Consents from patients who cannot sign for self

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Question: how does your surgical department obtain consents for surgery, anesthesia, hippa, consent for treatment at facility?

The hospital I work at has several forms for signature for a surgical patient. My biggest issue is the patient who is challenged and cannot sign for self and either has a family member to sign or patient is a ward of the state and some judge or unreachable person is the one who signs. The issue is when the patient is with the group home staff, etc. and the responsible party must be reached by phone. Usually the case is the earliest case, no offices are open for phone consents. This has resulted in procedure delays and even cancellations.

I have ideas of how to correct this problem but would like some input from others. So, answers to the questions below would be fantastic.

1. Are consents completed prior to surgery day and by whom?

2. Are anesthesia consents obtained prior to surgical day and how is this done?

3. Is preadmission testing involved?

thank you!

We must be spoiled as our docs, surgeons and anes. All get their own consents. :)

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