·Patients, families, surrogates, health care providers, and other
involved parties may request an ethical consult without fear of reprisal.
·If the ethics consultation request is deemed appropriate, the Lead
consultant will gather information and proceed with any or all of the following
the patient's medical record
involved parties, either individually or in groups
the case with other members of the consult service
the matter with appropriate interested parties (e.g. chaplaincy, risk
management, legal counsel)
any other information or opinions thought to be helpful, being careful at all
times to respect the privacy of the patient
·Strict attention to confidentiality will be maintained during the
·Any member of the consult service should decline to participate in
a consultation should a conflict of interest arise. If the consultation involves
a patient within one of the member's area of patient responsibility, that member
should decline, to avoid any appearance of conflict.
·Following the gathering of information, a consultation meeting of
most or all persons involved may be indicated, especially if there is a
difference of opinion about ethically acceptable options. A good-faith effort
will be made to involve all parties.
·The meeting shall proceed along the following guidelines. The team
oset the length of the meeting, the issues to be discussed and the
goals of the meeting in the beginning.
oassure that the appropriate decision-makers are present.
oexplain the purpose and parameters of the meeting.
oemphasize the goals of maintaining confidentiality, and
oallow time for each person present to express his or her thoughts
concerning the case.