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treatment if it was understood that a sample of body fluids needed to be taken (for fear of needles). The question was asked if a mouth swab would allow the range of tests needed to confirm a blood borne disease thereby circumventing the need to take blood. B) The next most made response was, all patients should sign a form that should they be the source of a needle-stick injury they would be prepared to be tested. It was stressed in both response a / b that the consent forms should be explained very clearly to all. Not one person spoken to said that they would refuse consent for testing for them selves or for a relative should that relative be unable to give permission due to their medical condition. C) When asked what should happen if an accident occurred when a patient was unconscious with no person present to give permission for testing to take place, the general response was that a test should go ahead with a full explanation given, either to the relatives when they arrive or the patient when conscious again. Should the relatives be present then they should have a clear picture drawn of the situation and be asked for permission to test. D) There was a general resistance to the idea of presumed consent for both competent and incompetent patients. What was strongly expressed was the feeling that the treatment throughout a needle-stick injury incident should be sensitively managed for patient and professional so that it would have the best outcome for all concerned. It should be appreciated the general public do not have the detailed knowledge of the medical ethics that are being considered by the committee. The responses recorded are their reactions to the six changes to be considered. Everyone without exception was concerned for the safety of NHS staff, they were concerned for the cost implications if staff were off sick and if other NHS personnel did not declare a possible infection and go on to infect other colleagues or patients. It was recognised by all that there will always be unreasonable people what ever changes take place and some felt that if they did not co-operate with NHS personnel then treatment could be refused.
The measurement of adult blood pressure and management of hypertension before elective surgery 2016 Published by The Association of Anaesthetists of Great Britain & Ireland British Hypertension Society March 2016
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The measurement of adult blood pressure<br />
and management of hypertension before<br />
elective surgery 2016<br />
Published by<br />
The Association of Anaesthetists of Great Britain & Ireland<br />
British Hypertension Society<br />
March 2016
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