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CONSENT TO PARTICIPATE IN A CLINICAL RESEARCH STUDY Adult Patient or Parent, for Minor Patient MEDICAL RECORD INSTITUTE: National Institute of Child Health and Human Development STUDY NUMBER: 12-CH-0212
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How to fill out clinically indicated ovarian surgery

How to fill out clinically indicated ovarian surgery:
01
Gather all necessary patient information, including medical history, previous surgeries, and any existing health conditions. This information will assist in determining the appropriateness of the surgery and help the surgical team plan accordingly.
02
Consult with the patient's primary healthcare provider or specialists to understand the reason behind the clinically indicated ovarian surgery. This step ensures that the surgery is justified and aligns with the patient's overall healthcare goals.
03
Review any imaging or diagnostic test results related to the ovaries that led to the recommendation for surgery. These results will provide valuable insights for the surgical team during the procedure and help guide their decision-making.
04
Complete the required consent forms, ensuring that the patient understands the potential risks, benefits, and alternatives to the surgery. These forms ensure that the patient has given informed consent and understands the implications of the procedure.
05
Schedule the surgery, taking into consideration the patient's availability, any necessary preoperative preparations, and the surgical team's availability. Communicate the date, time, and any preoperative instructions clearly to the patient.
06
Prepare the patient for the surgery by explaining what to expect before, during, and after the procedure. Provide instructions regarding fasting, medication adjustments, and any necessary preoperative tests or preparations.
07
Ensure that all necessary preoperative assessments, such as blood work, EKGs, and imaging, are completed and reviewed prior to the surgery. This step helps identify any potential health risks or complications that may impact the surgical procedure.
08
Coordinate with the surgical team to ensure that the necessary equipment, supplies, and personnel are available for the surgery. This includes confirming the availability of anesthetists, surgeons, nurses, and other healthcare professionals involved in the procedure.
09
During the surgery, maintain clear communication between the surgical team and the patient's healthcare providers, ensuring that any unexpected findings or complications are promptly addressed and managed.
10
After the surgery, closely monitor the patient's recovery in the hospital and provide appropriate postoperative care. This includes managing pain, monitoring vital signs, administering medications, and addressing any potential complications.
11
Follow up with the patient after the surgery to ensure proper healing and address any concerns or questions they may have. Schedule any necessary postoperative appointments or tests to monitor the patient's progress.
Who needs clinically indicated ovarian surgery:
01
Women who have been diagnosed with ovarian tumors or cysts that pose a potential risk to their health or fertility may require clinically indicated ovarian surgery.
02
Patients who have experienced persistent abdominal pain, bloating, or other concerning symptoms that may indicate an underlying ovarian condition may need clinically indicated ovarian surgery to investigate and address the issue.
03
Individuals with a family history of ovarian cancer or genetic predisposition for ovarian diseases, such as BRCA1 or BRCA2 mutations, may require clinically indicated ovarian surgery as a preventive measure or as part of their risk management plan.
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What is clinically indicated ovarian surgery?
Clinically indicated ovarian surgery is a surgical procedure performed to treat medical conditions affecting the ovaries, as recommended by a healthcare provider.
Who is required to file clinically indicated ovarian surgery?
Patients who undergo clinically indicated ovarian surgery are required to provide necessary documentation and information to their healthcare provider and insurance company.
How to fill out clinically indicated ovarian surgery?
To fill out information related to clinically indicated ovarian surgery, patients must provide details on the procedure, surgeon, facility, date of surgery, and any complications or follow-up care.
What is the purpose of clinically indicated ovarian surgery?
The purpose of clinically indicated ovarian surgery is to address medical issues such as ovarian cysts, tumors, endometriosis, or infertility, to improve the patient's health and well-being.
What information must be reported on clinically indicated ovarian surgery?
Information that must be reported on clinically indicated ovarian surgery includes details on the procedure, surgeon, facility, date of surgery, any complications, and follow-up care.
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