Informed Consent

Facilitator: Ben Time: 55 mins; 1915-1930
Actual time:
Learning Objectives: Permission; promoting autonomy

Consent

  • “Reliable adult pt agrees to receive care after being informed of risks and benefits of each intervention”.
  • consent for everything we do - asking questions; performing interventions
  • Consent is ongoing process; must be reaffirmed throughout; can be rescinded at any time
  • Injury and illness can cause loss of control/autonomy
  • narrate care
  • Street medics support movement participants in recovering autonomy

DEMONSTRATION

(2 buddies, one patient - see p. 22 of 2014 trainer outline)

Refusal

  • Handout
  • One’s own motivation; how sick?; clarification of role; different medic; pt's definition of needs; language barriers; respect NO

Oops

  • pay attention to pt language, expressions
  • be accountable (how?)
  • apologize clearly
  • use body language/distance to respect boundaries
  • maintain consent standard moving forward

Implied consent

  • forgiveness v permission - if unresponsive, consent is implied
  • narrate care/explain actions as if pt was responsive
  • minors
  • parental consent?
  • assuming wink

Summary

  • be confident, medic face; ask permission to to each new thing; narrate; warn if will hurt or scary; pay attention to pt reponse