Monday, October 18, 2010

MOCK OSCE SURGERY - Informed Consent For Colonoscopy

|||suggested steps for informed consent for colonoscopy|||


ONE
Introduce; build rapport; greet

TWO

Explain what the patient have; possible diagnosis, based on the trigger given

THREE

Explain what is colonoscopy

FOUR
Indication for colonoscopy
PR Bleed
unexplained alter bowel habit
family history of cancer
IBD


FIVE
Procedure of colonoscopy
Bowel prep (explain how to bowel prep)
Register on the date
change cloth
Enema
LA / GA bring partner to ensure safety after the procedure because patient may still be in sedative state
Position left lateral
Insert per rectal
Insert air may cause abdominal discomfort, flatulence
Insert camera
Biopsy may be taken depending on findings

SIX
Possible findings during colonoscopy
bleeding
mass
ulcer
inflammation


SEVEN

Complication of colonoscopy
Bleeding
Perforation
Pain


EIGHT
Benefit
Diagnostic
Therapeutic


NINE
Let patient ask


TEN
If patient refuse, give alternative (patient has right to refuse; DONT FORCE)
alternative --> barium enema

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