ULO 11- Informed Consent and Confidentiality

Question 1

Define: Consent

Answer 1

is permission given by people for tests and procedures to be carried out

Question 2

What forms does consent take

Answer 2

written
verbal
non-verbal
implied

Question 3

Define: Informed consent

Answer 3

is when reasonable efforts have been made to ensure that the person concerned has the information they need to understand what they are consenting to

Question 4

What are the Principles of Informed Consent

Answer 4

consent should:

• be freely given (not coerced, pressured or intimidated)
• only be sought from a person who has capacity to consent
• should be timely

Question 5

When should consent be recorded

Answer 5

when it is informed and always

Question 6

Define: Implied Consent

Answer 6

means that a person has not explicitly (verbally or written) given their agreement, but conduct/behaviour have “implied consent”

Question 7

In Continuity of Care, what are the rules around consent?

Answer 7

consent must

• be sought when approaching the women about continuity of care
• be informed

Question 8

Define: Confidentiality

Answer 8

is the protection of a patients personal information or personal informed decision from unauthorised parties

Question 9

As a midwifery student, what are the rules around Continuity of Care case notes?

Answer 9

• notes are owned by the student
• all information must be de-identified
• a code must be given in place of the woman’s name

Question 10

Explain: Advocacy in midwifery

Answer 10

• midwives support women to advocate for themselves
• midwives advocate for women in circumstances typically outside the woman’s control. Eg their privacy during labor, personal information

Question 11

What is the purpose of a healthcare record

Answer 11

is to provide a means of communication to facilitate the safe care and treatment of a patient

Question 12

Documentation Policy

What information must appear on every page of a healthcare record

Answer 12

Medical record number
Family name and given name
Date of birth
Sex

Question 13

Documentation Policy

Written documentation must be…

Answer 13

• clear and accurate
• legible and english
• use approved abbreviations
• written in dark ink
• time of entry (24hr clock)
• date of entry
• signed by author (inc. printed name and designation)

For student- docs must be co-signed by registered midwife

Question 14

Documentation Policy

Documentation MUST…

Answer 14

• distinguished between what was observed/performed/ reported by other or is professional opinion
• made at the time of an event or as soon as possible afterwards. Time of writing must me distinguished from time of event
• sequential where lines form new entries must be written in the line below the previous to show the sequential nature of all entries
• errors must have a line put through them with written in error written next to it including the name, signature, designation and date of the author

Question 15

Define: Autonomy

Answer 15

is a person’s ability to make or to exercise self-determining choice

Question 16

What are the Ethical principles

Answer 16

Autonomy
Non-maleficence
Beneficence
Justice (Righteous)

Question 17

Define: Non-maleficence

Answer 17

act in a way to avoid harm

• do no harm

Question 18

Define: Beneficence

Answer 18

to act in ways that benefit another