Consent for common obstetric and gynaecological procedures
Download
1 / 22

Consent for Common Obstetric and Gynaecological Procedures - PowerPoint PPT Presentation


  • 443 Views
  • Updated 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

Related searches for Consent for Common Obstetric and Gynaecological Procedures

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 l.jpg

Consent for Common Obstetric and Gynaecological Procedures

Presented by Dr Stella Mwenechanya

Calderdale and Huddersfield NHS Trust


Aims and objectives l.jpg
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 l.jpg
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 l.jpg
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 l.jpg
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 l.jpg
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 l.jpg
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 l.jpg
Risks

  • Serious and frequent risks discussed in 98%

  • Documentation variable for:

    • Procedure specific risks

    • Additional procedures

      • 18% of consent forms contained none








Leaflet anaesthetic l.jpg
Leaflet/Anaesthetic

32%(18) Leaflet

79%(45) type of anaesthetic ticked


Doctor signature date name position l.jpg
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 l.jpg
Competency

  • 94%(54) competent to perform the procedure

  • 3 VTS SHOs

    • 2 c-section

    • 1 diagnostic laparoscopy


Patient signature date name l.jpg
Patient Signature/Date/Name

96%(54) Signed

84% Dated

68% Name printed


Conclusion l.jpg
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 l.jpg
    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 l.jpg

    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