Informed Consent/Advanced Directives/ Confidentiality

What is informed consent?

Information a practitioner must communicate to the patient to obtain informed consent.

What must be included in the explanation for informed consent?

A complete explanation and discussion of the patient's diagnosis, and any proposed treatments or procedures.

What information about the proceduralist is required for informed consent?

The name and qualification of the individual who is performing the actual procedure.

What must be communicated regarding available alternatives in informed consent?

Information related to alternative therapies to the recommended treatment.

What information about possible complications must be included in informed consent?

Any information that is related to possible complications.

What right does a patient have regarding informed consent?

The patient always has the right to refuse and can refuse at any time, even after signing the consent form.

What type of authorization is needed for informed consent?

Voluntary authorization.

What is necessary for patient comprehension in informed consent?

The patient needs to understand the information given.

What is the medical standard in informed consent?

It refers to what is looked at or regarded as risk in the medical community.

What do patients need to know for informed consent?

What a reasonable or particular patient needs to know.

What is the nurse's role in facilitating informed consent?

Nurses do not obtain consent but facilitate the process.

What is one of the advocacy roles of a nurse in informed consent?

To advocate for the patient's understanding and rights.

What is the nurse's role regarding witnessing consent?

Nurses are allowed to witness the consent.

Do patients have the right to refuse treatment?

Yes, patients have the right to refuse.

At what age can legal patients sign for consent?

Patients can sign for consent after the age of 18.

What happens if a patient is deemed incompetent regarding consent?

A legal guardian or representative is identified to give consent.

What is privacy in the context of personal affairs?

The right of a person to be free from unwanted intrusion into their personal affairs.

What is confidentiality in healthcare?

An obligation of all healthcare professionals to protect patient information.

Who is obligated to provide privacy and confidentiality to patients?

All healthcare professionals, regardless of status.

privacy rights of HIPAA

all patients must be informed of their privacy rights when they are admitted to a facility

records and for what purpose in HIPAA

patients needs to know who will be looking at their records and why

What rights do individuals have regarding their medical records under HIPAA?

They have the right to look at and obtain a copy of their medical records.

Under HIPAA, what rights do individuals have concerning the use of their personal data?

They have the right to not have their data used for other purposes without special authorization.

What must be done to identifying data in research under HIPAA?

All identifying data or information needs to be removed to protect privacy.

What must be safeguarded in healthcare?

Patient information

When can patient information be disclosed?

Only to those who need to know for the purpose of providing care.

When can confidential information be shared?

With the patient's informed consent, when legally required, or when failure to disclose could result in significant harm.

What is the obligation of nurses regarding confidential information?

Nurses are obligated to safeguard confidential information.

What federal law defines privacy in healthcare?

HIPAA

What does the Patient Self-Determination Act emphasize?

The right of individuals to decide what will or will not happen to their body.

In what contexts is the Patient Self-Determination Act usually addressed?

Issues such as death and dying, but it concerns all aspects of consent and refusal to consent for treatment.

What key principle is associated with the Patient Self-Determination Act?

Autonomy.

What is the purpose of Advanced Directives?

To communicate a patient's wishes about end-of-life care if the patient is unable to do so.

When must patients be asked about Advanced Directives?

Upon admission to the facility.

What are the most common types of Advanced Directives?

The living will and a durable power of attorney for healthcare.

Do all states have the same form for Advanced Directives?

No, all states have different forms for these.

What do Advanced Directives include personal instructions for?

Care and terminal illnesses.

What is the minimum age to have an Advanced Directive?

18 years of age.

What mental condition must a person be in to create an Advanced Directive?

They need to be of sound mind.