The hospital honors the patient's right to give or withhold informed consent.

(1)

The hospital develops and implements a written policy on informed consent that describes the following: - Specific care, treatment, and services that require informed consent - Circumstances that would allow for exceptions to obtaining informed consent - Process used to obtain informed consent - Physicians or other licensed practitioners permitted to conduct the informed consent discussion in accordance with law and regulation - How informed consent is documented in the patient record Note: Documentation may be recorded in a form, in progress notes, or elsewhere in the record. - When a surrogate decision-maker may give informed consent

(2)

The informed consent process includes a discussion about the following: - Patient's proposed care, treatment, and services. - Potential benefits, risks, and side effects of the patient's proposed care, treatment, and services; the likelihood of the patient achieving their goals; and any potential problems that might occur during recuperation. - Reasonable alternatives to the patient's proposed care, treatment, and services. The discussion encompasses risks, benefits, and side effects related to the alternatives and the risks related to not receiving the proposed care, treatment, and services.