SlideShare ist ein Scribd-Unternehmen logo
(Mutmaßliche)
Einwilligung
Behandlungs-
pflicht
Patienten-
verfügung
Was wollte der Patient
früher?
Was will der Patient
jetzt?
Patientenverfügung
(Mutmaßliche)
Einwilligung
Was müssen wir tun?
Behandlungspflicht
Was wollte der Patient
früher?
Patientenverfügung
(§ 1901a BGB)
 Schriftliche Festlegung für den Fall der
Einwilligungsunfähigkeit (BGH: Muss
konkret sein).
 Formlos widerrufbar.
 Richtet sich an Betreuer.
 Problematisch im Notfalleinsatz:
 Patientenverfügung schnell genug
bei der Hand?
 Inhaltliche Erstreckung auf
medizinische Notfälle?
 Patient sicher identifiziert?
 Team ist nicht Betreuer
Was will der Patient
jetzt?
(Mutmaßliche)
Einwilligung (§ 630d BGB)
 Aktueller Wille hat unbedingten
Vorrang.
 Formlos relevant.
 Richtet sich an jedermann.
 Problematisch im Notfalleinsatz:
 Hinreichend sicher feststellbar?
 Kommt es darauf an, ob der Wille
vernünftig ist?
Was müssen wir tun?
Behandlungspflicht
(§ 13 StGB etc.)
 Rettungsfachpersonal / Notärzte zu
Versorgung von Patienten verpflichtet.
 Erhebliche persönliche Risiken.
 Problematisch im Notfalleinsatz:
 Aufklärung des Patienten möglich
und sinnvoll?
 Dokumentation einer Weigerung?
(Mutmaßliche)
Einwilligung
Behandlungs-
pflicht
Patienten-
verfügung
)(
 Eigenen Puls fühlen: Keine Panik,
sondern Problembewusstsein.
 Immer auf Nummer sicher gehen:
Zebras existieren.
 Wer schreibt, der bleibt.
 An Verlegung denken: Fachbehörden
anfordern.
Wie verhält man sich
am besten?
Patientenverfügungen im Notfalleinsatz

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Patientenverfügungen im Notfalleinsatz

  • 1.
  • 3. Was wollte der Patient früher? Was will der Patient jetzt? Patientenverfügung (Mutmaßliche) Einwilligung Was müssen wir tun? Behandlungspflicht
  • 4. Was wollte der Patient früher? Patientenverfügung (§ 1901a BGB)  Schriftliche Festlegung für den Fall der Einwilligungsunfähigkeit (BGH: Muss konkret sein).  Formlos widerrufbar.  Richtet sich an Betreuer.  Problematisch im Notfalleinsatz:  Patientenverfügung schnell genug bei der Hand?  Inhaltliche Erstreckung auf medizinische Notfälle?  Patient sicher identifiziert?  Team ist nicht Betreuer
  • 5. Was will der Patient jetzt? (Mutmaßliche) Einwilligung (§ 630d BGB)  Aktueller Wille hat unbedingten Vorrang.  Formlos relevant.  Richtet sich an jedermann.  Problematisch im Notfalleinsatz:  Hinreichend sicher feststellbar?  Kommt es darauf an, ob der Wille vernünftig ist?
  • 6. Was müssen wir tun? Behandlungspflicht (§ 13 StGB etc.)  Rettungsfachpersonal / Notärzte zu Versorgung von Patienten verpflichtet.  Erhebliche persönliche Risiken.  Problematisch im Notfalleinsatz:  Aufklärung des Patienten möglich und sinnvoll?  Dokumentation einer Weigerung?
  • 8.  Eigenen Puls fühlen: Keine Panik, sondern Problembewusstsein.  Immer auf Nummer sicher gehen: Zebras existieren.  Wer schreibt, der bleibt.  An Verlegung denken: Fachbehörden anfordern. Wie verhält man sich am besten?