Dear all,
my tuppeneth worth here.
We ask for informed consent and testing of all source patients. This
is so particular patient groups do not feel victimised due to ethnicity,
sexual orientation etc. Also, the diversity of our geographical area
makes it too difficult to pigeonhole patients into assumed risk groups
so it is fairer and probably safer to have a blanket screening. The
'Blue Book' states that it is beneficial to test all source patients
although has fallen short of recommending this formally.
I am a strong believer of full inofrmed consent and find that most
patients do not refuse consent when they are fully informed by their
doctor of the reason for the test and their personal implications of a
negativ or positive result. Informed consent can not be obtained if the
doctor is being bullied into testing the patient by OHAs
If doctors followed GMC guidance consent can be given 'safely'.
I'll be happy to enter into a discussion off-list or share policies/
protocols.
Best wishes
Paul D'Arcy,
Clinical Nurse Leader
Occupational Health
Hammersmith Hospital
Developing And Supporting People To Make Healthcare Better
Direct Line 020 8383 1024
Internal Ext 31024
>>> [log in to unmask] 24/10/2005 >>>
That should read
"I would NOT put a patient through a test" OOOOPS
Joseph Buggy
Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]
>>> JOSEPH BUGGY 24/10/2005 15:23 >>>
Perhaps see it from another perspective...........
The source (patient) is also an innocent victim (poor choice of
terminology really)
They have done nothing but be a patient
Why does the staff member need to be reassured by a negative result
from the patient?
Why not be reassured by a good risk assessment and knowing the actual
risks?
I would put a patient through HIV test because I had a needlestick? I
would assess the risk and take PEP if considered necessary.
While you hope for a negative result to reassure the staff member, what
happens if you get a positive - who follows that up - was not even
thinking of insurance more like health, relationship, family, occupation
etc. Huge difference in reaction to a postive result from a patient
choosing to test than an 'enforced' test
Typing this very calmly and hoping it is coming across as such
>>> [log in to unmask] 24/10/2005 14:50 >>>
Joseph-come on!
We are speaking about reasuring our co-worker who has been a VICTIM-all
we are trying to do is reasure this victim-in my excperience its very
unusual for a source to refuse consent and the other old chestnut about
insurance applications is old hat too.
The protocol should ensure that matters are fully explained to the
source so they have no concerns about consenting to their blood being
tested and teh result being used to inform the treatment of the victim.
Lets look at reasuring the innocent victim as quickly as possible -the
cost of additional stress to the victim being worried about the event
should also not be underestimated.
--
Lynda Bruce
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