consent for common obstetric and gynaecological procedures
Download
Skip this Video
Download Presentation
Consent for Common Obstetric and Gynaecological Procedures

Loading in 2 Seconds...

play fullscreen
1 / 22

Consent for Common Obstetric and Gynaecological Procedures - PowerPoint PPT Presentation


  • 443 Views
  • Uploaded on

Consent for Common Obstetric and Gynaecological Procedures. Presented by Dr Stella Mwenechanya Calderdale and Huddersfield NHS Trust. Aims and objectives. Compliance of current practice to GMC/RCOG advice Looking at process, documentation More specifically: Who is taking consent

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Consent for Common Obstetric and Gynaecological Procedures' - albert


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
consent for common obstetric and gynaecological procedures

Consent for Common Obstetric and Gynaecological Procedures

Presented by Dr Stella Mwenechanya

Calderdale and Huddersfield NHS Trust

aims and objectives
Aims and objectives
  • Compliance of current practice to GMC/RCOG advice
    • Looking at process, documentation
  • More specifically:
    • Who is taking consent
    • Serious and frequent risks documented.
background and standards
Background and Standards
  • Legal document

may help reduce complaints/litigation

  • GMC: informed consent
    • By investigator/operator
    • Delegation to suitably qualified and trained person
    • Sufficient knowledge of procedure and risks
standards
Standards
  • RCOG consent advice given on several gynae procedures and C/S
    • Based on DOH/welsh assembly consent form 1
    • Advice on risks to be discussed for each procedure also given.
method
Method
  • Retrospective review of cases July and August 2007
    • August: new SHO intake
    • July: SHOs in post atleast 4 months

 Theatre Registers

  • Procedures looked at were
    • Abdominal hysterectomy for heavy periods
    • Caesarean section
    • Diagnostic hysteroscopy
    • Diagnostic laparoscopy
    • Laparoscopic tubal occlusion
    • Pelvic floor repair and vaginal hysterectomy for prolapse
information looked at
Information looked at

Patient identification

Name and benefits of procedure

Serious and frequently occurring risks

Extra procedures to/not to be carried out

Leaflet

Anaesthetic

Health professional completing the form compared to performing the procedure and their competency

Patient signature

Confirmation of consent

results
Results
  • 57 cases analysed. (10 C/S)
  • 100% compliance in:
    • Patients’ surname, first name, DOB and NHS/hosp number
    • Name of procedure
    • appropriate benefits
  • 28%(16) named consultant
risks
Risks
  • Serious and frequent risks discussed in 98%
  • Documentation variable for:
    • Procedure specific risks
    • Additional procedures
      • 18% of consent forms contained none
leaflet anaesthetic
Leaflet/Anaesthetic

32%(18) Leaflet

79%(45) type of anaesthetic ticked

doctor signature date name position
Doctor Signature/Date/Name/Position
  • 96%(55) Signed and Dated
  • 93% Printed name (legible)
    • 19% were complete by consultants
    • 21% by associate specialists
    • 46% by registrars
    • 7% by SHOs
  • 43%(25) completed by the health professional performing the procedure
competency
Competency
  • 94%(54) competent to perform the procedure
  • 3 VTS SHOs
    • 2 c-section
    • 1 diagnostic laparoscopy
patient signature date name
Patient Signature/Date/Name

96%(54) Signed

84% Dated

68% Name printed

conclusion
Conclusion
    • Good compliance with guidelines on documentation of
    • patient/procedure details
    • Procedure benefits
    • Person obtaining consent
  • Serious and frequent risks
    • Reasonable compliance with local guidelines
    • Poor compliance with RCOG
  • Compliance also to be improved in:
    • Leaflets provision/documentation
    • Anaesthetic discussion
    • Named consultant
recommendations
Recommendations
  • Use of procedure specific consent forms to ensure all risks discussed with patient.
    • May even reduce repeat C/S rate
  • Registrar Inductions to include guidelines in obtaining valid consent.
  • Audit of local risks for each procedure.
  • Re-audit in 3years
royal college of obstetricians and gynaecologists

Setting standards to improve women’s health

Royal College ofObstetricians andGynaecologists

Risk Management and Medico-Legal Issues In Women’s Health

Joint RCOG/ENTER Meeting

Please turn off all mobile phones and pagers

ad