Patients have a fundamental legal and ethical right to determine what happens to their bodies. Consent must be taken before performing any examination, procedure or treatment on a patient who has capacity. If consent is not taken, the examination or procedure can be viewed as battery and is liable to prosecution. Taking consent negates the charge of battery. Consent can be implied, verbal or written. For most examinations and minor procedures on the ward, implied and verbal consent is sufficient.<\/p>\n
Once you have watched this video, why not attempt the multiple choice quiz to test your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"
Patients have a fundamental legal and ethical right to determine what happens to their bodies. Consent must be taken before performing any examination, procedure or treatment on a patient who has capacity. If consent is not taken, the examination or procedure can be viewed as battery and is liable to prosecution. Taking consent negates the […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,1],"tags":[],"class_list":["post-38","post","type-post","status-publish","format-standard","hentry","category-tomorrows-clinicians","category-uncategorized","entry"],"youtubeVideo":"511079145\/2d4a605bc2","question1":"Consent can be:","answers1":"Implied| Verbal| Written| All of the above.","correctAnswer1":"3","correctAnswerText1":"Consent can be implied, verbal or written. The type of consent used depends upon the procedure being carried out. For most examinations and minor procedures, implied and verbal consent is adequate. More invasive procedures, procedures that are carried out in theatre and procedures that carry any significant risk, written consent is more appropriate.","question2":"Which of the following statements is true?","answers2":"Once a patient has given consent to a procedure they cannot change their mind| If a patient refuses to have a procedure they cannot change their mind later on| Consent is an on-going process, the patient can change or withdraw consent up to the point that procedure has taken place| The treating clinician can give consent on behalf of a patient who has capacity if the patient needs the procedure to be done.","correctAnswer2":"2","correctAnswerText2":"The clinician cannot make the decision on behalf of a patient who has capacity but must provide the patient with all the relevant information regarding the condition, its prognosis and the procedure involved.","question3":"Which of the following guidelines must all clinicians taking consent have read and understood?","answers3":"NICE guidelines| GMC Consent guidelines| Dudley Group of Hospital guidelines| Guidelines issued by medical protection and defence societies and unions","correctAnswerText3":"GMC guidelines can be found in the booklet: \u2018Consent: Doctors and patients making decisions together\u2019. \r\nInformation and guidance may be available from NICE and from local trust guidelines for certain procedures and may be useful as part of the consultation. Information and guidance is also available from medical protection\/defence societies and it is good practice be familiar with it.","correctAnswer3":"1","question4":"When an adult patient is competent to make decisions, who can give consent?","answers4":"Only the patient| Relatives of the patient| The patient and the doctor taking consent| The patient and next of kin.","correctAnswer4":"0","correctAnswerText4":"For adult patients who have capacity, only the patients themselves can give consent and sign the consent form. Relatives are often involved in the decision making process but cannot consent on the patient\u2019s behalf. It is the duty of the doctor taking consent to adequately inform the patient but the doctor cannot consent on behalf of the patient.","question5":"What does NOT need to be discussed as part of the consent process?","answers5":"The diagnosis and prognosis of the condition and if there are any uncertainties| The options available for treating the condition, including the option to not carry out the procedure| The potential benefits, risks and complications involved and the likelihood of success| The date and time of the surgery.","correctAnswer5":"3","correctAnswerText5":"Although the date and timing of the surgery may be discussed as part of the consultation when consent is taken, it is not necessary to take consent.","question6":"After discussing the condition and treatment, which of the following do you NOT need to ensure?","answers6":"The patient has had time to reflect and ask questions| The patient has fully understood the procedure and implications involved| The relatives have understood| The patient has made the decision without any duress","correctAnswer6":"2","correctAnswerText6":"Although it is good practice to include relatives in the consent process, the focus is on the patient. The patient must be allowed time to reflect and ask questions. They must have fully understood the procedure and implications involved and they must make the decision freely, without any pressure.","question7":"What consent form should be used for an adult patient with capacity whom is undergoing a procedure that involves general anaesthetic?","answers7":"Consent form 1| Consent form 2| Consent form 3| Consent form 4","correctAnswer7":"0","correctAnswerText7":"Consent form 2 is for children and Consent form 4 is for adults who lack capacity. Consent form 3 is for patients who are undergoing local anaesthetic procedures only and will not have any impairment to consciousness during the procedure.","question8":"The clinician must fill out the following information on the consent form?","answers8":"The name of the procedure| The name of the procedure and benefits of having the procedure| The name of the procedure, benefits and risks of having the procedure| The name of the procedure, the benefits and risks of the procedure and if there are any other additional procedures that may be involved.","correctAnswer8":"3","correctAnswerText8":"","question9":"The clinician must:","answers9":"Sign and print the consent form| Date the consent form| State their role| All of the above.","correctAnswer9":"3","correctAnswerText9":"","question10":"The clinician should:","answers10":"Give the patient the top sheet of the consent form| Give the patient written information| Give the patient the top sheet of the consent form and written information| Ask the patient to come back if they have any worries","correctAnswer10":"2","correctAnswerText10":"The clinician should give the top sheet of the consent form and written information to read at their leisure. The information should include a contact number if the patient has any concerns or queries.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"obtaining-written-consent","parentId":"","recapId":"354","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/38"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=38"}],"version-history":[{"count":5,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/38\/revisions"}],"predecessor-version":[{"id":253,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/38\/revisions\/253"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}