Such as? @C7RKY @ShaunLintern @HSJnews
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Replying to @MicMac650
@MicMac650@ShaunLintern@HSJnews Well I make no claims to have the monopoly on good ideas, but it seems to me that a few mandated aspects >1 reply 1 retweet 0 likes -
Replying to @C7RKY
@MicMac650@ShaunLintern@HSJnews of consent form design would help: 1. Grid of boxes for procedures/risks - 1 procedure per box, no spaces2 replies 0 retweets 0 likes -
Replying to @C7RKY @MicMac650 and
A problem I had twice was a pre-typed consent that I wasn't allowed to amend to match what surgeon said. In 2nd instance it turned out his juniors did the surgery according to the consent (with him "listening from office") not according to our agreement.
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Replying to @_oatc_ @MicMac650 and
I'm sorry to hear that. The consent form is supposed to be a record of the conversation that took place in consultation. Now, if I felt it wasn't an accurate reflection I'd refuse to sign it personally, given how important I've come to appreciate it is. And ALWAYS take your copy.
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Replying to @C7RKY @MicMac650 and
If you don't sign they don't do the surgery. In both the cases I mentioned they were life or death. In the first, which claimed to limit my legal rights, I asked if I could sign "under protest" or call my solicitor, but it was 06.30 & I was due in theatre at 07.00.
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Replying to @_oatc_ @MicMac650 and
Hmm. That time pressure changes the dynamic, I understand. Off the top of my head, I think I'd be tempted to write my own clarification notes somewhere near the signature location if possible. Document the differences (on the actual form) to your satisfaction. Just a 1st thought.
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Replying to @C7RKY @MicMac650 and
I should have done that in the 2nd case, where the surgeon made an agreement with me, but he assured me there was no need. It was a precaution to prevent paralysis that he agreed was sensible; I turned out paralysed for 6 months.
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Replying to @_oatc_ @MicMac650 and
Oh no! I'm so sorry. As you've learned the hard way sadly, there's often a need. There is no correlation between charm and honesty, as it turns out.
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Replying to @C7RKY @MicMac650 and
Indeed. Still his NHS team saved my life. The thing is, as you were saying, to try to find ways for future patients, & of course hospitals, to be better at informing, consenting, & documenting it.
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Indeed. It's about recognising the seriousness of the consenting process and the criminal line that it contains which must not be crossed. Anything which might safeguard that line can only be helpful, imho.
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