Michelle, 
 
As a CA and OR nurse it is not within my scope to "obtain" informed consent but 
I do verify it, I do not do midlines.
 
When the MD orders the blood and faxes you orders why not have the MD sign the 
consent and fax it back. The MD has spoken to the patient in some respect since 
the patient is coming in agreeable to be transfused.
 
Robin

        -----Original Message----- 
        From: [EMAIL PROTECTED] on behalf of Adams, Lorim 
        Sent: Wed 4/5/06 12:03 PM 
        To: [EMAIL PROTECTED] 
        Cc: 
        Subject: Two questions for group from a lurker
        
        

        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
        
        


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