Informed Consent - Anesthesia 2-3 pg paper

User Generated

NAT164

Health Medical

Description

Informed Consent

Below are three examples (see attached documents) of commonly used informed consent forms: 

HCA322_Anesthesia_ConsentForm.pdf 


  • Review one of them and identify the five requirements within that consent form; explain where and how each element is noted within the actual form itself.
  • Then, analyze the purpose for such consent forms from both the patient’s and organization’s viewpoints.

Your paper should be two to three pages in length, excluding the title and reference pages; include at least two scholarly sources, in addition to the text; and be written in APA format.


Unformatted Attachment Preview

ANESTHESIA CONSENT FORM Because you, in consultation with your surgeon, have decided to have surgery requiring anesthesia, IT IS IMPORTANT THAT YOU, THE PATIENT, READ THIS CONSENT FORM CAREFULLY. General anesthesia involves making the patient unconscious using intravenous drugs (such as sedatives, narcotics, and muscle relaxants) and inhalational agents (such as nitrous oxide, oxygen, and anesthetic gases). This frequently involves the use of a breathing tube, which is inserted into the windpipe to insure proper breathing while you are under anesthesia. It is not possible to inform you of every agent to be used or dosage to be given since this is determined by the patient's reactions and the needs of surgery. Side effects and complications of general anesthesia are relatively uncommon, but can occur. While it is impossible to advise you of every conceivable complication, some possible examples are; Soreness of the throat and hoarseness are very common occurrences. Aspiration (inhaling stomach contents into the lungs), asthma attacks, and Pneumonia. Nerve injuries and possible weakness or paralysis. Allergic-type reactions leading to cardiac arrest and death. Nodules, polyps, or other damage to the vocal cords or windpipe. Possible traumatic damage to larynx (voice box), pharynx (throat), esophagus, lung or surrounding structures. Blood transfusions may be required. If so, there is some risk of hepatitis, AIDS, or other infections or reactions. No tests exist which can prevent every possibility of blood infected with hepatitis or AIDS being transfused. Rarely, there may be recall of events during the procedure. This is more common during anesthesia for cesarean section, heart and emergency surgery. Sometimes dreams during anesthesia are confused with recall of real events. A breathing machine may be required after surgery, which could lead to damage to the windpipe. Medical complications involving damage to the eyes, heart, lungs, and circulatory system such as blindness, stroke, blood clots, abnormal heart rhythms, phlebitis, collapsed lung, and heart attack. Possible traumatic injury to the jaw which may include dislocation, arthritis, temporomanidibular joint (TMJ) disorder or chronic pain. Teeth and dental prosthetics may become loose, broken, or dislodged, especially if loose or in poor repair regardless of the care provided by the anesthesiology provider. By signing this consent you are acknowledging that your anesthesia providers and Martin Memorial Health Systems will not be liable for any dental damage or repairs. MAC (Monitored Anesthesia Care): MAC is not General Anesthesia. MAC involves local anesthesia or nerve blocks performed by the surgeon, with monitoring of the patient's vital signs and selection and administration of sedatives and tranquilizers by the anesthetist. Unlike General Anesthesia, the patient maintains their heart and lung function without direct support or intervention on the part of the anesthetist. The patient is usually very sedated, but may still be able to hear and respond to their medical providers and remembers some or all of their experience. In surgery of the eye, sometimes the anesthesiologist will numb the eye with a nerve block and also provide Monitored Anesthesia Care. The potential complications or side effects during MAC are the same as those reviewed above and below for General Anesthesia and Regional Anesthesia. Regional Anesthesia: Regional Anesthesia involves one of a number of methods for producing numbness in the area of surgery and is performed by the anesthesia provider. These methods include; Local: Local anesthesia is injected into and around the area of the surgery to produce numbness Nerve Block: A nerve block involves the injection of local anesthetic around the major nerves going to the area of surgery to produce numbness. Intravenous regional: This technique involves the injection of a local anesthetic into a vein in the arm or leg and keeping it there using a tourniquet, causing the arm or leg to get numb. Spinal: Spinal anesthesia involves injecting a local anesthetic directly into the fluid surrounding the spinal cord in the back. Epidural:Epidural anesthesia involves injecting a local anesthetic directly outside the spinal canal in the epidural space. This is done in the back directly through a needle and/or by threading a plastic tube (catheter) into the epidural space. The needle is then removed, leaving the catheter in place. Local anesthetic agents and/or narcotics are then injected through the catheter. This catheter may be used postoperatively for pain control. The intention of regional anesthesia is to produce numbness in the area of