Based on my experience watching staff gaining “informed consent”, I highly doubt the folks refusing vaccines but accepting monoclonal therapies knew what they were being given.
It's almost as if ill-reasoned beliefs don't matter when panic sets in. Who knew?!
Can confirm. We're a large referral center for monoclonal infusions. Essentially they just get handed a piece of paper that explains everything, up to them to read it, and a number to schedule. Don't have time to counsel the near dozens of patients I see per shift right now for covid. Should have got vaccinated.
Yea right healthcare is collapsing all over the country and you think a medical entity is going to respect some dip**** complaint of injury when they self inflicted this virus on themself and needed treatment? Different standards today than a few years ago. Right now we have clabsi and pressure wounds skyrocketing and nobody cares because we have no nurses for our completely full icu. You think those complaints which are actually justified are going to mean anything?
Of course they will mean something to folks who still buy into concepts like basic human decency, honor of one’s word and the nobility of the medical profession.
And my point is that when I have people who can’t get the standard of care for problems they had no control over then something as petty as informed consent concerns doesn’t matter at all. Basic human decency died when people refused to get vaccinated or wear masks then showed up and consumed all of the healthcare resources in sight leaving nothing for everyone else. I had a septic pyelo sit in the Er waiting room for 30 hours until she had syncope and needed 3 pressors because the Er is boarding so many icu patients their throughput has dropped to 0. That is 30 hours without antibiotics now in refractory septic shock in a 27 year old.
Yep. And we were seeing the same crazy bs before COVID with people who subsist on solely glucose diets showing up with DKA, etc. You have the duty to the patient regardless…or medical abandonment could be construed as a course of the encounter when your duty is withheld over a personal grudge…and medical battery can be construed if you act on the competent patient’s body without his informed consent. If you’re not going to do your duty by a patient, then you are bound to make other arrangements according to med ethics and the law.
I find it disingenuous to say that it is a dereliction of duty/abandonment when you hand a literate person a handout and say read this if you still want to do it the prescription is in the works whereas sitting down and rapidly saying a bunch of words in 30 seconds is not. If someone goes to get an infusion who is conscious that isnt battery come on man.
Yes, or I document "procedure done under implied consent as patient is confused and in extremis due to respiratory failure."
Yep--I assume if they are full code they want me to do full code stuff to them. My hospital has a universal consent written in to the initial paperwork basically saying by being in the hospital you agree to necessary and emergent procedures unless you otherwise list them here. It is an astronomical waste of time to do stupid consent for necessary procedures in critically ill patients. It is also a waste of time to do it for medications being written in an overwhelmed ER when a handout can perform the same function. This isn't an organ transplant...