'Informed Consent' refers to the permission that the doctor requests, and that you give the doctor or hospital to perform procedures, after you understand the information about the risks and benefits of that procedure.
Please view an actual Informed Consent formHERE.
Specifically, informed consent is the process whereby the physician informs the patient about the options available to the patient and to the doctor, for the diagnosis and the treatment of the patient's illness. Additionally, the risks of the procedure as well as the benefits are described to the patient so that the patient can make an informed decision regarding what he/she wants to be done. This is the theory: When you need Blood now, or die, the answer is always YES. Our main reason for looking at this question is: why is someone who knows a lot more about this procedure than me, asking me to release them from liability in case of a problem?
Informed consent is a legal doctrine that has been developed by the courts over the last 50 plus years. The doctrine of informed consent may have been derived from the Nuremberg Code, which required that doctors obtain the voluntary informed consent of the subject prior to conducting medical experimentation. The Informed Consent Doctrine requires that medical doctors provide a patient with all relevant information about a proposed procedure or treatment prior to obtaining the consent of the patient to carry out the procedure or treatment.
Four items of information that must be provided are:
Informed consent protects, with some exceptions, the doctor from liability, provided that the procedure is properly executed according to the prevailing standard of care and without negligence. Informed consent also can protect the patient by providing them with complete information on which to make an informed decision. Again, a great problem: if I am in need, and the caregiver at hand has knowledge of a limited set of options, the procedure at hand may be the one that I choose! The adult patient's power to consent is very broad. Inadequate provision of information, however, may invalidate the consent.
How Does Informed Consent
Relate To Blood Transfusion?
Remember..... it is their job to keep explaining until you understand. When you sign the paper, you have clearly and irrevocably stated that you do understand.
Patients and their families should be concerned about Blood transfusion transmitted diseases. A complete and responsible presentation, however, of transfusion risks will include all infectious risks, as well as the possible consequences of transfusion that do not involve transmission of disease. Perhaps even more than for infectious risks, the consequences and relative importance of non-infectious risks of allogeneic transfusion also identify the types of patients and circumstances in which the risk is of unusual consequence or magnitude.
The United States Government Office for Protection from Research Risks offers a full explanation on this subject.
A complete presentation of transfusion risks during a discussion between a physician and patient to elicit informed consent for transfusion should include the non-infectious risks that may be particularly relevant to the clinical circumstance.
Following here is a list of non-infectious risks, many of which may be reduced with the use of leukocyte reduced Blood components (rather than whole Blood).
Please view an actual Informed Consent form HERE.
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last updated 01/10/2005 bloodbook.com