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Introduction

Implied consent is the act of granting permission to perform a medical treatment or procedure without explicitly asking for permission. Implied consent is different from explicit consent in that it does not have to be expressed verbally, but can be implied through actions.

This article will touch on implied consent especially in the healthcare industry. Read on!

What is implied consent?

Implied consent is a legal term that refers to the idea that a patient does not have to specifically consent to treatment or care by a healthcare provider. It is when a patient, without any explicit request for consent, implicitly agrees to participate in a medical procedure.

A patient can agree to be treated without explicitly asking for it. This type of agreement is usually implied when a patient goes to the doctor and receives treatment, such as medication or medical procedures, without having expressly asked for them.

Implied consent can be inferred from a patient’s behavior while they are receiving treatment. If you’re at the doctor and ask them what they’re doing and why they’re doing it, this would be considered an implied agreement with the doctor that you’ll receive whatever treatment they deem necessary for your health. 

For example, in the case of blood testing, a doctor can draw blood without asking permission from the patient because they are subject to legal professional privilege laws. Implied consent can be found in many different areas of healthcare, including:

-Hospitals

-Clinics

-Emergency departments

-Outpatient centers

-Private physicians’ offices

Purpose of consent in healthcare

In healthcare, there’s an important distinction between consent and implied consent. Implied consent is when a person has given permission for their medical information to be shared with another party, but they haven’t explicitly stated that they agree to it. 

For example, if you go to the doctor and agree to let them poke around in your body and examine you for any reason, you’re giving implied consent. However, if you’ve asked what information someone wants from your medical records and been told that it’s for research purposes only, and then later find out that it’s not just research but also marketing or other commercial uses, you may have been given implied consent even though you never explicitly gave it. 

You can still exercise your right to withdraw this implied consent by requesting that the doctor stop using your information without telling them why (for example, because of concerns about data security).

There are several situations where implied consent may apply:

  • When a patient is unable to communicate for some reason, such as if they are unconscious or in shock.
  • When a patient’s ability to communicate is limited by their age, mental state or physical condition.
  • If a patient has been injured or has an illness that makes it difficult for them to express their wishes.

In situations where there is no formal agreement between the patient and doctor or nurse about whether or not treatment should be administered, implied consent means that the doctor or nurse can administer treatment without obtaining explicit approval from the patient beforehand.

The most common example of implied consent occurs when a doctor performs a procedure on someone who is unconscious or unable to give consent. 

principles and requirements for implied consent in healthcare

Consent is an important principle that every healthcare professional should follow. It is the right of a patient to give or withhold consent to treatment, and it applies to any form of healthcare.

Implied consent means that if you are treated in a hospital or clinic, you have given your consent for your treatment by virtue of your presence there. This means that the person treating you has assumed that you want to be treated and are not acting under duress (for example, being restrained by a nurse).

In order for implied consent to apply, the healthcare professional must:

  • Be acting in the professional capacity of their role as a healthcare provider;
  • Have completed training on how to recognize and respect implied consent; and
  • Be able to document their actions clearly with written records or other evidence (such as video footage).

Examples of implied consent

Here are some of the examples of implied consent.

  1. You consent to examine your own medical records
  2. You consent to having your medical records sent to another physician
  3. You consent to be admitted into the hospital and receive treatment
  4. You consent to being enrolled as a patient in a clinical trial
  5. You consent to having blood drawn or other tests performed on you

Below are some instances to expanciate on how implied consent in healthcare works:

  • You have an appointment to see a doctor. You don’t know what’s wrong with you, so you ask the receptionist if they’ll fill out a consent form for you. They agree, and you walk into the office. 
  • You go to get a physical exam because you’re having trouble breathing. The nurse checks your vitals and sees that there’s no problem, but she still asks if it’s OK to draw blood for testing.
  • You go to get a flu shot at the doctor’s office, but since you already had one last year, the nurse explains that there are other ways for people who get the flu shot every year to get immunity from it. She shows you how to do it yourself and makes sure you understand what she told you so no one gets confused about what they need to do next time around.

When the doctor or nurse asks if you have any questions, it is implied. If you don’t ask, then you agree to the treatment. However, there are many types of treatments that can be performed without consent including blood tests, injections, and surgeries. 

Health care situations where implied consent is not sufficient

Implied consent is given daily in many healthcare situations but it is not sufficient for all types of cases. Below are some instances where implied consent are not sufficient 

  1. It doesn’t apply when a child that is not of consent giving age is involved or when a very ill person is involved. In this case, a mentally impaired, demented or unconscious, or merely frail or confused person cannot give consent. This is because oftentimes, people cannot give informed consent to emergency treatment.
  2. It doesn’t apply in public health policies that are general. Public health policies such as water purification or vaccinations and quarantine programs in times of emergency cannot be made to suit an individual or their preferences. Implied consent does not apply in this instance.
  3. Implied consent does not apply to a third party information given by a patient to their Doctor. For example, giving out information about your family history or genetic information or information about family exposure to an infection. The consent of the entire family cannot be sought in this case before their information is used.
  4. Implied consent does not apply when people that are adequately competent to consent are under duress or constraint, and unable to refuse others’ demands. This occurs mostly with prisoners and soldiers, the vulnerable, and the dependent. These people often have ordinary capacities to consent but cannot refuse because of the power dynamics, thus undermining any “consent” they offer.

Other Types of consent in healthcare

There are a few other types of consent in healthcare, including express consent, informed consent and unanimous consent.

