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NRSG258 study notes for exam
Consent Four elements of valid consent
- Voluntary
- Specific to the procedure
- Informed
- Legal capacity/competent
Why do we have a per-op checklist?
For patient safety
Patient unsure and wishes to withdraw consent.
What can you say?
Why don’t you want the surgery?
What has the doctor told you.
Inform the doctor of patients reasons. What are some reasons for not being able to provide
valid consent?
Language issues,
dementia, pain,
opioids prior to consent
– any issues which impact on ability to be informed.
Power of Attorney
- You (with legal capacity) appoint someone to make decisions for
treatment when you lose capacity
- Specific to medical treatments (non financial decisions)
- - Can be revoked to any time by you as long as you have legal capacity
- - Signed by a witness and organised with a solicitor
-
- Advanced Care Directive (ACD)
- - Outlines the care the person wishes to receive if they no longer have the
capacity
- Cannot be overruled by family or medical or nursing staff
- - Over-riding and ACD may lead to charges of assault/battery
-
- The Coroner Establishes cause of death in court (does not conduct autopsies) Deaths reported
to the coroner include:
- - Those occurring during or following a health-related procedure where death was not
reasonably expected or cause of death not clear.
- The person:
- - Had not been attended by the doctor in the last six months
- - Is of unknown identity
- - Died in custody
- - Was in or temporarily absent from a mental health facility
** General anaesthesia
Inhibitory never impulses to:
- Cerebral cortex
- – unconsciousness: amnesia; loss of motor control
- - Medulla and pons – cessation of breathing and decrease of blood pressure
- - Hypothalamus – decrease blood pressure
- - Smooth muscle – tongue occludes airway; diaphragm – decrease
breathing decrease shivering decrease body temperature
-Cardiac muscle – arrhythmias
Page 2 of 7
Page 1 of 7
, 2
NRSG258 study notes for exam
Consent Four elements of valid consent
- Voluntary
- Specific to the procedure
- Informed
- Legal capacity/competent
Why do we have a per-op checklist?
For patient safety
Patient unsure and wishes to withdraw consent.
What can you say?
Why don’t you want the surgery?
What has the doctor told you.
Inform the doctor of patients reasons. What are some reasons for not being able to provide
valid consent?
Language issues,
dementia, pain,
opioids prior to consent
– any issues which impact on ability to be informed.
Power of Attorney
- You (with legal capacity) appoint someone to make decisions for
treatment when you lose capacity
- Specific to medical treatments (non financial decisions)
- - Can be revoked to any time by you as long as you have legal capacity
- - Signed by a witness and organised with a solicitor
-
- Advanced Care Directive (ACD)
- - Outlines the care the person wishes to receive if they no longer have the
capacity
- Cannot be overruled by family or medical or nursing staff
- - Over-riding and ACD may lead to charges of assault/battery
-
- The Coroner Establishes cause of death in court (does not conduct autopsies) Deaths reported
to the coroner include:
- - Those occurring during or following a health-related procedure where death was not
reasonably expected or cause of death not clear.
- The person:
- - Had not been attended by the doctor in the last six months
- - Is of unknown identity
- - Died in custody
- - Was in or temporarily absent from a mental health facility
** General anaesthesia
Inhibitory never impulses to:
- Cerebral cortex
- – unconsciousness: amnesia; loss of motor control
- - Medulla and pons – cessation of breathing and decrease of blood pressure
- - Hypothalamus – decrease blood pressure
- - Smooth muscle – tongue occludes airway; diaphragm – decrease
breathing decrease shivering decrease body temperature
-Cardiac muscle – arrhythmias
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