RE: INFORMED CONSENTS

[Kilbourne, Susan]

We were told to stop getting "informed consents" on our PICC placements a few years ago due to the fact that Oregon does not allow nurses to get informed consents. So we took our consent form with all the information and potential complications and turned it into a patient information form. We document that we have discussed this prior to PICC placement but do not mention consent. I am not sure in the legal world if this protect us at all, but from a nursing standpoint, it works well as a teaching document.

Sue Kilbourne

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Artie Hansford
Sent: Monday, September 25, 2006 10:56 AM
To: Patricia Luptak; May, Julie; list serve; [EMAIL PROTECTED]
Subject: RE: INFORMED CONSENTS

My institution is in the process of eliminating informed consents.  As I understand it, it will be specifically written into the hospital P&P that informed consent will not be required for PICC insertion. 

 

This moves me a bit out of my comfort zone, since this is the way we have always done it and we are used to obtaining consent.  However, as I listen to the discussion about informed consent from the legal department, it is meant to illustrate that the patient has been fully informed of any potential complications that may occur during the procedure, and not necesarily complications that may occur down the road, like thrombus formation.  And, the physician group spoke up stating that informed consent will not protect them from liabililty or patient action against them should an untoward event occur.

 

So, I would love to hear any and all that would like to express an opinion or concern about the lack of informed consent for PICC insertion.  Thank you very much!

 

Patricia Luptak <[EMAIL PROTECTED]> wrote:

Sorry it took so long, for those of you interested in a PICC consent form, it is attached

Patty

"May, Julie" <[EMAIL PROTECTED]> wrote:

Patty,

Would you be willing to share a copy of your consent?

Julie May, RN, BSN, CRNI
Lancaster Regional Medical Center
Nursing Education Department
Extension 291-8154
Beeper 209-5561

-----Original Message-----
From: Patricia Luptak [mailto:[EMAIL PROTECTED]
Sent: Monday, July 24, 2006 3:49 PM
To: Lynn Hadaway; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: INFORMED CONSENTS

In our hospital the PICC nurses get the consents signed because they are doing the procedure. This consent was blessed by our hospital attorneys. They have been doing this for years.

Thanks

Patty Luptak

 

Lynn Hadaway <[EMAIL PROTECTED]> wrote:

I have always worked where it was the responsibility of the PICC inserters to obtain the signed form which is only one small step in the informed consent process. The inserter should be educating the patient and getting this signature, in my opinion, because we are the ones with the most knowledge of PICCs. However, I have heard others discuss that there are specific laws in CA about informed consent and you would be required to learn about and follow those laws. You will need to contact your risk management dept for more specific information Lynn

At 12:23 AM -0400 7/21/06, [EMAIL PROTECTED] wrote:

 

AND HERE WE GO AGAIN....NEW RESIDENTS, NEW PROBLEMS.

SO FAR ALL MY PICC CONSENTS ARE DONE BY OUR MD'S. LAST MED SEC MEETING SOMEONE SHOWED A CONSENT FROM FLORIDA WHERE RN'S DO THE CONSENTS. WELL, AND AGAIN NOT ENOUGH INFORMATION AND RISKS IN THIS CONSENT.

I KNOW SOME HOSPITALS HAVE IT UNDER THE ORDER OF ADMISSION WHAT IS PRETTY GREY I GUESS.

NOW TO MY QUESTION: WHO IS DOING THE CONSENTS IN YOUR HOSPITAL?

ANYONE OUT THERE WITH A GOOD PICC/ CVD CONSENT?

PLEASE SEND WHAT YOU HAVE, I HAVE A 400 BED HOSPITAL AND I AM ALONE.....ANY PICC NURSES OUT THERE????

 

ANDRE SCHOTTE, RN

RIVERSIDE COUNTY REGIONAL MEDICAL CENTER

MORENO VALLEY, CA

 

CELL: 619 254 2442

[EMAIL PROTECTED]

 

THANK YOU ALL

--   

Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861

Patty

 

Patty Luptak RN OCN BSEd 

Manager Oncology/Infusion Services @ Jefferson Regional Medical Center 
LITE Presidential Advisor
www.lite.org

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Patty

 

Patty Luptak RN OCN BSEd 

Manager Oncology/Infusion Services @ Jefferson Regional Medical Center 
LITE Presidential Advisor
www.lite.org

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Artie Hansford, RN, CRNI
Alta Bates Summit Medical Center
PICC Services
350 Hawthorne Ave, Oakland, CA 94609
510-204-3285 Phone/Pager
510-869-6690 Fax

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