Re: Gen: informed consent

From: ainsron@msn.com
Fri Sep 1 16:25:41 2000


California has required a detailed informed consent discussion and documentation for hysterectomies, since 1988. I use a form developed by my malpractice carrier and just go down the list with the patients when I'm seeing them preop, they also get a copy to take home with them and put them to sleep at night when they really read it. ACOG district 9 also developed a similar form. Of course I've already discussed the same things informally, given them the ACOG booklet, yada yada yada. I tell them that the process is a lot like buying a car, the paperwork is the longest part of the ordeal. They probably read it about as well as I read the fine print on the car forms, too.

>Dear listers-
>
>Our state regulatory agency appears to want a more detailed
>documentation of the informed consent process. For example, for an
>abdominal hysterectomy it may not be adequate to document something like
>"risks and benefits discussed at length." Instead, something similar to
>"risks and benefits discussed, including damage to bladder, ureters,
>intestines, peripheral nerves, and blood vessels, etc., etc." might be
>necessary. I do the latter, anyway, but many gyns in the area do not.
>
>How do others document their risk/benefit discussions? Any special
>paperwork or videos? Thanks in advance. Also, I found a most
>interesting web site that worth a quick perusal:
>http://www.informedconsent.org/orders.html
>
>Ashley
>
>--
>David Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>http://home.cfl.rr.com/dahmd
>

--
Ronald E. Ainsworth, MD




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