Now This Takes Balls
I saw a patient today who had a History and Physical form she needed completed for (non-cosmetic) plastic surgery. The procedure was to be done in an outpatient facility, whose form was obviously being used for this purpose. It was a fairly standard, basic H&P form, until I got to the very bottom where it said this:
Surgery and alternative treatments were discussed with the patient. Complications of surgery and expected outcomes were also discussed.WTF? Although it's just a little line of fine print at the bottom of the form (above the line for my signature) it states in essence that I am the one who has obtained the patient's informed consent for the procedure.
Has anyone else noticed how lazy certain surgeons have become? I don't mind looking patients over for a podiatrist or an ophthalmologist (even though the latter did go to medical school once upon a time) but orthopods, urologists and plastic surgeons ought to be able to do an H&P. Failing that, if they want documentation from someone who actually deals with sick people on a regular basis that their patient is in good enough shape to survive whatever it is they want to do for them, ok I guess. But don't try slipping that little line in there, effectively leaving my ass hanging in the breeze when the lawyers come calling about informed consent.
By the way, before I signed the form I crossed out the offending line, initialed it, and wrote in:
Informed consent to be obtained by the primary surgeon.So there!