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ForwardL042425 Clinical Ethics Case Review: Ethics of Consent in Urgent and Emergent Medical Interventions
A 14 year-old is transferred to the pre-op area from the ED with increased intracranial hypertension, likely due to meningitis, found on CT and clinical assessment. The child is moving some but is becoming increasingly obtunded. He still breathing on his own. When going through the procedure to place a drain to decrease the pressure in the child's brain the mother refuses to consent. She remains adamant that she does not want her child to have the surgery.
A 7 year-old with a diagnosis of sickle cell anemia is admitted for treatment of splenic sequestration. He is clinically stable at the moment. The treatment is a blood transfusion. The father refuses based on the family's faith beliefs as Jehovah's Witnesses.
An infant in the NICU is scheduled for ventricular-peritoneal shunt and removal of the reservoir they currently have to treat their hydrocephalus. The parents are not at bedside and cannot be reached.
This month, we will review the ethical considerations around parental consent. We will discuss the distinction between urgent and emergent and how clinicians respond to each scenario in an ethically appropriate manner. We will also discuss issues of consent when interventions are not urgent or emergent but the consenting parent is not present and delay of treatment does not cause immediate harm but is not ideal, not best for the child, and not within parents' goals of care for their child. We will identify the ethical considerations in each case and provide recommendations and guidance on how clinicians can approach these types of scenarios in practice.
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Clinical Ethics Case Review will explore real cases to help clinicians understand how to identify, approach, and manage ethical issues. Every other month we will present a real case and review the ethical issues, provide ethical analysis, and discuss ways to approach these in practice. This educational opportunity will be beneficial for all clinical staff and especially for early career clinicians.
These activities will be held bi-monthly, virtual, 4th Thursday from 11:30 – 12:30 pm.
Target Audience
Children's Minnesota healthcare providers and staff caring for pediatric patients and their families.
Learning Objectives
- Review multiple cases to identify clinical ethics issues
- Discuss how to analyze ethical considerations around parental consent/refusals for urgent or emergent medical interventions
- Examine approaches towards resolution of an ethical issue
Moderators: Ian Wolfe, PhD, RN & Shika Kalevor, MBE, BSN, RN, HEC-C
DISCLOSURE STATEMENT:
It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.
Planning committee members and presenter(s) have disclosed they have no relevant financial relationships with ineligible companies whose primary business is producing, marketing selling re-selling, or distributing healthcare products used by or on patients and have disclosed that no conflict of interest exists with the presentation/educational event.
Accreditation Statement:
In support of improving patient care, Children’s Minnesota is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Children’s Minnesota takes responsibility for the content, quality and scientific interest of its accredited continuing education events.
Credit Statement:
AMA
Children’s Minnesota designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent to their participation in the activity.
ANCC
Children's Minnesota designates this live activity for a maximum of 1.0 ANCC nursing contact hour. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
Pharmacists and Pharmacy Techs will have their attendance reported in the CPE Monitor for ACPE credits provided they have entered their NABP-ePID and birth month and day where indicated when setting up their profile.
This program offers 1.0 contact hours of continuing education. Most medical professional organizations accept AMA PRA Category 1 Credits™. It is the individual’s responsibility to determine whether an education activity meets the continuing education requirements of their respective licensures and/or professional boards. Go to your respective organization’s website for more detailed information regarding credit requirements.
Available Credit
- 1.00 ACPE
- 1.00 ACPE Pharmacy technician
- 1.00 AMA PRA Category 1 Credit™
- 1.00 ANCC
- 1.00 Attendance
- 1.00 Approved AMA PRA Category 1 Credit™
Please make sure to click the TAKE COURSE button to complete your registration for this event.
Children's Minnesota employees only
To add this event to your calendar, please follow these steps:
- Open your confirmation email from this course
- Click the add to calendar link (this will download the .ics file to your computer)
- Open your Outlook calendar
- Select "Add calendar" from the left pane just above My Calendars
- Select "Upload from file" in the Add calendar window.
- Select Browse, go to your Downloads folder and select the .ics file.
- Select the Calendar you want the appointment to show up in, typically Calendar and then select Import.
Required Hardware/software
You will need a computer or phone with either internet or Wi-Fi access.