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Informed Consent General vs. Anesthesia specific. Laurie Miller, RNAI. Definition of informed consent:. A legal condition whereby a person is said to have given consent based upon a clear appreciation and understanding of the facts, implications, and future consequences of an action.
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Informed ConsentGeneral vs. Anesthesia specific Laurie Miller, RNAI
Definition of informed consent: • A legal condition whereby a person is said to have given consent based upon a clear appreciation and understanding of the facts, implications, and future consequences of an action.
Elements of informed consent: • Discussing risks, benefits, and alternatives. • Educating the patient • Documenting the informed consent process
Informed consent laws • Vary from state to state • Reasonable information • Complete or full disclosure
Definition of General consents: • The anesthesia risks, benefits and alternatives are incorporated within the surgical consent.
Definition of anesthesia specific consent: • This consent is anesthesia specific. It explains the risks, benefits, and consequences of anesthesia by an anesthesia provider.
History of informed consent • Discuss anesthesia the night before procedure. • Time allowed for communication. • Less out patient procedures.
Timing of informed consent: • Doctors office • Out patient centers • Surgery centers • Sedation prior to talking with the patient. • Consent signed before anesthesia provider talking to the patient.
What makes a good consent form • Documentation that interaction has taken place between the provider and the patient informing them prior to signing of the consent. • All benefits, alternatives, risks are on the form.
What does the consent form do for the practitioner? Added legal protection Time to establish a relationship
Assumptions regarding informed consent: • Your legally safe if there is a signature on the consent form. • Substance of the evidence and quality of the evidence.
Advantages of anesthesia specific forms: • Legal protection • Less narrative writing • Allows communication • Obtained only by anesthesia provider • Relationship between patient and provider
Disadvantages of anesthesia specific consents: • Requires more time • Doesn’t flow well
Advantages of general consent forms: • Quick • Nurse, surgeon can obtain • Goes with the flow of today’s surgical environment.
Disadvantages of general surgical consent: • Unfamiliar with anesthesia risks, complications, benefits, alternatives. • Consent may be signed before anesthesia speaks to patient.
Overview: • How many facilities have anesthesia specific consents.
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