In the hospital can a doctor or nurse (and it does happen) give a patient seroqual without consent of the hcp, when the hcp has been invoked in written and even if it wasn't the patient is heavily medicated because of pain and is out of it.... 90+ broken

The : The (lack of) care that you described is not right. However, while we (myself, included) often advise discussing options with the patient and/or family members, there are often situations in which a considered analysis of risks, benefits & alternatives may not be appropriate, even with treatment options that carry "black box warnings". The best case in point is an emergency situation in which case we quickly follow a set protocol after obtaining a general consent w/o necessarily going into a whole lot of detail given the lack of time. In some situations, we don't even have time to hunt down a family member but must instead act immediately and ask questions later. Of course, this does not excuse what happened as you described. Might i suggest that you contact the hospital ombudsman first to find out what happened? Actually, even before that, ask the attending physician/surgeon, at least if you plan to continue receiving care from that physician. Good luck!