ࡱ>  bjbjo>o> g T T 7" " ||8,D$p&hhhhh%%%%%%%$F(*&n@&||hh*&^|8hh%%'$h% h N֮ v$%@&0p&$|+R+ '%+'%&&p&+" B:  Consent form 3 Patient agreement to investigation or treatment (procedures where consciousness is not impaired) Name of procedure (include brief explanation if medical term not clear) Hysteroscopy (camera inserted into the uterus (womb), through the cervix to look inside the womb) +/- endometrial biopsy (a small sample of tissue taken from the lining of the womb) +/- removal of polyp(s) Statement of health professional (to be filled in by health professional with appropriate knowledge of proposed procedure, as specified in consent policy) I have explained the procedure to the patient. In particular, I have explained: The intended benefits. To find the cause of symptoms although sometimes no cause may be found. It will not alter symptoms unless additional procedures are carried out. To treat symptoms by removal of the polyp(s) Uncommon risks: Infection and bleeding Failure to gain entry in the uterine cavity in outpatients thus requiring hysteroscopy under anaesthetic Serious risks: 1. The overall risk of serious complications from a hysteroscopy without any treatment is approximately 2 women in every 1000 (uncommon) 2. Perforation of the uterus [hole in the womb] (extremely rare in outpatient procedure) 3. Damage to bowel, bladder or major blood vessels (extremely rare in outpatient procedure). ( The following leaflet/tape has been provided: Outpatient Hysteroscopy. Signed: Date....................................................... Name (PRINT) . . Job title . Statement of interpreter (where appropriate) I have interpreted the information above to the patient/parent to the best of my ability and in a way in which I believe s/he/they can understand. Signed ..Date...Name (PRINT)... Statement of patient I agree to the procedure described above. I understand that you cannot give me a guarantee that a particular person will perform the procedure. The person will, however, have appropriate experience. I understand that the procedure will not involve local anaesthesia. Signature . Date .. Name (PRINT) Relationship to patient Confirmation of consent (to be completed by a health professional when the patient is admitted for the procedure, if the patient/parent has signed the form in advance) I have confirmed that the patient/parent has no further questions and wishes the procedure to go ahead. Signed: Date ... . Name (PRINT) .. 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