Nebraska SNIP Medical Consents (Decisions) - “101 内布拉斯加州剪断医疗同意（决定）-“101.pptVIP

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2018-04-17 发布于江西
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Nebraska SNIP Medical Consents (Decisions) - “101 内布拉斯加州剪断医疗同意（决定）-“101.ppt

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Nebraska SNIP Medical Consents (Decisions) - “101 内布拉斯加州剪断医疗同意（决定）-“101.ppt

Nebraska SNIPMedical Consents (Decisions) - “101”Suggestions and Resources January 16, 2002 Subgroup Members Christine Heeren, Faith Regional - Norfolk Lois Givens, BryanLGH - Lincoln Charlene Dunbar, Madonna - Lincoln Jean Dowling, Saint Elizabeth - Lincoln Resources Letter to Faith Regional from Baird Holm dated November 19, 1999 Letter to Saint Elizabeth Regional Medical Center from Cline Williams dated January 18, 2001 Case Scenario 1: A nursing home patient is dropped off for an outpatient test. They do not have any paperwork with them and they are somewhat disoriented. Dilemma: Can the patient sign the consent for treatment? Points to Consider for Case Scenario 1: If an adult patient is alert and generally oriented to person, place, time and situation the patient makes major decisions. If an adult patient is not generally oriented or there are questions regarding the patient’s capacity to understand the information and to make decisions, contact the nursing home facility to verify who has authority to provide consent to treat. Reference Baird Holm, “2. Incapacitated Persons” for more specifics. Does your hospital/ facility have a specific guideline that you can share? Case Scenario 2: A patient arrives in the Admissions department and is physically unable to sign. Dilemma: Who signs the consent? Points to Consider for Case Scenario 2: If an adult patient is alert and generally oriented to person, place, time and situation the patient makes major decisions. Any mark on a paper made with pen in hand or mouth and witnessed by 2 people Signature generated with pen in the patient’s mouth Thumb print or finger print facilitated by another person and witnessed by 2 people Verbal consent witnessed by two people Case Scenario 3: A patient is visiting from a foreign country and arrives at your emergency room and does not speak English. Dilemma: How does the registrar explain to the patient that she/he needs the patients permission prior to providi