Re: Informed consent

From: ainsron (ainsron@sbcglobal.net)
Mon Jun 5 10:50:02 2006


I give them the consent to review when I give them the information on pre-registration at 28-30 weeks, and tell them to bring it back next visit for further discussion and signature. I fax them once they are signed.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod, Darryl G Maj 48 MDOS/SGOBO Sent: Monday, June 05, 2006 7:49 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Informed consent

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

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 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.

_____

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
>>
> > > >





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