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Basic Informed Consent Training: Part II
Training for Investigators and Research Staff
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True or False False A subject does not need to be provided with a copy of their signed informed consent form.
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According to HHS Regulations 45 CFR 46.117:
A copy of the informed consent document shall be given to the person signing the form According to the TTUHSC El Paso HRPP Manual The Principal Investigator shall maintain all original consent documents
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Multiple Choice C Exculpatory language is _______ on an informed consent form: Always allowed Only allowed when followed by a thorough explanation from the Principal Investigator or staff Never allowed
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According to HHS Regulations 45 CFR 46.116:
The inclusion of any exculpatory language in informed consent through which the subject is made to waive, or appear to waive, any of the subject's legal rights is prohibited
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True or False False Any clinical staff member can obtain informed consent from a participant. This includes medical assistants, nurses, and doctors.
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According to the TTUHSC El Paso HRPP Manual
Only authorized study personnel may obtain informed consent from a participant. Authorized study personnel consist of faculty and staff that have been delegated duties by the Principal Investigator.
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Common Informed Consent Problems and Solutions
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Presentation Content Common Informed Consent Process problems
Common Informed Consent form mistakes Strategies to improve Informed Consent compliance Why follow the rules?
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Common Informed Consent Form (ICF) Mistakes
Incorrect version of the ICF Expired ICFs Altered ICFs Non-IRB approved ICFs
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Can You Spot What’s Wrong?
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Common Informed Consent Process Mistakes
Missing/incorrect signatures Unauthorized signatures Incorrect/missing dates and times No subject copy Giving away the original No “AM/PM” Unnecessary witnesses
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Common Informed Consent Process Mistakes cont’d
Missing initials Signing the wrong line Scribbling out errors Pre-signing ICF Parents name in place of their child’s name No “mother/father” on HIPAA
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Can You Spot What’s Wrong?
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Strategies to Improve Informed Consent Compliance Process
Don’t save different versions Always print from iRIS Submit changes to IRB Obtain IRB approval
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Strategies to Improve Informed Consent Compliance Mistakes
Ensure that you know where to sign before beginning Show subjects where to sign after consenting Explain to subjects how to sign Observe as the subjects sign Know when a witness is needed vs when they are not Review the consent a second time after completion Make sure you have the original document Provide a full copy of signed document to subject
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Strategies to Improve Informed Consent Compliance Mistakes cont’d
Ensure that you know where the parent will sign Have you or subjects line through, initial and date errors Don’t use white-out Don’t pre-sign the ICF Sign soon after the subject Use the same watch to tell time Review the consent again before photocopying it File the original ICFs in a consistent and safe place
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Why Follow the Rules?
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Why Follow the Rules? To be in compliance with federal and institutional regulations To maximize the safety of the research subject To demonstrate study integrity
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Questions?
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