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altering hospital admission form?

Forum: Natural Childbirth


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October 29th, 2008, 05:23 PM
oriel13's Avatar Tishauna
Join Date: Jan 2008
Location: Ohio
Posts: 6,250
Has anyone here tried to alter their hospital's admission form or add their own form into their chart?

I have been told by several sources that doctors and nurses don't legally need your permission for any procedure once you're checked in because you already gave consent on your admissions form. I read on another forum that some doulas and midwives encourage the mother to write in ABOVE their admission form signature "Subject to my informed consent AT THE TIME." If the admissions desk won't accept it that way then the mother is supposed to write a note to go in her chart saying "I withdraw my consent to any drugs or procedures for myself or my baby unless you obtain informed consent AT THE TIME."

I like this idea but then again I don't want to start things off on the wrong foot, have myself known as "that ***** in room 16" and then be treated coldly during our stay because of it. But then again I'd like to cover myself legally so that if I'm out of it or DH isn't paying attention, nothing happens that I don't expressly agree to. I know it's a worst case scenario but some of the things I have read and heard are disturbing.

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October 29th, 2008, 08:24 PM
Husher's Avatar B & E complete me.
Join Date: Jan 2007
Location: NH
Posts: 10,745
I would put the sentence that was suggested at the top of the form(s) and I'm sure they'll still accept that. Also though, I would put a sentence under that saying "Please see attached sheet from patient." or something along those lines and type up something small stating your wishes that way you will have no doubt that your wishes are actually with your chart. I know my OB told me she sent my birth plan to the hospital to be with my chart but when I got there no one had seen it. I think it's better to cover your bases but maybe someone else has experience with this? Either way, I don't think it makes you a B***h. Let us know what you decide and the reaction you get. I'm interested now!

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October 30th, 2008, 10:45 AM
DoulaMama's Avatar Platinum Supermommy
Join Date: Jan 2008
Location: Florida
Posts: 9,159
I wouldn't reccomend that to my clients at all- b/c I think it does set you off on a bad foot.

I would tell your care providers personally, and very nicely (and by care providers I mean any nurses/medical professinals and OBs who ener your room) "please let me know before you do any procedures or intervetions so I can make an informed decision"

You can refuse consent in labor no matter what you signed- for example if the DR is about to cut an episiotomy you can say DO NOT CUT ME- and they wont.
Cheryl, mama to Noah Paul born 12/26/09, wife to wonderful hubby Rob
I am proudly a homebirthing, excluively breastfeeding from the tap, constantly babywearing, bed sharing, attached mama to a high needs baby. He is a part time diaper-free baby!

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