Part Two
- The policy of obtaining written consent and informing the patient of the result
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Policy:
the hospital follows the policy of obtaining the patient's consent in accordance with the regulations and laws.
Purpose:
Maintaining the patient's rights and obtaining the patient's consent before providing a health service to him in accordance with the regulations and laws.
A-the patient's attendance at the hospital is considered an implicit consent to the medical examination and treatment, in accordance with the text of Article No. 28 of the regulation of ethics and honor of the profession of Human Medicine issued by the decision of the minister of Health and population No. 238 of 2003.
B-the patient or the person who has the right to sign legally must sign the general declaration of consent to be admitted to the hospital and receive treatment when the patient is admitted to the hospital ( general declaration form of admission to the hospital ).
C-doctors and members of the hospital nursing staff must obtain written informed consent from the patient or his legal representative in all the following cases (except for life-saving reasons):
* Surgical intervention.
* Renal dialysis.
* General anesthesia, migraine or deep sleep.
* Transfusion of blood and its derivatives.
* Surgical and diagnostic endoscopes.
Action steps:
1. The declaration of consent to the therapeutic procedure is filed in the relevant part of the patient's file after the signature of the patient or who is legally entitled to it.
2. The Attending Physician clarifies the reasons, advantages and risks of the procedure to be performed, explaining the consequences and alternatives resulting from it to the patient or who has the legal right to do so.
3. Doctors are obliged not to perform this procedure before confirming the existence of the patient's location acknowledgement or who has the right to it legally.
4. The doctor must be obliged to clarify the procedure and its details, mentioning (reasons –advantages – risks ) to the patient or his relatives .
5. The patient or those who have the legal right to do so shall sign the above-mentioned declaration, writing down the date and hour of signing.
6. The surgeon and the anesthesiologist sign their commitment to the said procedure with a declaration.
7. Determine the validity period of the approval of the therapeutic procedure thirty days from the date of signing the patient or who has the right to do so legally, and if the patient's condition requires emergency circumstances or on the instructions of the attending physician based on the patient's follow-up forms, perform another procedure in addition to the first procedure or change the type of So legally approve a new consent form.
8. The declaration required to be signed by the patient must contain:-
* Patient name
* Name of the process / procedure
· Type of planned anesthesia.
* Name / signature of the anesthesiologist.
* Name / signature of the surgeon .
* The date of approval must be earlier than the date of the operation.
* Signature of the patient / guardian / Guardian
9. In case of inability or incapacity of the patient to sign the declaration ( minor, incompetent or unconscious), the following order is followed with the submission of documents indicating this:
- The Guardian, guardian or trustee by virtue of the law (provided that proof of this is provided).
- Husband / wife.
- One of the parents.
- One of the adult sons.
- One of the grandparents or adult grandchildren.
- An adult third-degree relative who must prove the degree of kinship
10. In the event that the patient is unable to read and write or is unable to understand the information explained by the doctor, the patient's fingerprint or stamp must be taken on the declaration, provided that one of the relatives indicated in the previous paragraph signs as a witness to the declaration of consent and proves this to the doctor .
Due to the nature of the hospital's work and the frequent handling of serious and critical cases, the approval must include allowing blood transfusion and its derivatives .
11. In cases of loss of consciousness and critical situations affecting the patient's life, the medical team can perform some surgical interventions to save the patient's life before obtaining the patient's consent or it was not possible to obtain consent from his relatives that the hospital director or his representative form a committee of the attending physician, another doctor and the anesthesiologist Speed in conducting it before obtaining the declaration referred to in the previous item.
In charge:
- The Attending Physician.
- Nursing the responsible Department.
- The director of the hospital or his deputy (head of the department-consultant-deputy director of the hospital-administrative deputy-head of the medical authority
Models:
Sample declaration of consent
References:
- Regulation of professional ethics
- Ministerial recommendations to maintain patient safety during anesthesia.
- Egyptian accreditation standards .
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Policy: the commitment of the medical service provider to inform the patients and their families about the result of the treatment and medical care provided to them and the expected costs .
