the
quick response,......
Patients have the right to be fully informed regarding PICC placement....
risks, benefits, alternatives and the risks / benefits of alternatives... JCAHO
guidelines - a separate form is not necessary -
But THE PROCESS of giving the patient sufficient information
to make a decision regarding picc placement is required
documenting what info / education / disucssion will do the trick...
if this is your facility policy. If the policy includes a form =
good
idea to have it completed/ signed.
Maybe the Doc can
get the consent for blood documented....
Ann
Zonderman, BSN, JD, CRNI, LHRM
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Susan Fullana
Sent: Wednesday, April 05, 2006 1:37 PM
To: Adams, Lorim; [EMAIL PROTECTED]
Subject: Re: Two questions for group from a lurkerDo not obtain separate consent for PICC.Do obtain consent for transfusion. I believe this is a mandate of the Joint CommisionLorim" <[EMAIL PROTECTED]> wrote:I'm an avid reader of the list serve and learn alot from the discussions held here, thank you so much!
Okay now to my questions (which may have been covered in the past- not sure)
1. At your particular institutions are you obtaining informed consents for midline placements or treating them the same as a PIV placement? (which i feel they cannot be compared to) Also could someone guide me to INS standards which do or do not support such consent. We are getting conflicting information at my hospital. I work in an outpatient ambulatory infusion center associated with a hosptial but not on the physcial campus.
2. How are any of you working in outpatient ambulatory infusion centers obtaining Informed Consent for Blood transfusions (including a physcian signature)? We may receive a call from the MD's office for referral based on labs drawn the day before. The patient is at home and is called by MD's office and then sent to us for transfusion. Orders are faxed in and the patient may not even see the MD at all prior to transfusion. Upon arrival to our infusion center we have been obtaining a consent and proceeding with transfusion, as waiting for a physcian signature on the consent could delay the transfusion for days. Any input would be greatly appreciated.
Michele Adams RN, BSN
Susan J. Fullana
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