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24 Cards in this Set

  • Front
  • Back

Process/Communication Process

They will test your knowledge and ask what surgery you having today.



When are you unable to give consent?

When you are under any mind altering substances

Responsible Patient Standard

The extent of the MD's duty to provide information is determined by the information needs of the patient, rather than be professional practice.








**The needs of the patient depends on how they will be informed.

What do you never say when giving probability of of a procedure?

100% because you will be held liable

What must be disclosed when informing a patient?

The description of the procedure

What can a patient do when signing a consent?

May cross off and assign your own doctor.

By law what does it mean when you sign a consent?

If you sign it; it means you read it

Theory of informed consent

is timely***

Reasonable Physician Standard

Duty to provide the information that a reasonable medical practitioner would offer under the same or similar circumstances.

Theory of Informed Consent

The defendant MD failed to inform him adequately of a material risk before securing his consent to the proposed treatment




If he had been informed of the risk, he would not have consented to surgery




-The adverse consequences that were not made known did occur




-He was injured as a result of submitting to treatment

What do most cases involve with theory of informed consent?

Allegations that the provider failed to reveal sufficient information as to the risks and consequences of the procedure.

Types of Consent forms?

Blanket


Battery


Detailed

Battery consent

Generalized; blood type might on there but not specific




Blank spaces for name and description of the procedure and physician




general information not specific to the procedure

Detailed

Does not replace the informing process-booklet-just a secondary piece of information




Written detail describing the medical condition, procedure, consequences, risks, alternatives to treatment




Can deter misunderstandings

Blanket

Covers Consents that authorized any procedure the physician wished to perform




Evolved into the general admission consent forms

What does the patient have the right to do about the informing process?

patient has a right to say they didn't want to be informed on the procedure-must have consent for that

Extensions or modifications to surgical procedures

-Unexpected conditions arise


-Necessary to preserve the patient's life


-Gives the patient the opportunity to reject

Substitution for Practitioners

-Only the practitioner listed on the consent are allowed to operate




Patient refuses to consent for a particular practitioner




Physician partner can not be substituted without patient consent

Causation

Must be shown that there was a link between inadequate informed consent and the injury, proving that the individual would not have given consent if the risk that occurred had been disclosed



Objective standard

What would a reasonable person have done

subjective standard

Prove that the individual would have refused consent if informed

Exceptions to informed consent

-Emergencies-no time to obtain


-Therapeutic Privilege-MD can withhold info if he feel it would pose a threat to the patient


-Patient Waiver-Patient waiving their rights to be informed


-Required by law-Criminal cases, mental illness, and communicable diseases.

Documentation Concerns

-Signature to form


- Modification to the form need to be made in ink


-MD writes a note in the chart about their exchange


-Brochures, videos to help inform patient


-Must be consistent with the form

Period of validity

No period of validity


significant change in condition