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DeVry University, Chicago *
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220
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Health Science
Date
Feb 20, 2024
Type
docx
Pages
7
Uploaded by MateNeutronDragon34
Running head: Training Manual Title
1
Informed consent in emergency situations
Hospital staff
Sari Moore February 04 2024
Hit 220
DeVry University
Table of Contents
Introduction
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Capture reader’s interest
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Build case through logic
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Topic sentence/thesis statement
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Training Objectives
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Training Schedule
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Body (sections specific to your topic)
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legislative, regulatory, or legal foundation
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graphics, flow charts, etc
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main idea(s)
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Risk Management
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Conclusion
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Restate topic
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Summarize three main points
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Revisit introduction or tie all ideas together
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References
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Training Manual Title
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Introduction Decisions made at the right time can mean the difference between life and death. This is especially important in emergencies, when patients may not be able to speak for themselves and need medical help right away. In an emergency, the idea of “informed consent” can be hard to understand and apply to many scenarios. When there is an emergency, time is a valuable resource
that is often hard to get back. This sense of urgency can change the way medical decisions are made in big ways. This training is meant to deal with a basic problem in healthcare, where the idea of “informed consent” is very important and complicated. The goal of this training program is to give healthcare workers the information and skills they need to handle these complicated situations. The mix between needing to act quickly and making smart decisions will be looked at in this training.
Training Manual Title
3
There are problems with communication in high-stress situations, and alternative decision makers play a part. It’s set up to help you fully grasp the complicated issues surrounding informed consent in emergency cases and give you useful tips on how to handle them.
After finishing this training, people will be able to make well-informed decisions and handle the difficulties of getting informed consent in an emergency, all while following the strictest legal and moral standards in healthcare. Healthcare professionals are urged to take part in this training program so they can give patients the best care possible, even when things are tough.
Training Schedule
Monday 9:15am – 10:15am Critical Time Constraints
Tuesday 9:15am – 10:15am Patient Autonomy and Decisional Capacity
Tuesday 1:15pm – 2:15pm Ethical and Legal Implications
Wednesday 9:15am – 10:15am Limited Time and Stressful Environment
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Training Manual Title
4
Wednesday 1:15pm – 2:15pm Medical Jargon and Complexity
Thursday 9:15am – 10:15am Emotional Distress and Trauma
Thursday 1:15pm – 2:15pm Patient Advocacy
Friday 9:15am – 10:15am Legal Mandates
Friday 1:15pm – 2:15pm Ensuring Ethical Care
Training will be held by the HIM Director.
All physicians are required to attend
Critical Time Constraints
In emergency situations, patients often require immediate medical intervention to prevent further harm or loss of life. The urgency can be a result of various medical conditions, such as Heart attacks, strokes, or severe trauma. In these cases, time is of the essence.
Obtaining informed consent can be a time-consuming process. It is a process that involves providing patients with information about their condition, the proposed treatment, and potential risks. Delays in obtaining this consent can hinder timely treatment, potentially endangering the patient’s life.
Patient Autonomy and Decisional Capacity respecting patient autonomy remains a fundamental ethical principle. It means that patients Have the right to make decisions about their medical care. This is why it is crucial to make sure They are informed about their condition and treatment options.
At times, particularly in emergency situations, patients may lack decisional capacity due to Their medical condition, injuries, or other factors. Decisional capacity refers to an individual’s Ability to understand, appreciate, and reason about the relevant information concerning their Medical care. This lack of capacity makes it necessary to rely on surrogate decision-makers or Legal guidelines to make decisions on the patient’s behalf. The challenge is to find a balance Between respecting the patient’s autonomy and ensuring their best interests are safeguarded when they cannot provide consent.
Training Manual Title
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Ethical and Legal Implications healthcare providers are bound by ethical principles such as beneficence, which requires Them to act in the best interests of the patient. In emergency situations, the urgency to provide Care to save a life may seem to clash with the principle of informed consent. Providers must Navigate this ethical dilemma while ensuring they do not cause harm and act in the patient’s best Interests.
Beyond ethical considerations, providers must be aware of their legal obligations when Obtaining consent or proceeding without it in emergency situations. Legal requirements
can vary By jurisdiction, adding another layer of complexity to this issue. Limited Time and Stressful Environment the urgency of emergency situations creates a highly stressful environment for both the patient and the healthcare team. This stress can impede effective communication, as individuals May struggle to think clearly and remain composed in the face
of a medical crisis.
