Re: Informed consent
From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)
Mon Jun 5 09:45:41 2006
So, with that said, do you sign consent forms for vaginal delivery
before they actually come in for labor? I agree with Gail that this
really makes the most sense. The patient isn't under duress, has a
clearer head about them to listen and ask questions and can be more
truly informed about the process.
Besides, who in labor wants to hear that you could have a 4th degree
that would make you permanently incontinent right before you're about to
push?
If the consensus is that most are signing consents early, I might move
toward having our department do that as well.
Glen
//SIGNED//
D. Glen Elrod, Maj., USAF, MC
Obstetrician/Gynecologist
Chief of Obstetrics
48 MDOS/SGOBO
RAF Lakenheath, England
Telephone DSN: 314-226-8130
Comm: +44 (0) 1638 52 8130
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________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
--
________________________________
doctorjoe@aol.com
Sent: Monday, June 05, 2006 3:40 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Informed consent
Yes, you should keep a signed consent form in the office, to fax to the
hospital if need be. And YES, hospitals (or more properly, nurses, other
doctors, Rollo Tomassi, etc.) DO, on occasion, take things from the
chart and destroy documents to caste aspersions on others. I've seen it,
too. I'm sure Joe. C.'s story is a nasty one.
Joe P.
-----Original Message-----
From: Joe Cutchin <forcep@intercom.net>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
Sent: Mon, 5 Jun 2006 09:32:27 -0500
Subject: Re: Informed consent
Yes, in your office so it can't be lifted from the hospital chart with a
susequent suit for lack of informed consent. Long story you don't want
to hear. Bottom line - in your hospital are persons who are hired
hospital employees but work for attorneys outside. Tell you its not
true? Wish I could. Joe C
Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
> Can you explain that Joe? Are you saying to keep a copy of the consent
> form or the signed consent form in your office?
> > I personally think that discussing all the many risks of labor and
> delivery when a patient is IN labor is nearly pointless. I do think
> that spelling out risks of induction, augmentation, c-section
(although
> in labor c-sections may fall under the pointless category) are all
> appropriate. At least those you are 'doing' some! thing to the
patient. > > Glen
> > //SIGNED//
> > D. Glen Elrod, Maj., USAF, MC
> > Obstetrician/Gynecologist
> > Chief of Obstetrics
> > 48 MDOS/SGOBO
> > RAF Lakenheath, England
> > > > Telephone DSN: 314-226-8130
> > Comm: +44 (0) 1638 52 8130
> > > > Notice of Confidentiality > Under the Privacy Act of 1974, you
must safeguard all information
> reflected on this e-mail and, if applicable, all attachments.
> Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131,
AFI
> 37-132, AFI 33-219, and PL 93-579"
> This e-mail message including any attachments is for the sole use of
the
> intended recipient(s) and may contain confidential and privileged
> information. Any unauthorized review, use, disclosure or distribution
is
> proh! ibited. If you are not the intended recipient, please contact
the
> sender by reply e-mail and destroy all copies of the original message.
> Any questions pertaining to disclosure should be directed to the
privacy
> officer.
> > > -----Original Message-----
> From: ob-gyn-l@obgyn.net <mailto:ob-gyn-l%40obgyn.net>
[mailto:ob-gyn-l@obgyn.net <mailto:ob-gyn-l%40obgyn.net> ] On Behalf Of
Joe
> Cutchin
> Sent: Monday, June 05, 2006 2:34 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Informed consent
> > Suggestion for everyone (borne from experience): whereever you have
the > permit for whatever signed be SURE you have a COPY in your office.
Joe C
> > Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
> >>Amen!
>>
>>//SIGNED//
>>
>>! D. Glen Elrod, Maj., USAF, MC
>>
>>Obstetrician/Gynecologist
>>
>>Chief of Obstetrics
>>
>>48 MDOS/SGOBO
>>
>>RAF Lakenheath, England
>>
>> >>
>>Telephone DSN: 314-226-8130
>>
>> Comm: +44 (0) 1638 52 8130
>>
>> >>
>>Notice of Confidentiality >>Under the Privacy Act of 1974, you must
safeguard all information
>>reflected on this e-mail and, if applicable, all attachments.
>>Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131,
> > AFI
> >>37-132, AFI 33-219, and PL 93-579"
>>This e-mail message including any attachments is for the sole use of
> > the
> >>intended recipient(s) and may contain confid! ential and privileged
>>information. Any unauthorized review, use, disclosure or distribution
> > is
> >>prohibited. If you are not the intended recipient, please contact
the
>>sender by reply e-mail and destroy all copies of the original message.
>>Any questions pertaining to disclosure should be directed to the
> > privacy
> >>officer.
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net <mailto:ob-gyn-l%40obgyn.net>
[mailto:ob-gyn-l@obgyn.net <mailto:ob-gyn-l%40obgyn.net> ] On Behalf Of
Gail
>>Graham
>>Sent: Monday, June 05, 2006 1:45 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Informed consent
>>
>>Having a running battle at work about informed consent. I don't
think&nbs! p;
> > >>when a woman is in labour is the time to be getting consent unless
an >>emergency arises. I think it should be discussed in the antenatal
>>period.
>>
>>With separate midwives working on the labour ward and in the community
> > >>there is a fight brewing. I think it's their job to discuss labour
>>plans at 36 weeks or as and when the subject arises.
>>
>>Joe P, what is the legal definition of informed consent?
>>
>>What happens over there?
>>
>>Gail
>>
> > > >
