Education event

Principles of Consent & Advance Health Care Directives Web Seminar
Clarifying the role of hospitals

September 8, 2011
10:00 a.m. – Noon, Pacific Time


Consent is more than a signature on a form
Patients have the right to make treatment decisions, but ensuring that they understand their options and associated risks is not easy. And while the responsibility for obtaining informed consent falls to physicians, your hospital is responsible for making sure that consent was obtained and documented.

This program will guide you through the basic principles of patient consent for health care treatment. In clear, simple terms you will learn why and when consent is necessary, who may give consent, how consent for minors is different and procedures that require special consent. We’ll also discuss the authority of an advance health care directive and California’s POLST form, and your obligations when a patient presents these documents.

Who should attend
This seminar is appropriate for both experienced professionals who want to refresh their understanding of the basic principles and for those new to health care or the hospital setting. Nurse managers and supervisors, nurses, admissions staff, health information staff, social workers, case managers, quality management staff, risk managers, health care attorneys, and executives taking administrative call would all benefit.

Register today — to understand consent, start with the basics.


The Principles of Consent

  • The elements of consent, defining “informed” consent
  • Why and when consent is necessary, emergency treatment exception
  • Determining the appropriate decision-maker, unrepresented patients
  • Obtaining and documenting consent
    • Role of the physician in obtaining consent
    • Role of hospital staff in documentation of consent
  • Capacity vs. competence
  • Refusal of treatment

Advance Health Care Directives

  • The importance of an advance health care directive
  • Who may be an agent, a surrogate, and what to do when there’s conflict
  • Your duty as a health care provider
  • California’s POLST form: what it means, when and where it applies

Circumstances Requiring Special Consent

  • Minors and consent for treatment
    • When a minor can consent to their own treatment
    • When parents, caregivers and other third-parties may consent
  • Consent for patients with mental health issues
  • Procedures that require special consent: blood transfusions, vaccines, sterilization and more
  • Law enforcement: bringing victims, suspects or inmates to the ED


Peggy Nakamura, JD, RN, DFASHRM, CPHRM, is assistant vice president, chief risk officer and counsel at Adventist Health. Ms. Nakamura has over 30 years of experience in health care, including critical care nursing, nursing administration, medical malpractice defense and multi-hospital system risk management.

Susan Penney, JD, is director of risk management for the University of California San Francisco (UCSF) clinical enterprise, including UCSF’s Medical Center and Medical Group, San Francisco General Hospital and UCSF Fresno. Previously, Ms. Penney served as legal counsel for California Medical Association and as an attorney in private practice.


Members $185 (per connection)
Nonmembers $275 (per connection)

Multiple staff can gather and participate from one location for one tuition fee. Register online or complete the registration form and fax it to (916) 552-7506. The program is limited to 300 connections. Checks should be made payable to CAHHS/CHA and mailed to:

California Hospital Association
Education Department
1215 K Street, Suite 800
Sacramento, CA 95814

Cancellation Policy
A $50 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven days prior and   e-mailed to, or faxed to (916) 552-7506. No refunds will be made after this date.

Access Info

This web seminar allows you to attend and participate without ever leaving the office. The seminar is produced live, via the Internet and a telephone line. You only need a telephone and a computer with a web browser to participate.

Once you register, a confirmation e-mail will be sent with pertinent program information.

Audio for the seminar is accessed through a toll-free number (U.S. calls only). During the program, you will have the opportunity to ask questions of the speakers. If multiple people will be listening to the program at your office, only one person needs to register for the group. The slide presentation is accessed on your computer via the web.

IMPORTANT: Test your computer today

  • Click here to go to the Adobe Connect Enterprise Server Connection test page.
  • Follow instructions to ensure that your computer and network connections are properly configured.

If your internal security settings block access to Adobe Connect, contact your IT department to grant you access. The web seminar runs on Adobe Connect and you won’t be able to view the program without access.


Click here to view participants.