Prince Faisal bin Khalid Cardiac Center

Abha, Saudi Arabia

Nursing Education
Department

INFORMED CONSENT
Objective
 At the end of the presentation, RNs will be able to:
1. Identify the importance of a consent.
2. Understand the essential elements of a consent.
3. Be familiar with the hospital policy on Informed
Consent.
  A process whereby the attending
physician provides information
about alternatives, risks and benefits
to a patient and/or a legal guardian
about a procedure or intervention.

ELEMENTS:

DECISION- AUTHORIZ
UNDERSTANDING FREE WILL
MAKING ATION
 Describes the process whereby minors
may agree to participate in clinical
trials.
PFKCC POLICY ON INFORMED
CONSENT
FAQs
1. Who will secure the Informed Consent for a procedure?

 ATTENDING PHYSICIAN (Primary Consultant)

 DESIGNEE ( a physician to whom the task was delegated)

2. Who should sign in the Informed Consent form?

 PATIENT/ NEXT OF KIN/ LEGAL GUARDIAN ≥18 yo.

3. When is a consent valid?

 when the signee verbalized UNDERSTANDING of the alternatives, risks and benefits of
a procedure.
 When consent was signed with signee’s free WILL/AUTONOMY.
FAQs
1. What are procedures that necessitates consent?

 ALL PROCEDURE/ INTERVENTIONS/ TREATMENT that a patient received in the

hospital.

 GENERAL CONSENT covers all GENERAL TREATMENT PROCEDURES (e.g. in-

patient admission, IV cannula insertion, blood extraction and other routine investigations,
CXR, routine medication administration).

 SPECIAL CONSENTS is needed for the following:

A. Blood and Blood Products administration
B. High-risk operations/procedures (e.g. PCI, Angiography, radiologic study with contrast
for patient with renal issues)
C. Administration of anesthetic agents/ conscious sedatives
D. Medical procedures (e.g. HD cath insertion, CRRT, CVC/A-line insertion for a
previously stable non-post op patient, Lumbar puncture)
E. Taking a video/photo of a patient
FAQs
1. How long is a consent valid?
 GENERAL CONSENT- all through the Course of admission
 SPECIAL CONSENTS- 14 days

2. What if the physician don’t speak the patient’s language?

How will he/she secure a consent?
 Seek assistance from ANOTHER PHYSICIAN who speak the language or call an
INTERPRETER.

3. Who can WITNESS a consent?

 A RELATIVE OR ANOTHER HEALTHCARE WORKER who can attest the conduct
of obtaining the informed consent and the understanding of the patient about the
information that was provided by the physician.
FAQs
1. In case of emergency/ life-saving event, how will a consent
be secured?

 PHYSICIAN CALL A NEXT OF KIN/LEGAL GUARDIAN. Consent via FAX IS

ACCEPTABLE. The signee should send a legal id w/c shall be confirmed by a witness.

 IF NEXT OF KIN/LEGAL GUARDIAN IS UNTRACEABLE:

A. For CCL/CSOR Procedure: ATTENDING PHYSICIAN + ANOTHER
CONSULTANT shall sign the consent.
B. For other procedures: ATTENDING PHYSICIAN/DESIGNEE + ANOTHER
PHYSICIAN shall sign the consent.

2. What if a consent was not secured before a life-saving

procedure, what should a physician do?
 the physician shall document in the PROGRESS NOTES the situation that necessitates
the immediate conduct of a procedure.
FAQs
1. Can a patient withdraw a consent for a procedure?
 YES, AT ANY TIME.
 Efforts to explain the necessity of a procedure/intervention should be made by the
physician. Refusal shall be documented in the PROGRESS NOTES.
 Social worker should be notified for assistance.

2. Is a consent given by a legal guardian via phone valid?

 YES, during emergency ONLY and a witness who hears the phone conversation is
necessary to make the consent valid.

3. Can a legal guardian give consent through an e-mail?

 NO. It is not considered adequate for consent.
 References
 PFKCC POLICY. (2020). INFORMED CONSENT. IPPPFR-001
 Questions and Suggestions
will be reviewed by the
NURSE EDUCATION TEAM
through your participation in our
SURVEY MONKEY Feedback Questionnaire.
Link will be sent through your Whatsapp.
Jazakallahu Khair!!!