RE: Informed Consents for medications

[Gail Barthold]

Title: The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain

We received a deficiency on a survey 3-4 yrs ago for not having proof that the resident/family had been informed of the side effects with psycho active meds and that they approved  the use.  LN or the SW discusses and documents the res/family understanding and their agreement for the use.  We made stickers with the side effects listed, place the sticker on the prog note with the statement of who was informed and signature of the staff who did the informing.  This is in Washington state.  Gail -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of CAROLYN ORTTEL Sent: Wednesday, October 29, 2003 12:35 PM To: [EMAIL PROTECTED] Subject: Re: Informed Consents for medications We do it because of OBRA '87 mandates for nursing home reform.  It is required by the state but mandated under OBRA to let clients be chemical and physical restraint free. >>> [EMAIL PROTECTED] 10/29/03 01:29PM >>> In a message dated 10/29/2003 1:33:09 PM Eastern Standard Time, [EMAIL PROTECTED] writes: > We are not getting informed consents signed for any medications.  How did you get started doing this?   Is this a state-related idea?  Are you doing this just for new orders for > medications started after admission or for all of them? We do not get signed consents because we have been told they are leggaly not useful. They are better than nothing but what you really need is documentation thaT resident SPECIFIC R&B (risks and Benefits) have been discussed. Giving a form listing postural hypotension and falling as a risk to a quadroplegic who does not bear weight to be signed does not make much sense.  I don't think there is any shortcut around realy talking with the resident and family and documenting what was explained. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators       "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your          questions posted to NAC News and FAQs.     For more info visit us at http://www.aanac.org -----------------------------------------------------------/     The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material, including "protected health information."  If you are not the intended recipient, you are hereby notified that any review, retransmission, dissemination, distribution, or copying of this message is strictly prohibited.  If you have received this communication in error, please destroy and delete this message from any computer and contact us immediately by return e-mail. <<<<P.H.I.>>>>