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According to College of Nurses of Ontario (CNO) standards, nurses are accountable for
whether the intervention or service relates to a treatment (as defined in
the HCCA or as required in common law), admission to a facility,
or the provision of a personal assistance service. obtaining consent
Consent is required for any treatment except treatment provided in certain
.
emergency situations
The consent must:
to the treatment being proposed; be
;
be ; and
not have been through misrepresentation or fraud. relate
informed
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voluntary obtained
The health care practitioner who proposes the treatment is responsible for taking
to ensure that treatment is not administered without
.
reasonable steps consent
If consent to admission to a care facility is required by law, then consent is needed in all cases except in a
.
crisis situation
The HCCA does not specify that consent to
a personal assistance service is .
required
Consent is informed if, before giving it:
1. the person received the information about the
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treatment that a reasonable person in the same circumstances would require to make a decision; and
2. the person received responses to his/her requests for additional information about the treatment.
A person is capable of giving consent to a treatment, admission to a care facility and personal assistance services
if he/she:
1. understands the information that is relevant to making a
decision concerning the treatment, admission or personal
assistance service; and
2. appreciates the reasonably possible consequences of a decision or lack
of a decision.
TRUE OR FALSE?
A person has to be 18 years of age before they can give an informed consent.
FALSE. There is no minimum age for giving consent. Health care practitioners and evaluators should use
professional judgment, taking into account the circumstances and the client's condition, to determine whether the
young client has the capacity to understand and appreciate the information relevant to making the decision.
Who must determine capacity in the case of admission to a care facility or provision of personal assistance
services?
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An evaluator. The evaluator may be the person proposing the admission or services, or the evaluator may be
identified by facility or agency policies. Nurses and some other health care professionals may be evaluators.
A conducts assessments of capacity on persons who
need decisions made on their behalf on a continuing basis.
CAPACITY ASSESSOR
NPs, RNs and RPNs are eligible to become capacity assessors. Designation will require the successful completion
of a capacity assessor education or training course approved or required by the attorney general.
If a person is incapable, the consent (or refusal to give consent) is to be obtained from who?
highest- ranked available substitute decision-maker from the HCCA hierarchy who is willing to make the decision.
If a person is incapable, and there is no other substitute decision- maker, who is the substitute decision-maker of last
resort.
the PGT
Treatment in an emergency can be provided immediately if the person is
of giving consent and provides the consent.