Ct Consent Form: Fill & Download for Free

My answer here dovetails nicely with my answer to Mark Gene Duncan's answer to What did your doctor say that made your jaw drop?, as it happened the day after I was discharged from the hospital after undergoing a radical nephrectomy (kidney removal) due to renal cell carcinoma.I was recovering for 3 days in the hospital after that surgery and was having increasing trouble breathing, to the point where I hadn’t slept in 72 hours because I would, almost immediately after falling asleep, wake up gasping for air. The last night in the hospital they put me on a CPAP machine, I got some good sleep, felt better, and was discharged the next afternoon.That night at home I still couldn’t breathe well. No sleep, again. Same thing throughout the next day. My surgeon happened to call late that Friday afternoon to check on my recovery; she spoke to my wife who informed her of my breathing issues. We were told to go immediately to the ER, and that she would meet us there (I know, right? Amazing doctor!). Me: “Friday night at our local hospital? No way. Not me. I’m not dealing with all the drug addicts, drunks, and mentally ill for hours in the waiting room. Forget it, we’ll go in the morning.”, I told my wife.When we arrived at the ER a short time later (LOL), I was pleased to find out that shortness of breath after major abdominal surgery gets you to the front of the line pretty quickly. The drunks and crazies would have to wait a little longer (yes, there were quite a few. My wife and I were accosted twice in the 5 minutes we were in the waiting area).So by the time my doctor arrives I’ve had an ultrasound, a CT scan, a chest X-Ray, and bloodwork. Films showed shadowing at the bottom of both lungs. The ER doctor was convinced I was suffering from a pulmonary embolism, a potentially life threatening condition, and should undergo a test called a ventilation-perfusion or VQ scan (Pulmonary ventilation/perfusion scan: MedlinePlus Medical Encyclopedia). My surgeon, Dr. Awesome, disagreed and was confident it was just normal post-operative fluid buildup that will go away naturally provided I exercise my lungs a bit. I concurred.The ER doc says the hospital only does VQ scans Monday-Thursday, so I would have to be admitted over the weekend and given Heparin injections. Nasty stuff. Well I’m NOT going on anti-coagulants after surgery, and NOT going to be re-admitted against my surgeon’s advice after having just spent 3 days there, away from my wife and 2 year old daughter. Nope. Send me home. I will sign an informed consent form, releasing the hospital from all liability. But I’m going home tonight.The ER doc turned red and motioned to my surgeon to accompany him into the hallway. He proceeded to scream and yell at her for a good five minutes, insulting her credentials, her gender, her age (she was about 35 then), and concluding with “How dare you waste my time and ignore my diagnosis!”. He stormed off not to be seen again.I’m thinking that whole time, “You’ve got to be kidding me”.P.S. Turns out the ER doc was wrong on 2 counts. I did not have a pulmonary embolism, and the hospital does VQ scans 7 days a week.

it depends on the size of magnet you swallowed, if it is small ,nothing to worries you, but if it is big ,it will be life threatening for MRI scan, the good thing is you have to fill a consent form before under go MRI study ,so that the technologist aware of it, for CT scan and x ray studies nothing to worry ,it might obscure internally ,otherwise nothing to happen .thanks

