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Re: Informed consent From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue Jun 6 09:38:39 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Consent for Vag delivery" Previous message: doctorjoe@aol.com: "Re: Informed consent --> legal smeagol" In reply to: DoctorJoe@aol.com: "Re: Informed consent" Next in thread: Len2976@aol.com: "Re: Informed consent" FWIW, we get an informed consent for vaginal delivery, and list "Cesarean Section" as the alterative. This is done in the office at the glucose visit. Most read and sign it without discussion--not the essence of informed consent. We also have them sign, along with the provider, a statement at the initiation of care regarding basics, i.e. we don't do home births (remember that), we ask patients to have visits, blood tests, etc. that are the norms from ACOG, etc. It is a single page of stuff which is intuitively obvious, but now is in black and white so they'll be no misunderstanding. Most sign it and laugh, a few ask questions, like "Why are you showing me this and having me sign it?--Duh!" Garry At Tue, 6 Jun 2006, DoctorJoe@aol.com wrote: > >In a message dated 6/5/06 5:36:05 PM, Babycatchers@aol.com writes: > >> Ok- our facility has an implied consent policy when the patient comes in >> labor and is going to be delivered. They do not require a consent for vaginal >> delivery, but they do consents for anything outside the norm. Epidurals, C/S. >> BTL. >> Should I be telling them to get consent for NSVD? Sometimes risk management >> here is way behind the curve. >> >Well, think like a lawyer. > >What's the implied consent FOR? To show up at your institution and use your >facilities and drop the baby on my own? Or actually for someone to lay hands on >(or in?) me and help me deliver my baby? [Remember that battery is an >unconsented TOUCHING, not just sitting around and watching someone do their own >thing.] > >When someone shows up on the hospital's doorstep, they implicitely want to >come in the door. However, they do NOT implicitely give consent for a variety of >(mostly unknown) humans to touch them. So a specific consent EVEN for NSVD >would seem to be prudent. > >Joe P. -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: ainsron: "Re: Consent for Vag delivery" Previous message: doctorjoe@aol.com: "Re: Informed consent --> legal smeagol" In reply to: DoctorJoe@aol.com: "Re: Informed consent" Next in thread: Len2976@aol.com: "Re: Informed consent"

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