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SVMIC Risk Basics: Anesthesiology


                   and the patient/representative understood the information

                   discussed.



                   Ideally, the informed consent discussion should be
                   documented in both the patient’s chart and in a separate

                   anesthesia consent form that is signed by the
                   patient/representative. Unfortunately, anesthesiologists do not

                   always have the benefit of access to the patient’s chart to

                   document the informed consent discussion for the anesthesia
                   care. Therefore, the accuracy of the anesthesia consent

                   document form is essential.



                   Informed consent for anesthesia should be conducted by a
                   physician member of the anesthetic team and should be

                   separate from all other categories of informed consent

                   needed.  An anesthesia-specific document should be
                              7
                   developed by hospitals and practices in order to highlight the

                   importance and significance of the anesthesia procedure.



                   The discussion and documentation should include:


                         The anesthesia plan

                         Any associated risks and benefits specific to the

                          anesthesia plan

                         Any alternatives, any associated risks to the alternatives

                         Potential modification of the plan






                   7  In certain limited settings such as epidural placement for labor analgesia, CRNAs often conduct the
                   informed consent discussion. A good rule of thumb is that the practitioner who will be performing the
                   anesthesia procedure should be the person who conducts and documents the informed consent
                   discussion.


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