Patient Informed Consent / Refusal (Oregon Department Of Corrections) Page 2

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F.
After information, risks, and alternatives have been discussed with the patient,
the informed consent form will be completed and signed by the inmate for
procedures that are invasive or with significant risk, including but not limited to
the following procedures:
1.
Incision and drainage
2.
Skin removal, including biopsy
3.
Cauterization
4.
Contraception methods/prescription
5.
All major and minor surgical procedures
6.
Immunizations
7.
Psychotropic/neuroleptic medication
8.
Articular and Bursa injections
9.
Other procedures in which there is a probability of major adverse risks.
10.
All invasive dental procedures
G.
The prescribing provider shall also sign the treatment consent form indicating
that information sufficient to provide informed consent was given to the inmate.
H.
The completed treatment consent form is placed in the Consents section of the
health care record.
I.
The inmate's informed consent is not required in the following circumstances:
1.
A life-threatening emergency requiring immediate medical intervention to
prevent certain death or serious permanent impairment.
2.
Emergency care of an inmate who does not have the mental capacity to
provide informed consent and for whom there is not sufficient time to
obtain a court order.
3.
When there is a court order to provide the medical treatment or
procedure.
4.
Informed consent given by a legal guardian.
In the situations described above where informed consent is not obtained, all
aspects of the inmate's medical condition and reasons for medical intervention
are to be documented in the progress notes of the inmate's health care record.
J.
Staff will follow the Administrative Rules specific to Informed Consent to
Treatment with Psychotropic Medication (OAR 291-064-0010 to 2910064-0040).
Medical Right to Refuse
A.
An inmate who elects to refuse a specific aspect of recommended health care or
treatment shall be provided with an explanation of the health risks or
consequences of the refusal by the health professional. Refusing treatment at a
particular time does not waive the patient’s right to subsequent health care.
B.
At the time of the inmate's stated refusal, complete the treatment refusal form
(attached).
Page 2 of 4

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