Purpose: to create a system to inform patients and their families about the result of medical care or treatment provided to them and the expected costs.
Actions:
1. Doctors and medical service providers who have the right to evaluate the patient conduct the required examinations and analyzes.
2. The diagnosis of the patient's condition is investigated by doctors or other categories therapists.
3. Doctors draw up a treatment plan or the required care for the patient.
4. Doctors and medical providers familiarize the patient with the treatment plan, alternative plans, complications, collateral damage, if any, and the expected result of each plan.
5. According to Article (21 in the code of professional ethics), it is permissible for humanitarian reasons not to inform the patient about the serious consequences of the disease, and in this case he must inform the patient's parents in a decent humane way about the seriousness of the disease and its serious consequences, unless the patient has expressed his desire not to inform anyone about his condition or has identified certain people to inform them about it with no danger to those around him.
6. Doctors and medical service providers inform the patient and his family about the expected costs of Service and treatment.
Responsible:
the Attending Physician
References:
- Clinical manuals-professional ethics regulation-approved Egyptian quality standards
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Policy:
the hospital management is committed to preserving patients ' belongings and encouraging patients to send all their belongings to their homes or friends.
- Determine the role of the hospital and its responsibilities for the property of patients.
- The patient's belongings (money, jewelry, watch, checkbook, wallet) are examined....Etc.) and recorded and saved as safes in the hospital in case the patient is unidentified or unconscious.
Purpose:
- Preserving the patient's property and determining the hospital's role to preserve it to ensure that the hospital is not held accountable.
Working procedures:
* Patients should not keep any private property during their hospital stay.
* The patient or the one who is legally entitled to do so signs a declaration stating that he does not have any property in case he does not have any property with him.
The condition of the unidentified patient ( inability to identify the patient):-
1. The responsible employee (hospital assistant) collects the patient's belongings in a portfolio in the presence of an emergency nursing supervisor.
2. The assistant writes down the contents of the portfolio ( if the property is jewelry, it is not described as gold or silver, but it is described as a yellow ring with a white lobe or silver jewelry... Etc.) with the patient's trust list form.
3. The person in charge of the emergency secretariats, together with the nursing supervisor in charge of the emergency or her representative, shall sign the contents of the list of secretariats.
4. The person in charge of the emergency trusts writes the patient's name, date and patient's access authorization data on the clipboard in which the patient's belongings are kept.
5. The emergency safety officer records the patient's data in the safety register and places the number of the patient's safety list in the place specified for it in the safety register.
6. The person in charge of the emergency safes keeps and secures the wallet in a special cupboard in the safes with a tight closure until requested by the patient himself or whoever has the right to do so legally upon request.
7. The patient is handed the contents of the clipboard according to the existing list when he requests it, with his signature receiving it and taking his fingerprint in the Register of the secretariats.
· When the patient is discharged from the hospital.
1. The nurse supervising the patient's treatment notifies the person responsible for the secretariats to bring the portfolio after making sure that the numbers and contents match the receipt list that is with the patient or whoever is legally entitled to receive it.
2. The employee in charge of the secretariats opens the wallet in front of the patient or whoever is legally entitled to do so and the contents in the wallet are counted separately (money-jewelry-etc.)
3. The patient or the one who is legally entitled to do so shall recover the entire contents of the wallet and sign this in the Register of the secretariats with the date and hour of recovery recorded and the responsible employee shall sign as a witness to this.
4. A photo from the patient's trust list is placed with his file.
Determine the role of the hospital and its responsibilities for the patient's property
The employee in charge of the secretariats informs the patient or his legal representative that the hospital is considered responsible for the unconscious patient's property only upon arrival and receipt of the patient's secretarial officer, registration and signature on receipt, until the patient or his legal representative is handed over to the secretariats and signs for receipt.
In charge:
- Hospital assistant.
- Nursing the responsible Department.
Models:
The decision of the absence of property.
References:
Egyptian accreditation standards.
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