It is actually not in the scope of practice for a CA nurse to obtain consent
either. And many hospitals are going to a documentation of education, We have a
very nice two page Information sheet that talks about risks and benefits, so we
need to have that signed. The patient signs "understanding".
Robin Bell RN, BSN, CRNI
ps: hey sue it's me robin! :D tell Karen, Gloria, & Terry & et al that I did
it!!! CRNI in a MSN/FNP too, be by the weekend of 20-23 Oct have them e me
privately!
Robin
----Original Message-----
From: [EMAIL PROTECTED] on behalf of Kilbourne, Susan
Sent: Tue 9/26/06 10:53 AM
To: [EMAIL PROTECTED]
Cc:
Subject: FW: INFORMED CONSENTS
-----Original Message-----
From: Kilbourne, Susan
Sent: Monday, September 25, 2006 6:09 PM
To: 'Tim Talbert'
Subject: RE: INFORMED CONSENTS
Exactly that. The MDs are suppose to get informed consent, but we know
that when it comes to PICCs, that doesn't always happen. So our hospital has
decided that PICC placements are covered under the general consent and our team
is responsible for education. There are some MDs who do inform patients about
PICCs and actually offer some choices for lines, but I think the majority just
order the lines without discussing it the patient in advance. I don't think we
are unique in that respect.I am not familiar with the Standardized Procedure in
California.
-----Original Message-----
From: Tim Talbert [mailto:[EMAIL PROTECTED]
Sent: Monday, September 25, 2006 4:10 PM
To: Kilbourne, Susan; [EMAIL PROTECTED]; Artie Hansford;
[EMAIL PROTECTED]
Subject: ***Possible Explicit Content***RE: INFORMED CONSENTS
The fact (if it is one) that Oregon does not allow RNs to obtain
informed Consent does not mean that Informed Consent is not needed, it just
mean that someone else (the MD) needs to do it. Do you know if Oregon has the
equivalent of the Standardized Procedure used in California?
Tim
>>> "Kilbourne, Susan" <[EMAIL PROTECTED]> 9/25/06 >>>
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] 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
<mailto:[EMAIL PROTECTED]> [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 <http://us.i1.yimg.com/us.yimg.com/i/mesg/tsmileys2/01.gif>
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
<http://us.rd.yahoo.com/mail_us/taglines/postman7/*http://us.rd.yahoo.com/evt=39666/*http://messenger.yahoo.com>
rates starting at 1¢/min.
Patty <http://us.i1.yimg.com/us.yimg.com/i/mesg/tsmileys2/01.gif>
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
<http://pa.yahoo.com/*http://us.rd.yahoo.com/evt=41144/*http://groups.yahoo.com/local/newemail.html>
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
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