENCOURAGE DISCUSSION may relieve and promote positive outcomes. LIAISE with RMO
What are the 7 / 9 elements necessary on a consent
pt details against pt addressograph, signature and printed name of pt and witness, and interpreter if used, date, procedure
under what circumstances would a patient not be able to give their own consent
SEDATION, UNCONSCIOUSNESS, ALTERED MENTAL STATE, INTELLECTUAL DEFICIT, MINOR
if a patient is not able to give consent who can be used instead
NOK, or parent / guardian for minors
patient consent must be given freely. It must be and not
how is the site identified on the consent
SITE and SIDE written CLEARLY and IN FULL
when can a correct consent become invalid?
patient withdraws or their circumstances change. expires after 6 months. review .gt. 3 months
If a consent form is not acceptable what should the nurse do
liaise with COORDINATOR, RMO, DOCUMENT in integrated notes, consider AIMS form, withold meds, not transfer patient further
when can premeds be given / TFd to OT without obtaining written consent?
life threatening emergency situations
if you withold premeds due to invalid consent what needs to be done
document on integrated notes, pre-op checklist, medchart, inform anaesthetist?
if there will be a delay for any reason, what should be done
inform destination and coordinator
a validly filled consent form does not mean however that...
pt was fully informed or understood
the patient can refuse to consent or withdraw existing consent. what happens then
the procedure will not go ahead. rmo coordinator, and destination informed. DOCUMENT
The nurse can document change in consent, who MUST document aswell
If the patient has concerns, what is the nurse's role?
patient advocate. relate concerns, facilitate addressing them, communicate with affected depts. document.