Consent forms? - page 2

Who gets surgical consent forms signed? In my experience, the nurse has always been the one to get the pt to sign, but now that I'm coming back to the hospital, I'm hearing that the Dr is supposed to... Read More

  1. by   PamUK
    In the UK, and I think in the States also, a Consent Form is NOT a legal requirment (thee are rare circumstances) What is a legal requirement is that the patient understands the procedure & the impact on their life-style, and that they are not coerced in any way AND gives their consent. This can be verbal. We would obtain a written consent form if the procedure is risky or lengthy or unusual. A consent form is NOT a contract and the patient can change their mind at any time.

    So, you could have a situation where the patient signs a consent form, BUT, if at a later date the patient can prove they did not understand all the consequences of the procedure, then any law-suit is likely to have a successful outcome.

    A consent form is only evidence that you discussed the procedure fully with the patient

    In the UK, the doctor is ultimately responsible for obtaining consent (verbal or written), however, he can delegate that responsibility to another person. That person MUST be fully conversant with the procedure and be able to asnwer any questions the patient may have. The doctor is still responsible for that persons actions (although if that person is negligent, they stand on their own)
  2. by   yankeesrule
    Working in a state facility for the handicapped/mental retardation typically its whooever has power of attorney. In some cases with no family the procedure anything from dental for an extraction to DNR goes to the special decision making committe made up of attorneys, individuals with a medical background. For consent for mammo, bloodwork we as nurses can sign for the patient.
  3. by   JaneyW
    I am at a teaching facility and it is the resident's job to get informed consent. As already stated, we are just witnessing the signature. We still have some problems. The residents will often go in and get the consent signed and then come out to us and expect us to witness. They seem confused when I take the consent back in to the patient and we both have to sign again. Also, our first year and some second year residents aren't licensed yet and cannot legally get informed consent. So we have to be aware of who is signing everything.