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Q: What would you do if the patient refused to sign the immunization consent form?
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When should implied consent apply?

Implied consent applies to the unconscious patient - if the patient were conscious they would want your help.


When a dentist sits down and the patient opens his or her mouthwhat type of consent does this indicate?

This would be called implied consent. It is contrasted with the legally required informed consent.


What information must be recorded about immunization?

An immunization record must include:Name of PatientName of ImmunizationSpecific type of immunization, for example: BoosterDate of ImmunizationAdministration site (if required on the form), e.g. oral, SQ, etc.; right arm; left arm, etc.)Name of Health Official who administered the dose.(If required on the form, any follow-up required after the administration.)Some forms require or use a facility's stamp as well as signatures.Negative reactions to an Immunization would go on the Patient's Health Record, not on the Immunization Record.


If someone calls about a patient and claims hes the son and would like information How would you respond to the call?

Any health care professional has an obligation first and foremost to maintain patient confidentiality. I tend to do the following:- try and get the patient to the phone and allow them to speak to the caller directly OR speak to the patient and try and get consent to give information to the caller claiming to be her son (but explain to the patient that I cannot confirm it) OR advise the caller that the patient has "had a pleasent morning and is currently stable" but that any other more specific information can only be discussed in person. An alternative is to call the son back when Identity and consent to discuss the patient with him has been obtained.


You're in the room when Dr Jones and the patient discuss a proposed treatment What would you listen for in the conversation to determine if the patient gave informed consent?

I would listen for the patient demonstrating an understanding of the proposed treatment, including its risks, benefits, and alternatives. I would also listen for any questions asked by the patient and how they are addressed by Dr. Jones to ensure that all necessary information has been provided. Additionally, I would listen for any indication of coercion or undue influence in the conversation.


Must you have the patient's permission to enlist an interpreter to explain medical procedures in the patient's native language?

If you can not communicate with the patient how can you first get a permission. Reasonably it should be OK to use an interpreter to explain things to a patient but you would need the patient's permission to involve the interpreter in discussions relating to the patient's medical condition. Presumably the interpreter could assist in obtaing this consent.


How can you prove that the patient gave informed consent?

Informed consent can be either explicit or implicit; in either case, it is subject to judgement. Consider these examples: A dentist tells a patient that a tooth has to be extracted. By sitting in the chair and opening his mouth upon command, the patient, by implication, consents to the extraction. A physician tells a patient that the mole on her arm should be biopsied. By presenting her arm for the biopsy, the patient gives implied consent to the procedure. Is it necessary, in either of these cases, to obtain written consent which details all of the options, and the pros, cons, and costs of each? By obtaining written consent, are the dentist and physician absolved from liability? By being informed, can the patient be assured that all possible outcomes have been illuminated? What's the expression: "A grand jury can indict a ham sandwich." With or without informed consent, everyone is liable and no one is assured. As a rule, "routine," uncomplicated procedures are performed without first obtaining formal, written consent because, by implication, the patient consents by allowing the procedure to be performed. Usually, formal, written consent is sought in cases that involve considerable risk (death, e.g.) or unknown consequences (e.g., treatments whose outcomes are inconsistent). In the former instance, the patient's behavior is sufficient proof, formal evidence of disclosure being unnecessary; in the latter, it would, in the least, be prudent to obtain formal, written consent. Regardless of the situation, I dare say all practitioners, clinics, or hospitals appreciate the fact that proof of informed consent proves very little and is a meager barrier to litigation.


Who is held responsible when MA refills prescription without doctors consent patient ends up in hospital and dies?

The MA would be at fault for the death if that was the exact cause of death.


What is James Buchanan major failure?

His major failure involved senate, which refused to consent to a treaty with Great Britain that would have allowed natives of both nations to put an end to illegal trade in African slaves.


What would happen to the hero if he knew what would happen if he refused the call and refused it anyway?

Perhaps there would be no opportunity for redemption ...


Is it malpractice if your physician gives out medical information without your consent?

It is not malpractice; however it would be a violation of the Federal HIPAA law (or if not in the USA, the local equivalent patient privacy laws). HIPAA is an acronym for the Health Information Privacy Protection Act. It prohibits medical personnel from divulging certain medical information of patients to others without the patient's consent. If a physician gives out medical information without your consent, he or she would not be guilty of malpractice but would be in violation of federal law. This could subject the physician to penalties and damages - both from the government and potentially from patients if they can show harm from the disclosure. In the EU, the Data Protection Directive 95/46/EC also makes it illegal for a doctor to share information without patient consent except in certain limited situations. Most other jurisdictions have similar laws.


Examples of involuntary euthanasia?

This is the form of euthanasia where a person or persons is/are killed without their consent. Not to be confused with non-voluntary, which is based on the patient's inability to give consent. Involuntary involves mentally challenged, deformed, etc.. It is akin to genocide.