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EGD Bravo 7445 E. Manqué Verde Road, Tucson, AZ 85715 (520) 7220929 FAX: (520) 7220930 Informed Consent for Gastrointestinal (GI) Procedure I authorize Dr. (the “Doctor “) to perform the following

How to fill out egd bravo

How to fill out EGD Bravo:

1. Begin by ensuring that you have the necessary equipment for the EGD Bravo procedure, including the Bravo capsule, delivery system, data receiver, and patient diary.
2. Prepare the patient by explaining the procedure, obtaining informed consent, and ensuring that they have followed any fasting or medication instructions given to them by their healthcare provider.
3. Position the patient in the appropriate way, typically lying on their left side, and provide them with a dental guard or bite block to protect their teeth during the procedure.
4. Insert the Bravo capsule into the patient's esophagus using an endoscope. This is usually done by passing the capsule through the working channel of the endoscope and attaching it to the esophageal tissue.
5. Secure the Bravo capsule in place using the delivery system, ensuring that it is firmly attached to the esophagus.
6. Confirm the correct placement of the capsule using imaging, such as fluoroscopy or endoscopy, and make any necessary adjustments to ensure accurate positioning.
7. Once the capsule is secure, detach the delivery system and remove the endoscope from the patient.
8. Provide the patient with the data receiver, which is a small device that will collect data from the Bravo capsule over the next 48 to 96 hours.
9. Instruct the patient to wear the data receiver at all times during the monitoring period, except when bathing or swimming. They should also avoid magnetic or electrical devices that might interfere with the data collection process.
10. Provide the patient with a diary, where they will record their symptoms, meals, activities, and any events that may be related to their symptoms during the monitoring period.
11. Instruct the patient to return the data receiver and diary to their healthcare provider once the monitoring period is complete.

Who needs EGD Bravo?

1. Patients who are experiencing symptoms such as persistent heartburn, regurgitation, chest pain, or difficulty swallowing may need an EGD Bravo procedure.
2. Individuals with suspected gastroesophageal reflux disease (GERD) or other esophageal disorders may also be recommended for an EGD Bravo.
3. EGD Bravo can be beneficial for patients who have not responded to initial treatments for their symptoms or for those who require further evaluation of their esophageal function.
4. Healthcare providers may recommend an EGD Bravo for patients who require long-term monitoring of their acid reflux symptoms to guide their treatment decisions effectively.

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What is egd bravo?

Egd Bravo is a form required to be filed by certain businesses to report certain financial information.

Who is required to file egd bravo?

Businesses meeting certain criteria are required to file egd bravo.

How to fill out egd bravo?

Egd Bravo can be filled out online or by submitting a paper form with the required information.

What is the purpose of egd bravo?

The purpose of egd bravo is to report financial information to regulatory authorities.

What information must be reported on egd bravo?

Egd Bravo requires businesses to report specific financial data such as revenue, expenses, and profits.

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