BURAIDAH C ENTRAL H OSPITAL

Department: NURSING SERVICE Policy Index: PP-BCH-NR/GNR-015-IPP-E Title: INFORMED CONSENT Applies to: All Nursing Staff Effective Date: 01-01-1432 H New

B. C. H.

IPP

Replace Number : XXXXX

Number of Pages: 3 Review Due: 01-12-1433 H

1. PURPOSE :
1.1 To ensure any patient receiving surgery, invasive medical procedures will be fully informed to all risks, benefits and alternatives prior to giving consent.

2. DEFINITION :
2.1 Informed Consent is a legal condition whereby a person have given consent upon full understanding of nature of treatment, surgical or medical procedures, the potential risks and benefits of the treatment.

3. POLICY: 3.1 The Buraydah Central Hospital respects the patients right to be informed of Surgical or Medical procedures which are to be rendered. 3.2 Informed consent must be obtained before proceeding with Surgical and Medical Proce dures, except in extremely emergency situation. 3.3 Consent form is merely a record that efficiently documents that the informed consent process occurred.

3.4 Nurses Role In Informed Consent.:

3.4.1 To verify with the patient that the physician : 3.4.1.1 Has indeed explained each treatment or procedure in a language the patient (or responsible guardian) can comprehend.

Prepared by: Magdalena Venzuela Nurse Supervisor

3.4.1.2 Diagnosis and nature of proposed treatment. 3.4.1.3 The prognosis of the proposed treatment.
Approved by : Ahmad Abdulla Al-Omar Hospital Director Page Number: 1/3

Approval Stamp

Form Index: BCH-QM-009-E

3.4.1.4 The risk and possible complications of the proposed treatment. 3.4.1.5 Advised him / her of the available alternatives, including the option of no treatment.

3.4.1.6 Prognosis of alternative including no treatment, so as to enable the patient to make an intelligent and informed decision to undergo such treatment. 3.4.2 To act as witness if necessary. 3.4.3 Document that the informed consent was obtained and that patient understood the information. 3.4.4 Ensures that informed consent was complete and valid before patient is taken for surgery or procedure.

4. PROCEDURES : 4.1 It is the Physician, who ultimately has the obligation and responsibility to explain the procedure in understandable term. 4.2 Consent must be obtained at a time when the patient is fully capable of understanding the procedure so that he / she can make an informed decision regarding consent. 4.3 Informed Consent information shall include, but not limited to : 4.3.1 Patient diagnosis. 4.3.2 Explanation of proposed treatment, and its purpose or intended benefits. 4.3.3 Any risks or consequences of the proposed treatment. 4.3.4 The probability that the proposed will be successful. 4.3.5 Treatment alternatives available. 4.3.6 Consequences of not receiving the proposed treatment. 4.4 Properly executed informed consent documentation must contain the following : 4.4.1 Name of the patient or name of the patients legal representative indicating the relationship to the patient. 4.4.2 The name of Surgical / Medical procedure. 4.4.3 Name of the Physician performing the Surgical or Medical procedure. 4.4.4 The signature of the patient or legal representative. 4.4.5 Date and time the consent form was signed by the patient or the legal representative.

5. FORMS AND EQUIPMENTS :

5.1.Consent Form.

6. REFERENCES : 6.1 MOH Policy Number: Manual of Policy. Title: 6.2 American Journal of Nursing.- edition - 2010
Page Number: 2/3 Approval Stamp

PP-BCH-NR/GNR-015-IPP-E

INFORMED CONSENT

Form Index: BCH-QM-009-E

7. APPENDIX : 7.1 N/A.

8. APPROVAL :

Name Prepared by: Magdalena Venzuela 1.Abdulla Obeid Al-Harby Reviewed by: 2.Fahd Al-Ammar 3.Ehab El Husseiny Ibrahim 4.Manae Al-Belaihy Approved by: Ahmad Abdulla Al-Omar

Position Nurse Supervisor Nursing Director Head of Patient Affairs Administration QM Director Medical Director Hospital Director

Signature

Date
22-11-1431 H 24-11-1431 H 29-11-1431 H 29-11-1431 H 29-11-1431 H 01-12-1431 H

Policy Number : PP-BCH-NE/GNR-015-IPP-E

Title: INFORMED CONSENT

Page Number: 3/3

Approval Stamp

Form Index: BCH-QM-009-E

Policy Number: PP-BCH-NR/GNR-015-IPP-E

Title: INFORMED CONSENT

Page Number: 2/3

Approval Stamp

Form Index: BCH-QM-009-E