This actually happened last night.I’m working in the ER and it’s incredibly busy, winter time is our “busy season!” I’m literally getting my butt kicked and we are short staffed, as usual! I get an18-month-old patient in one of my rooms for a febrile seizure. Which is just basically a seizure that happens to an infant, or small child because their body temperature gets so high.I go in the room to assess the patient and talk to the parents and the baby honestly doesn't look like she just had a seizure, and what the parents were describing didn't sound like a seizure either. However, the baby did have a 103 fever.As nurses, we have these things called standing orders, which are orders that we can carry out if certain criteria are met. For instance, a patient with a high temperature we are able to give Tylenol, without having to go to the doctor first.I give the baby a Tylenol suppository for the fever. I leave the room and go get the doctor so he can come assess the patient. He comes in the room and starts asking questions and the parents are answering them. He states that he didn't believe it was a seizure either but wanted to ”run some tests and test for meningitis!” The parents nod their heads in agreement and say thank you to the doctor. They obviously don't know how we test for meningitis.My mouth dropped and inside my head, I was like WTF this baby absolutely does not have meningitis!This particular doctor has a habit of overdoing tests on patients, mainly to save himself from being sued if he ever misdiagnosed a patient and something bad happens. For the most part, I don't say much because I understand where he's coming from and most extra tests don’t really harm the patient or there's really nothing extra being done other than sending up a few extra vials of blood or sending them to CT or something not so invasive.Testing for meningitis is not one of those things that can easily be done along with everything else. It involves a procedure called a Lumbar Puncture. A needle is inserted in the lower back and Spinal Fluid is drained out and tested, somewhat similar to an epidural.It's a very very painful procedure and difficult to do on infants, their bodies are small, and they don't exactly hold still while the procedure is being done.This particular doctor asks me to get a consent form signed so that he can do the procedure. Technically, the person performing the procedure is supposed to go over risks associated with the procedure, why the procedure is being done, how the procedure will be done, and then get the consent form signed.If the procedure is being done in the ER I usually do the consent. If the patient is going to another floor or another area I Don't do the consents, the OR constantly gets pissed at me for not doing the consents for them. I Don't know about you but I worked my ass off for those little letters ”RN” and I'm not going to jeopardize them for a procedure I won't be a part of and won't be around for. So if something was to go wrong or if the patient later says they weren't told something my name isn't on that form.So I go to the room and speak with the parents and tell them the risks of the procedure, how it will be done, and what the reasoning is. When I tell them the risks and how it will be done they freak out. I don't blame them if I didn't know any better id probably freak out too. They become more hesitant for the procedure and aren't wanting to do it. Then they ask me what I thought they should do.Look I Don't know if I'm over stepping boundaries but in nursing school, they taught us to be patient advocates. Which is to stand up for the patients and remember to always keep their best interests the main focus, so this is what I do.I tell the parents, he is a physician and he has gone to school for a long time and has dedicated a significant part of his life to be where he is at, and that should be respected. However, if it were my child I wouldn't have it done. It's a risky procedure and it isn't always successful. They decline the procedure after i tell them that. I leave the room and approach the physician.Being a travel nurse I constantly change hospitals and I'm always working with new doctors. I repeatedly have to earn different doctors trust when I work with them! This particular doctor was no different. The very first time I worked with him, I would ask for things and he would instantly shoot my request down until he saw the patient himself. Over time I've gained his trust and now I approach him and the 99.9% of the time he accepts my requests for patient care with no issues.I walk up to the physician like any other time and tell him ”Sir, the patient's parents in bed 6 do not want the procedure!” he flips the f*** out, and immediately becomes aggressive. Dealing with doctors getting pissy should be part of my job description so I'm used to it. I explain that they don't want it done because of the risks associated with it and that I had told them it probably wasn't necessary. He yelled at me in front of everyone, the entire ER quieted down and were all looking at me and him. He screamed at me and told me to go back in that room and tell the parents I was wrong and that we are doing the procedure. I tell him okay, I'll go back to the room but I'm not wrong sir.I'm not a pushover and I'm also not delusional to believe I'm always right. I get things wrong all the time and I'm not afraid to admit when I'm wrong. However, this wasn't one of those times. The parents already heard what he had said because he was yelling so I walked to the room and told the parents he wants me to tell Y'all I'm wrong and that we are doing the procedure. I then say ”but I'm not wrong and it is up to you as parents if we do the procedure or not!” They stand their ground as well and say no.I walk back to the doctor and tell him that they still don't want the procedure. He slams his microphone down, doctors use a microphone to chart so that they aren't constantly typing, and storms off to the room. He shuts the curtain behind him and I walk off to attend to my other patients.I Don't hear anything else about the procedure after that. I do go back in the room and start an IV and get some blood and then start some IV fluids. While I'm in the room the parents thank me repeatedly and apologize for the way he talked to me and they were also very appreciative that I did what I did because when the doctor came back in there they asked him straight up do you honestly think she has meningitis and the doctor did say no.A few hours later the baby's temperature decreased and she was discharged and went home, after the pediatric doctor came down and visited with them and discussed follow-up appointments.At the same time this all was going on another infant was a few rooms down and that baby had a lumbar puncture done to rule out meningitis, not once but twice because the doctor was unsuccessful and he didn't get it the second time either. I Don't know the specifics of that particular situation but I do know that baby went through a painful procedure and no spinal fluid was even collected.Eventually the doctor calmed down and we got back to our usual interactions between each other, no apology was given or was the situation ever discussed. It's all good I'm cool with that though. He's still a good doctor and I do respect him.Sometimes you might piss some people off by doing the right thing but those are the times when your character and integrity are tested the most and how you respond to those situations truly defines who you are as a person. The baby was absolutely precious so that made it easier to stick up for her too.