Consent for routine neonatal procedures: A study of practices in Irish neonatal units. How do we compare with the gold standard BAPM guidelines?
Ryan, Mary Anne
Ryan, C. Anthony
Dempsey, Eugene M.
Irish Medical Organisation
The Irish National Consent Policy (NCP)¹ proposes that the legal requirement for consent extends to all forms of interventions, investigations and treatment, carried out on or behalf of the Health Service Executive (HSE). This study employs a quantitative descriptive approach to investigate the practices for obtaining consent for an identified group of routine neonatal procedures in neonatal facilities throughout Ireland. The BAPM (British Association of Perinatal Medicine)² guidelines were identified as ‘gold standard’ for the purposes of this study. The results indicated a lack of consistency between participating units pertaining to the modes of consent utilised and notable variances from ‘gold standard’ guidelines. Unanimity was evident for 3 procedures only (administering BCG, 6-in-1, and donor breast milk to infant). Significant findings related to EEG with video recordings, MRI/CT and gastro intestinal imaging, screening of an infant with suspected substance abuse or retinopathy of prematurity screening (ROP), administration of Vitamin K, and the carrying out of a lumbar puncture.
BCG vaccine , Vitamin K group , Breast milk expression , Clinical nurse specialist , Electrocorticography , Electroencephalography , Gold standard , Health survey , Hospital , Ireland , Lumbar puncture , Milk bank , Newborn , Nuclear magnetic resonance imaging , Pediatric hospital , Pediatric ward , Perinatal care , Pilot study , Questionnaire , Retrolental fibroplasia , Screening , Practice guidelines
Ryan, M A, Ryan, C A, Dempsey E, and O'Connell R. (2017) 'Consent for routine neonatal procedures: A study of practices in Irish neonatal units. How do we compare with the gold standard BAPM guidelines?', Irish Medical Journal, 110 (6), 584.
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