  • Express consent occurs when the patient gives a verbal yes or no to the proposed treatment or procedure, without the need for additional explanation. For example, a doctor might ask, “Do you want me to give you a shot?” The patient could respond with a simple, “Yes.” If the doctor then proceeds with giving that patient a shot, this is express consent for that particular injection.
  • Informed consent occurs when patients are given enough information about their treatment options so that they can make informed decisions about what course of action they would like to pursue. It is important to remember that patients are not required to accept any particular treatment or procedure just because it has been suggested by their doctor; they must be provided with sufficient information about any treatment options available and given enough time to discuss them with their doctor before making any final decisions. Informed consent is different from mandatory requirements imposed by law or regulation concerning how certain treatments must be offered or provided (such as vaccinations).
  • Unanimous consent is also very important: You must all agree unanimously before any procedures can be performed on any patient. If there are any disagreements among members of your healthcare team over whether or not something should be done or if they have conflicting interests, then there will be no effective participation in the process whatsoever.

Difference between implied consent and expressed consent

There are two important concepts related to consent in healthcare: expressed consent and implied consent.

Expressed consent is a form of informed consent that is given by an individual who chooses to participate in a study or clinical trial, or who consents to be treated by a particular provider. This type of consent requires the participant to sign a written document that describes the nature of the study (e.g., what it will entail) and gives permission for their future participation.

Implied consent is based on the idea that if a person says “yes,” they have agreed to participate in a study or clinical trial; there is no need for them to sign any paperwork or give their signature on any documents that describe their participation in the study. Implied consent can take place through verbal communication (e.g., when someone indicates they understand something).

It can also be nonverbal communication (e.g., nodding or smiling while someone explains something), or through other means (e.g., if someone has agreed verbally but then changes their mind later).

Here are some noticeable difference:

  1. Implied consent is the legally recognized process of granting permission to perform a medical procedure on a patient, while expressed consent is the permission given verbally or in writing by a patient.
  2. Implied consent is given when a patient’s failure to object to treatment would not be considered an objection to the treatment itself. For example, if you are unconscious and have been admitted to the hospital for surgery, it may be inferred that you agree to the operation.
  3. Express consent must be obtained from patients before performing any medical procedure on them. This can be done through a written document or verbally during face-to-face meetings with doctors or nurses. It also depends on state laws and regulations in each state around the country as well as federal guidelines set forth by the Department of Health and Human Services (HHS).

How to obtain patient consent (general steps and by using formplus templates)

If you’re a healthcare provider, it’s important to know how to obtain patient consent.

When you’re seeking consent, the following steps are recommended:

  1. Start by explaining what your study is about and why you’re doing it. Do not ask directly for permission, just explain your intentions and what you need from the patient.
  2. If possible, ask if they want to participate in your study. If they say yes, ask them how much time they have available to help you out with your research project.
  3. Ask if they would be willing to provide a blood sample or saliva sample (a cheek swab). You may also want to offer the opportunity for them to speak with others who have been through similar experiences as their own before deciding whether or not they would like to participate in the study. this can be helpful when determining whether or not participants will feel comfortable being interviewed about their experience with a particular topic or question without first having had an opportunity to learn more about it beforehand; as well as providing insight into how other people might react if asked these same questions during future interviews (e.g., “What do you think about this idea?”

If you are a healthcare professional, you must obtain consent from your patient before beginning any service or treatment. In most cases, a signed written permission form is required.

You can use formplus form templates to create a consent form that all patients will understand and sign. This ensures that no one feels pressured into participating in any way.

Formplus form templates are free and easy to use. There are over 1000 form templates for you to choose from to get started. 

You can customize the form to suit your needs. Simply input the information you would like to receive and proceed to share it with the patient.

You can print it, or share it through the email. You can even monitor the responses as they are filled and received.

Implications of consent (and lack) in healthcare

Consent is a huge issue in healthcare, and it’s not just because of the fact that it’s so hard to get. When you’re a patient, consent is central to your experience. 

You need to give your consent for your doctor to do things like prescribe medicine or perform procedures. If your doctor doesn’t ask for your consent or if you feel pressured into giving it, that can be bad for your health and make you feel even more vulnerable than usual.

The American Medical Association recommends that doctors ask patients about their medical history and current health status before prescribing any medication or performing any procedure. Of course, this depends on how comfortable the patient feels with sharing this information with them but it’s important that everyone has this conversation before anything happens.

If you don’t want to share personal information with your doctor, you should feel comfortable saying so too.

Healthcare providers often fail to get consent from patients for tests and procedures. This can lead to issues such as inaccurate diagnoses, unnecessary treatments, and negative experiences with providers.

In order to provide the best care possible, health practitioners should always be sure to ask for consent before performing any procedure or test on their atients. If you do not have time for a consent form or are concerned that your patients won’t understand what they are signing up for, you can use a consent form template to gather their verbal consent in a more efficient manner.

Conclusion

Implied consent is an important part of the healthcare system because it allows medical practitioners to provide care to people who may not be able to give explicit consent themselves. It also allows them to provide care that might otherwise be too overwhelming or complicated for patients to handle on their own.

FAQs

How long is a consent form valid for: Consent forms are valid for up to one year after the event they were signed in relation to. This means that if you’re signing a consent form for a procedure, you need to sign it again at the end of your treatment. If there’s any complication, you’ll need to sign it again before the treatment begins.

How to get consent from an unconscious patient: If the patient is unable to give consent, make sure that an emergency contact has been designated for them in case something happens and they can’t talk for themselves. If there isn’t one, ask their family or friends if they can act as an emergency contact. Do not forget to update them with any changes in their condition or condition history during this time. You don’t want anyone getting stuck with the bill if something goes wrong.

Further guides


  • Emmanuel
  • on 12 min read

Formplus

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