Get the free Pain Management - Consent for Epidural Steroid Injection Procedures - virginia
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This document serves as a consent form for patients undergoing epidural steroid injection procedures, detailing the procedure, associated risks, benefits, and alternative treatments.
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How to fill out pain management - consent
How to fill out Pain Management - Consent for Epidural Steroid Injection Procedures
01
Begin by reading the consent form thoroughly to understand the procedure.
02
Fill in personal details such as your name, date of birth, and medical record number.
03
Indicate the specific area of pain management that the epidural steroid injection will address.
04
Review the potential risks and benefits outlined on the form.
05
Provide your signature and date at the designated section to acknowledge your consent.
06
If required, have a witness or healthcare provider sign the form.
Who needs Pain Management - Consent for Epidural Steroid Injection Procedures?
01
Patients suffering from chronic pain conditions.
02
Individuals diagnosed with conditions such as herniated discs, sciatica, or spinal stenosis.
03
Persons seeking relief from pain that has not improved with other treatments.
04
Patients who have had a discussion about the risks and benefits of the procedure with their healthcare provider.
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What is the aftercare for epidural steroid injections?
You may experience transient numbness or leg weakness following the procedure. Take extra care walking, climbing stairs, and negotiating curbs due to increased risk of falling. Do not drive or operate machinery for the remainder of the day. No heavy lifting or strenuous activity for the next 24-48 hours.
Who can administer an epidural steroid injection?
A radiologist or anesthesiologist will most likely perform the epidural injection, however, a neurosurgeon, orthopedic surgeon, or neurologist may also administer it. The doctor who delivers the injection will follow up with you to see how you are doing and determine if further action is required.
Can an epidural be used for pain management?
An epidural injection is usually used for pain from a slipped disc or trapped spinal nerve and can give you short-term or long-term pain relief.
What is the procedure code for epidural injection?
When the epidural injection (CPT code 62323) is used for cerebrospinal fluid flow imaging, cisternography (CPT code 78630), the diagnosis code restrictions in this article do not apply. These services should be billed on the same claim.
What are the post procedure instructions for epidural steroid injection?
Plan to rest and relax for the first 24 hours after the injection in a reclined position. Limit walking or sitting to 10-20 minutes at a time. You may resume all medications as previously prescribed. You may remove the dressing/band-aid later that night.
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What is Pain Management - Consent for Epidural Steroid Injection Procedures?
Pain Management - Consent for Epidural Steroid Injection Procedures is a legal document that patients must read and sign before undergoing an epidural steroid injection. It outlines the nature of the procedure, potential risks, benefits, and alternatives, ensuring that the patient is fully informed.
Who is required to file Pain Management - Consent for Epidural Steroid Injection Procedures?
The healthcare provider performing the epidural steroid injection is required to file the Pain Management - Consent for Epidural Steroid Injection Procedures. This includes physicians, nurse practitioners, and physician assistants who are authorized to perform this procedure.
How to fill out Pain Management - Consent for Epidural Steroid Injection Procedures?
To fill out the Pain Management - Consent for Epidural Steroid Injection Procedures, the healthcare provider should discuss the procedure with the patient, explain the risks and benefits, and answer any questions. The patient must then sign the document, confirming they understand and consent to the procedure.
What is the purpose of Pain Management - Consent for Epidural Steroid Injection Procedures?
The purpose of Pain Management - Consent for Epidural Steroid Injection Procedures is to ensure that patients are informed about the procedure they are about to undergo, including its potential risks and benefits, thus allowing them to make an educated decision regarding their treatment.
What information must be reported on Pain Management - Consent for Epidural Steroid Injection Procedures?
The information that must be reported includes the patient's name, date of the procedure, detailed description of the procedure, potential risks and side effects, alternatives to the procedure, and the patient’s acknowledgment and signature confirming informed consent.
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