Informend Consent

A. Informend Consent (IC)

                  Making this form refers to the regulation of health ministers of Approval No. 585/MENKES/PER/IX/1989 Medical Measures and the decision of the Director General of Medical Services HK.00.06.3.5.1866 on Guidelines for Approval of Medical Action (Consent Informend) dated April 21, 1999. Decision on guidelines for Action Medical Consent (Informed Consent):

 DEFINITIONS.

 1. Consent of Medicine or Dentistry (Informed Consent) isa. Consent given by patients or their families on the basis of medical explanation of the action to be taken against the patient's proficiency level.b. Consent of patients or families who legitimately represents the plan of action Dental medicine or medicine proposed by the physician or dentist, after receiving sufficient information to make the approval.c. Unilateral declaration of the patient and not the agreement between the patients with a physician or dentist, so it may be withdrawn at any time.
d. Sekaligud process is the result of an effective communication Atara patients with a doctor or dentist, and not merely signing a consent form.2. The act of medicine or dentistry is an act of medicine or dentistry performed on patients for the purpose of preventive, diagnostic, therapeutic or rehabilitative3. Medical action is: the action is performed on patients in the form of a diagnostic or therapeutic invasive Included here is the act of direct action that may affect the integrity of the network (eg: Slicing, stabbing, or cutting tissue)4. The act of medicine or dentistry that contain high risk is the act of medicine or dentistry that with a certain probability of resulting in death. or disability (loss of or damage to the function of certain organs) such as invasive surgery or certain actions.5. Invasive action is the act of medicine or dentistry that can directly affect the integrity of the patient's body tissues.6. Guardian is a person who is legally considered to represent the legitimate interests of others who are not competent (in this case the patient is not komputen)7. Immediate family is a husband or wife, parent or child of a legitimate and siblings.8. Pengampu a person or body who set the court as a party representing the interests of a particular person (in this case patients) are declared to be under guardianship (curetale).9. Competent is competent to receive information, understand, analyze, and use it in making the approval or rejection of medicine or dentistry action.
APPROVAL
1. All medical acts to be performed on patients must be approved either in writing or verbally.2. Measures approved orally:a. All patients in the clinic (by giving the examination / oral on what would be done on patients such as: will an injection point injection and so on)b. All Pasaien in the ER that require action injection, kateresasi, post infusion, gastric sonde pairs, pairs of gibs and others (who are not at high risk)c. All patients in the Installation Medical Support:
1. Laboratory examination requires a:- Take blood intravenously.- Take blood for Hb dal another - another.
2. With all inpatients that require no high-risk acts such as:- Injecting- Connect the infusion- Connect the hose ulcer- Replace the rectal tube- Replace the catheter and the other - other3. approval was given after the patient received information about necessity adekwat relevant medical actions and risks that could bring.4. Method of delivery and content of information must be adjusted to the level - the level of education as well as the patient's condition or situation, so that the recipient of information really - really understand it.5. Persetujan writing signed by the right to give consent should be made to any medical act which contains a high risk. While the medical actions that do not contain a high risk of a written consent is not required and just enough verbal agreement.6. Memerllukan Persetuan the written approval include:a. Supporting medical Dinstalasi.1.Radiologi.

      - IVP

      - Ultrasound and other - other
2. Laboratory: cerebro spinal examination.a. Patients seeking treatment at the ER who require surgery of small, medium, large and specialty.b. Patients in the Inpatient medical measures that will be operating medium, large and specialized7. Patients who underwent a custody or sentence has the same rights as other patients, thereby consent to the examination of treatment / surgery, must be obtained pursuant to paragraph - paragraph of Article (2) above.INFORMATION1. Physician or dentist or care giver perpetrator inspection / action is obliged to provide information about medical actions that will be given to the patient, whether asked or not asked to ensure that consent is obtained for right and proper.2. Your doctor or dentist can mendelagasikan process of providing information and receiving approval of the action, but remains responsible for the delegation.3. Physician or dentist will provide information and receive patient consent on behalf of another physician or dentist, the doctor / dentist should be sure bahwea himself able to answer fully any questions asked of patients regarding the actions to be performed on patients to ensure that consent are made correctly and feasible;4. Information supplied as complete - complete, except when the physician considers that the information can be detrimental to the interests of patient health or patient refuses to be informed. In these circumstances a doctor with the consent of the patient can provide information to the next of kin to the other accompanied by a nurse as a witness.PROCEDURES FOR INFORMATION
 1. Information provided includes diagnosis and procedure of medical action, the purpose of the action taken, other action alternatives and the risks, the risks and complications that may occur and the prognosis of the action taken.2. Information given verbally.3. Information should be done honestly and correctly unless your doctor considers that it can be detrimental to the interests of the patient's health. With the approval of concerned patients, doctors can provide information to the closest relatives of these patients.4. Information should also be given if there is possible expansion of operations. The expansion of operations that can not be expected to do to save lives of patients. In these circumstances the operation is done after the expansion of physician must provide information to patients or their families.
OF INFORMATION
1. Doctors operators: In this surgery (surgery) or other invasive techniques, information must be provided by a doctor who will perform opearasi itself;2. In certain circumstances where no physician operator, information must be provided by another physician with knowledge or instructions the doctor in charge;3. Your doctor or nurse; in terms of action rather than surgery (surgery) and the action is not invasive laninya, information can be given by another doctor or nurse with the knowledge or instructions the doctor in charge.
THE RIGHT TO GIVE APPROVAL
1. Peretujuan given by adult patients (aged more than 21 years old or married) are arriving in a state of conscious and mentally healthy.2. Diberkan consent by a parent / guardian / curetale for;a. Adult patients who suffer from mental disordersb. Adult patients who were brought forgiveness (curetale)c. Approval is given by the next of kin or the landlord for the patient was taken 21 years or do not have a parent / guardian or parent / guardian is absent3. Not required approval from anyone to:a. Unconscious patient / pinsan and not accompanied by immediate family and medical arriving in a state of emergency and or medical emergency requiring immediate action for its interestsb. Medical actions to be undertaken in accordance with government programs in which medical measures to the benefit of society.
 
RESPONSIBILITY
1. physician / dentist is responsible for the implementation of the provisions concerning the approval of the actions of medical / dental2. participate bertnggung responsible for granting approval of medical acts performed in
EJECTION OF INSPECTION / ACTION
1. Refusal of medical omissions or conduct medical examinations necessary to check again whether the patient has understood the information about the patient's condition, action or treatment, serata all desires and their side effects;2. If the patient still refuses, as paragraph 1 for the actions of the medical examination, the patient or guardian / next of kin / curetale refusal to sign a form of medical action3. Omissions as a result of paragraph 2 of the act of rejection stating bertanggun full responsibility for any consequences that may arise as a result of the
SANCTIONS
Against the doctor or dentist who requires medical or dental action without the consent of the patient or family may be imposed under criminal law, Civil Law, Discipline by MKDKI.
OTHER PROVISIONS
1. Physician or dentist, students in conducting research using humans as subjects must obtain consent from patients who become research subjects.2. Criteria - specific criteria to be able to use human beings as research subjects is determined by the medical committee;3. The research conducted does not conflict with the interests of the patient, knowing that the study subjects were followed keterlibatanya research and voluntarily;Types of actions other medicine or dentistry, as article 2, paragraph 2 and may be proposed by each - each Functional Medical Staff and coordinated by the Medical Committee.