1 / 22

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. Compliance of current practice to GMC/RCOG advice Looking at process, documentation More specifically: Who is taking consent

albert
Download Presentation

Consent for Common Obstetric and Gynaecological Procedures

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Consent for Common Obstetric and Gynaecological Procedures Presented by Dr Stella Mwenechanya Calderdale and Huddersfield NHS Trust

  2. 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.

  3. 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

  4. 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.

  5. 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

  6. 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

  7. 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

  8. Risks • Serious and frequent risks discussed in 98% • Documentation variable for: • Procedure specific risks • Additional procedures • 18% of consent forms contained none

  9. Abdominal Hysterectomy

  10. Caesarean Section

  11. Diagnostic Hysteroscopy

  12. Diagnostic Laparoscopy

  13. Laparoscopic Tubal Occlusion

  14. Pelvic Floor Repair & Vaginal Hysterectomy

  15. Leaflet/Anaesthetic 32%(18) Leaflet 79%(45) type of anaesthetic ticked

  16. 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

  17. Competency • 94%(54) competent to perform the procedure • 3 VTS SHOs • 2 c-section • 1 diagnostic laparoscopy

  18. Patient Signature/Date/Name 96%(54) Signed 84% Dated 68% Name printed

  19. 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

  20. 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

  21. 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

More Related