surgery. Like Monitored Anesthesia Care, regional anesthetic methods are usually supplemented by sedatives and tranquilizers which cause drowsiness or sleep. The patient may still be able to hear and respond to their medical providers and remembers some or all of his/her experience. In the vast majority of cases, these techniques are safe, effective methods of providing surgical anesthesia. HOWEVER, SOMETIMES THE ANESTHESIA IS NOT ADEQUATE OR WEARS OFF AND SURGICAL ANESTHESIA MUST BE OBTAINED BY OTHER METHODS INCLUDING GENERAL ANESTHESIA. Side effects and complications of regional anesthesia are relatively uncommon, but can occur. It is impossible to advise you of every conceivable complication, but some possible complications are as follows: Side effects: Swelling, tenderness, bleeding, and bruising at injection site, nausea/vomiting. Very uncommon: Shock or extreme fall in blood pressure, convulsion/seizure. Extremely rare: Nerve damage resulting in numbness, tingling and/or paralysis, which may be temporary or permanent. Respiratory arrest, cardiac arrest/death, allergic reactions to drugs. in the case of eye blocks, blindness is possible. In addition to the above list, spinal/epidural anesthesia may also have the following side effects and complications: Side effects: Mild to moderate fall in blood pressure, headache. Very uncommon: Headache from a "wet tap" (spinal tap) during epidural which may be severe enough to require another epidural for treatment. Headache can also occur after spinal anesthesia, shock or extreme fall in blood pressure and very slow heart rate, high spinal anesthesia (anesthesia level is too high) requiring breathing assistance. Extremely rare: Broken epidural catheter. Epidural hematoma (blood clot around spine). Infection of the spine or meningitis. Paralysis, which may be permanent, and include loss of bowel/bladder control. Emergency surgery of the spine to prevent meningitis or paralysis. In order to minimize the possibility of aspiration, the patient is required not to eat or drink anything for a period of time before surgery. In elective cases, this is usually from midnight prior to surgery. It is extremely important not to eat or drink anything during this time because aspiration of undigested food or of significant quantities of stomach contents can lead to severe pneumonia, respiratory failure, and death. I understand that part of the anesthesia process may require the insertion of special monitoring and /or fluid lines, such as an arterial line, central venous line or Swan Ganz catheter. This will be discussed with you prior to insertion by the Anesthesia personnel. I understand that the surgeons will be occupied solely with the surgery and that the administration, maintenance, and termination of anesthesia are independent functions and will be supplied by, or under the direction and responsibility of, YOUR ANESTHESIA PROVIDERS, WHICH INCLUDES ANESTHESIOLGISTS AND CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNAs). I have been informed that students may be performing some procedures, such as insertion of fluid lines or performing endotracheal intubation under the direct supervision of an Anesthesiologist. I HEREBY CONSENT TO THE ADMINISTRATION OF ANESTHETICS AS MAY BE CONSIDERED NECESSARY OR ADVISABLE. _______ I have read this form or have had it read to me and fully understand the above consent. I have had the opportunity to have my questions answered to my satisfaction. The undersigned physician has fully explained the nature and expected benefits, alternatives and risks involved in the anesthesia I have chosen. I hereby consent to the administration of anesthetics as may be considered necessary or advisable. ________As the patient's designated health care surrogate/proxy I have read this form or I have had the opportunity to have the form read to me and fully understand the above consent. I do not have any questions for the anesthesiologist. I hereby consent to the administration of anesthetics as may be considered necessary or advisable. CONTACT NAME & NUMBER _____________________________________________ ______________________________________________ ________________ Signature of Patient Date/Time ______________________________________________ Witness to Signature _______________________________________________ __________________ Signature of Individual with authority to sign State Relationship _______________________________________________ __________________ Witness to signature Date/Time __ "Language Line" SM used to interpret consent form for patient. I hereby certify that the patient or one authorized to act in his/her behalf has been informed, in lay terms understandable to the patient of the nature of the anesthesia procedure, the alternatives as to treatment, and the consequences of and risks to the patient inherent or associated with the procedure and anesthesia. ________________________________________________ _________________ Physician Signature Date /Time MARTIN MEMORIAL HEALTH SYSTEMS STUART, FLORIDA ANESTHESIA CONSENT RM055 New 10/05 G/Consent Forms/anesthesia 055 Rev 12/30/10; 1/18/10; 3/14/11; 7/11; 6/12 REVISIONS MADE TO THIS CONSENT MUST BE APPROVED BY RISK MANAGEMENT. PPATIENT LABEL
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

This question has not been answered.

Create a free account to get help with this and any other question!

Related Tags