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Re: Consent for vaginal deliveryFrom: ainsron (ainsron@sbcglobal.net)Tue Jun 6 16:49:02 2006
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. Additionally, the medical staff must specify which procedures or treatments require a written informed consent. That of course is open to debate and all medical staffs will have to make decisions how to proceed. Does an Ob patient need to sign a consent form for delivery, how invasive does a test/procedure need to be to require a separate informed consent - IV start, PICC line, CVP, etc.? It bothers me that there are not national guidelines, or organizational guidelines - such as ACOG to lead us through this morass. 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 9:42 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Consent for vaginal delivery Ainsron wrote: <Snip> The hospital consent is frequently delegated to someone who is part of the team. It should not be delegated to someone who is not part of the team. At that point, meaningful discussions have already taken place. 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. ********* So why does JCAHO issue a "fatwa" saying the hospital consent does not -- consitiute informed consent when it complies with all the tenets of informed consent.?
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