A competent person is one:
a. Who makes medically rational decisions.
b. Who understands alternatives and the consequences of his or her own
c. Who has an accurate conception of time and shows no signs of confusion.
d. Whose train of thought does not wander.
If in doubt as to the patient's mental capacity, the physician should:
a. Reevaluate the patient.
b. Obtain affidavits regarding mental stability from the next of kin and the last
physician who treated the patient.
c. Exercise therapeutic privilege and obtain a patient waiver.
d. Consult a psychiatrist or other appropriate specialist.
Substitute consent must involve:
Disclosure and express consent by the patient.
All immediate family members.
Informed consent by a surrogate decision maker.
A guardian or conservator with legal authority.
Parental consent is generally required:
In an emergency.
For emancipated and mature minors.
When a court order designates a guardian.
Army policy regarding mature minors is to:
Follow state law.
Rely on the minor's consent only if the parents cannot be reached.
Seek consent from minors who are age 15 or older.