RE: INFORMED CONSENTS

[Glenn and Dayna Holt]

At our facility our legal department has stated that the placement of PICCs and acute care central lines is routine and covered under the consent for admission and treatment.  However, it is still the responsibility of the clinician placing the central line to talk with the patient and parents about the risks and benefits prior to line placement.  A signed “informed consent” is not required.  When placing PICCs we talk to the parents, and the patient, give them an information sheet that has in writing everything we have talked about, and have them sign it indicating that we have discussed it with them.  The consent is assumed if the parent does not refuse the procedure.     Dayna Holt, RN Children’s Hospital San Diego, CA -----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 Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. Patty   Patty Luptak RN OCN BSEd  Manager Oncology/Infusion Services @ Jefferson Regional Medical Center  LITE Presidential Advisor www.lite.org Groups are talking. We´re listening. Check out the handy changes to Yahoo! Groups. 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