Patient Informed Consent / Refusal (Oregon Department Of Corrections)

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OREGON DEPARTMENT OF CORRECTIONS
Operations Division
Health Services Section Policy and Procedure #P-I-05
SUBJECT:
INFORMED CONSENT AND RIGHT TO REFUSE
POLICY:
Inmates shall have the opportunity to evaluate knowledgeably the
options available and the attendant risks of interventions
recommended for the diagnosis and treatment of conditions
effecting medical and mental health status. The health care
provider is obligated to provide information sufficient for an inmate
to make an informed decision to consent or refuse the
recommended health care intervention.
REFERENCE:
ORS 677.097
OAR 291-124-080(2)
NCCHC Standard P-I-05
PROCEDURE:
Informed Consent
A.
Written informed consents shall be obtained from an inmate prior to any invasive
health care procedure that are invasive or with significant risk. Exceptions to the
provisions of informed consent are life-threatening conditions that require
immediate medical intervention to prevent certain death or serious permanent
impairment, emergency care of inmates who do not have the mental capacity to
understand the information to make an informed decision, and certain public
health matters.
B.
An inmate with a health condition that requires diagnostic evaluation or
prescribed treatment shall be provided with an explanation by the prescribing
practitioner which includes
• Procedure or treatment to be undertaken.
• Any alternative procedures or methods of treatment.
• Any risks to the prescribed procedure or treatment.
• The prognosis if the proposed treatment is not undertaken.
C.
The inmate will be asked if further explanation of the recommended prescribed
treatment or diagnostic evaluation is required. If not, the recommended
treatment or evaluation is prescribed.
D.
If the inmate requests, a more detailed explanation shall be provided to include
details of the recommended procedure or treatment, the viable alternatives, and
any material risks to the recommended procedure or treatment.
E.
The process for receiving consent from an inmate is documented in the health
care record.
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