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Re: Consent for vaginal deliveryFrom: ainsron (ainsron@sbcglobal.net)Tue Jun 6 18:21:30 2006
You're right, it can be the CNM, or PA or chiropractor for that matter. But it cannot be the ward clerk or the RN on the floor. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Tuesday, June 06, 2006 3:14 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Consent for vaginal delivery In a message dated 6/6/2006 5:50:44 P.M. Eastern Standard Time, ainsron@sbcglobal.net writes: If you look at the JCAHO interpretive guidelines A-0238 & A-0392, they state that a properly executed informed consent form contains at least the following: * Name of patient * Name of hospital * Name of specific procedure * Name of practitioner(s) performing the procedure or important aspects of the procedure * Alternative procedures, treatments or therapies * Signature of patient with date and time * Statement that procedure was explained to patient or guardian * Signature of professional person witnessing the consent * Name and signature of person (physician) who explained the procedure. The hospital form is the last of a series of several encounters about consent; not to diminish its importance, but certainly at that point, someone who is part of the team could get the form signed. (from the California Malpractice carrier) Our hospital consent, written by the hospital lawyers and conforming to the laws of the State of Georgia have all the above except the last bullet point. I do not agree with"name of person(physician)", it could be a CNM in the case of vaginal delivery for which, strange as it may seem, we do get informed consent. In addition all consents encompass the concept of the consequences of not having the proposed "procedure" - thus including the important concept of informed refusal.(Which JCAHO seems to have forgotten). In addition, we have informed consent forms for VBAC and the friggin' birthing ball, believe it or not! :+) Robert Modugno MD MBA FACOG Marietta, GA
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