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Re: OB Videotapes From: James S Smeltzer MD (gaperina@mindspring.com) Thu Sep 16 16:33:24 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: James S Smeltzer MD: "Re: OB Videotapes" Previous message: DuboseTerryJ@exchange.uams.edu: "Re: AFI" In reply to: PFC: "OB Videotapes" Next in thread: Allen Worrall: "Re: OB Videotapes" Dear Paige, The content of the sonographic examination (and the ENTIRE medical record) is the property of the patient. If you have the ability to tape and refuse, I, as a patient, would not pay you. There are suits involving the content of the tape. IMHO if it demonstrates that you looked, it is your best defense. The standard of care is to attempt examination of various organs. If you did not look and an anomaly was not seen you are in trouble on this point. The best defense against suits in ultrasounds is to miss nothing and misinterpret nothing. This should be your goal. The second best defense is to document attempts to perform a complete examination. Even if something cannot be seen, this should be apparent on tape as well as on your images. I tell my sonographers to label images of structures they are trying but failing to see, "BEST" - as in I am doing my best. Under these circumstances the tape is your friend in or out of court. Good records are the BEST defense of good practice & there is no better record than a good tape. This is assuming that you are well trained for your work and practicing with a good sonologist to back you up. If these are not true, then the best solution is to make them true by your own work and choice of location to practice sonography. If you can not do this then find other work that you can be proud of. If none of these are possible, do not worry about taping, only your insurance, as screw-ups that adversely affect the life & health of others are inevitable. I personally would not trust a sonographer that wanted to hide the examination from the patient routinely. Jim Smeltzer At 07:46 PM 9/12/1999 -0500, you wrote: >I know this subject has come up many times but I was not successful in trying to find info in the archives. > >I need information that will support a decision and formal written policy against video taping for the patient. Has anyone been involved in a lawsuit or know of any? Are there any guidelines set out by SDMS or ARDMS? We need some solid information to pass on to the administrators so that they can make and informed decision. > >Thanks for your help! BTW, can anyone tell me how to use the archives? > >Paige Cobb BS, RDMS, RVT > Next message: James S Smeltzer MD: "Re: OB Videotapes" Previous message: DuboseTerryJ@exchange.uams.edu: "Re: AFI" In reply to: PFC: "OB Videotapes" Next in thread: Allen Worrall: "Re: OB Videotapes"

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