Patient Care - powerpoint pt 1

implied consent

• Provides care when patient is unconscious

• Based on assumption that patient would approve care

Informed consent (also called valid consent)

• Patient must be mentally competent

• Provided in lay terms (patient understands)

• Consent must be offered voluntarily

• Must be of legal age

• Procedure is carefully explained and risks involved by radiographer/radiologist

• The patient has the right to information and their questions answered

Informed consent

Written, oral or implied

• Required for all procedures

• The level of risk determines if consent is written or verbal

Written consent

High risk procedures (iodinated contrast)

Verbal consent

Low risk procedures (chest)

Describe informed consent

• Patient has the right to information

• Signing provides patient consent

-By patient

-By responsible family member

-In case of minors or incompetent patient

• Patient maintains the right to refuse

• Refer to physician questions regarding diagnosis, treatment or other aspects of care

Health Insurance Portability & Accountability Act (HIPAA)

Hospitals have policies & procedures regarding the release of patient information

• Medical records remain confidential

• Individuals with a need to know are permitted access

Patient’s Bill of Rights (privacy and confidentiality)

Patient has the right to:

• Considerate & respectful care

• Current information

• Receive physician Information necessary to give informed consent

- Medically significant risks

- Duration of incapacitation

- Alternatives

• Refuse treatment

• Name of person responsible for procedure

• Privacy concerning own medical care

• Communication & records kept confidential

• Hospital making reasonable response to request of service

• Refuse research projects or experimentations

• Reasonable continuity of care

• Exam the bill

Do not resuscitate (DNR)

Also called: No Code

• Placed on file

• When quality of life has seriously declined

• Patient’s condition is terminal

 Agreement is between

 Physician and the patient (or power of attorney if incompetent)

 Privacy

 Access to information

 Living will, health care proxy, advanced directives

 Research participation