The stress experienced by both patients and healthcare providers can impair communication. Patients may find it challenging to absorb information and make rational decisions when they are under duress. Similarly, healthcare providers may struggle to convey information effectively and Provide emotional support.
Medical Jargon and Complexity, Medical information can be filled with jargon and technical details that are challenging for The average person to understand, especially in high-pressure situations. This can create a Communication barrier, making it difficult for patients to grasp the full implications of their situation and the proposed treatment.
Healthcare professionals must find ways to simplify explanations without oversimplifying Critical information. Striking the right balance between providing essential information and Ensuring patient comprehension is a complex task.
Emotional Distress and Trauma patients and their families often experience significant emotional distress during Emergencies. They may be in shock, overwhelmed, or traumatized by the sudden turn of events. This emotional distress can make it challenging for them to process information or make rational decisions.
Emotional barriers can further complicate communication efforts. Patients and their families May be in a state of shock, grief, or anger, which can hinder effective communication. Healthcare providers must be trained to manage these emotional dynamics and provide support in addition to information.
Patient Advocacy surrogate decision-makers, often family members or legal guardians, can provide valuable Insights into the patient’s preferences, values, and previous healthcare decisions. This Information is essential in making decisions that align with the patient’s wishes.
Training Manual Title
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Surrogate decision-makers act as advocates for the patient’s best interests. Their role is to ensure that the medical decisions made are in line with what the patient would choose if they Could provide consent.
Legal Mandates In many jurisdictions, the law mandates the involvement of a decision-maker when the Patient is unable to provide consent. This legal requirement ensures that decisions made on Behalf of the patient are transparent, accountable, and made with the patient’s well-being as the top priority. The use of substitute decision-makers makes things more open and accountable. Decision-making process, so healthcare providers don’t make choices on their own. This protects the patient’s right to privacy and respect, even when the patient can’t be there Say what they want.
Making Sure Ethical Care surrogate decision-makers are very important for making sure that treatment options are not Done against the patient’s wishes or morals. This is necessary to avoid possible ethical No violations.
Their participation adds another level of safety for the patient’s right to privacy and respect. In cases where the patient is unable to say what they want. It makes sure that health care Things are chosen based on what’s best for the patient.
In conclusion,
Giving informed permission in an emergency is a tricky moral and practical problem. The Care must be given right away, but there must also be respect for the patient. Being autonomous is hard. When people are under a lot of stress, they talk to each other more Medical jargon and the mental pain of patients and their families make things more difficult. The part Of surrogate decision-makers becomes necessary to protect the patient’s ideals and make sure Ethics in care. Finding the right mix is important for giving the best care while also People should be able to maintain their independence and respect even in the worst situations.
References
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Training Manual Title
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Resources
https://www.law.cornell.edu/cfr/text/38/17.32#:~:text=(7)%20Practitioners%20may
%20provide
%20necessary,patient%20is%20unable%20to%20consent.
https://code-medical-ethics.ama-assn.org/ethics-opinions/informed-consent#:~:text=In
%20emergencies%2C%20when%20a%20decision,treatment%20without%20prior
%20informed
%20consent.
https://journalofethics.ama-assn.org/article/how-should-trauma-patients-informed-
consent-orrefusal-be-regarded-trauma-bay-or-other-emergency/2018-05
https://www.hhs.gov/ohrp/regulations-and-policy/guidance/emergency-research-
informedconsent-requirements/index.html
https://www.ncbi.nlm.nih.gov/books/NBK430827/#:~:text=Informed%20consent
%20may%20be
%20waived,surrogate%20decision%20maker%20is%20available.
https://pubmed.ncbi.nlm.nih.gov/20209388/
https://www.ncbi.nlm.nih.gov/books/NBK430827/#:~:text=Informed%20consent
%20may%20be
%20waived,procedure%20requires%20explicit%20informed%20consent.
https://code-medical-ethics.ama-assn.org/ethics-opinions/informed-consent#:~:text=In
%20emergencies%2C%20when%20a%20decision,treatment%20without%20prior
%20informed
%20consent.
https://www.hhs.gov/ohrp/regulations-and-policy/guidance/faq/informed-consent/
index.html
https://devry.vitalsource.com/reader/books/9781584267645/epubcfi/
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%3Dchapter008.xhtml]!/4/2[div1]/2[ch8]/18/12/18/2/4/2/1:1[%2Ctan] pp. 231-232