patient videos - Page 2

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  1. Feb 3 by
    again thank you for answering. i, too, would expect all patients to read the entire consent form and voice any objections at that time. i feel assured that if did object then no videotape would be made, and if a certain abnormality did occur during a procedure of mine and the physician took a picure, i again feel sure that my consent would be obtained before using it in any way. as i stated earlier i would consent and have nothing against education. my only concern would be if my identity were made public or if any identifying facial feautures were shown to anyone viewing said video, which i feel sure would never happen.
  2. Mar 16 by
    since my last comments, i have done more research on the internet dealing with patient consent issues on videotaping of patient procedures. i feel that relegating this as an aside on the consent form signed at admittance is insufficient. what if the patient is unable to read or to adequately comprehend the form? what if the patient is experiencing too much pain to be concerned with the contents of the form? most patients would never have dreamed that a hospital might videotape their medical procedure. this is a very serious patient privacy issue with many potentially dangerous consequences, and patients should be FULLY informed of the possibility of being videotaped and FULLY informed that can refuse this, and that their care will not be affected in any way by such refusal. these issues and their possible consequences are way too serious to expect a patient to pull this possibility from an aside on a very broad consent form, and in my opinion, considering this as INFORMED CONSENT is ludicrous, even if it may be legal. has anyone posting on these forums been involved in or been privy to any discussions of what medical staff feel would be the most likely response of a patient if they were indeed told face to face of this possible videotaping? one final question to anyone who has actually seen one of these videos, are any facial or otherwise identifying features clearly visible? i realize that what i have written here will probably be polar opposites of the opinions held by the majority of posters here, and humbly apologize in advance if they offend some of you, for that was certainly not my intent. thank you very much.
  3. Mar 16 by
    The only time I've seen photos or videos from a medical procedure, and I mean in the storage format (DVD or printed images), they were in the patient's chart. They were imprinted with the patient's name and MR number. They were usually associated with a procedure in which there is a reasonable expectations that they will take video or stills - joint arthroscopy, endoscopy, colonoscopy, etc. In each case the MD may or may not decide to share these with the patient. They are part of the medical record and are in the chart, upon the patient's discharge they go to medical records. Are you concerned that these are ending up on YouTube or something?
    Sweet_Wild_Rose likes this.
  4. Mar 16 by
    i have no fear of these procedure videos ending up on you tube. i do strongly feel, however, that such videotaping and photography are very serious privacy issues for the patient, and as such, patients should be informed face to face by the surgeon as part of the informed consent process. this is far too serious an issue to expect the patient to comb through the fine print of the initial consent to treat form to discover the possibility that they and their procedure may be videotaped. somehow one gets the feeling that the medical staff and the hospital feel that most patients would object and refuse consent if told in the upfront manner they should. i guess it meets all the legal requirements to handle it in this way but it still seems they would much rather the patients never to become aware of this. i have no fear of these tapes ending up on you tube or otherwise used in any form not in the best interests of the patient, and would readily consent if informed face to face by the surgeon, but would refuse if, discovered this by reading the fine print of the initial consent form. this is far too serious an issue to not inform the patient up front, espescially when the surgeon pretty well knows that the procedure the patient is having is one in which videotaping and still photography is likely. if the patient requested a copy of his medical records after such a procedure, would these videos and stills be made available to them?
    Last edit by J.R.theR.N2b on Mar 16
  5. Mar 16 by
    Quote from J.R.theR.N2b
    since my last comments, i have done more research on the internet dealing with patient consent issues on videotaping of patient procedures. i feel that relegating this as an aside on the consent form signed at admittance is insufficient. what if the patient is unable to read or to adequately comprehend the form? what if the patient is experiencing too much pain to be concerned with the contents of the form? most patients would never have dreamed that a hospital might videotape their medical procedure. this is a very serious patient privacy issue with many potentially dangerous consequences, and patients should be FULLY informed of the possibility of being videotaped and FULLY informed that can refuse this, and that their care will not be affected in any way by such refusal. these issues and their possible consequences are way too serious to expect a patient to pull this possibility from an aside on a very broad consent form, and in my opinion, considering this as INFORMED CONSENT is ludicrous, even if it may be legal. has anyone posting on these forums been involved in or been privy to any discussions of what medical staff feel would be the most likely response of a patient if they were indeed told face to face of this possible videotaping? one final question to anyone who has actually seen one of these videos, are any facial or otherwise identifying features clearly visible? i realize that what i have written here will probably be polar opposites of the opinions held by the majority of posters here, and humbly apologize in advance if they offend some of you, for that was certainly not my intent. thank you very much.
    If the patient is unable to read, he will have to have the form read to him before signing, and will find out that way. If a patient is impaired or incompetent, but requires a procedure, a substitute decision maker would have to sign, and therefore read the consent, on their behalf. If a person choses NOT to fully read the consent form before signing, that is their choice as adults.
    Sweet_Wild_Rose likes this.
  6. Mar 16 by
    i guess what i am really asking is why the patients are not informed of the videotaping possibility by the surgeon when he/she obtains informed consent for the patient's original procedure? do you not feel privacy issues are important enough for patients that they should not have to comb through the entire consent form to discover the possibility that their medical procedure might be videotaped?
  7. Mar 16 by
    Yes, in fact, I have gone into patient's rooms and in some cases they have prints from their procedure. They are usually the one who shows it to me, actually - "look at the tear in my knee!" It's really not a big deal. Any patient can request a copy of their medical records. What specific part of this concerns you? Are you concerned that the patient is not being treated with dignity and respect?
  8. Mar 16 by
    If the patient is stable they have a responsibility to go through the entire consent form. There's not just photography/video permission in those forms. They talk about who they can share information with, how long the permission lasts, that volunteers and students may be part of the patient's care, and that a student may do procedures under supervision. That translates to someone who may never have done surgery before might do all or part of yours, with supervision. So read the papers, or get someone you trust to do it.

    I think this thread deals mostly with taping trauma situations. There's no way in hell's high water that you can get a coherent informed consent from a multi trauma victim. On the other hand the sicker they are, the more we want to tape the trauma and learn from it. It's a HUGE benefit to patients to have dozens of traumas to watch and dissect before a practitioner actually goes into the trauma room and tries to make sense of it. So the benefits arguably outweigh the negatives. The hospital would have to review the policy before it's put into effect. That would mean a committee meeting or three, and possibly review by the ethics committee, and the hospital lawyers. The patient might not be consulted at all. Does anyone work in a hospital that does this? Do they tell the patient or give them the option to opt oput after the fact?
  9. Mar 16 by
    Quote from J.R.theR.N2b
    sweet_wild_rose------thank you for your answer. i feel that by intending to videotape a patient's procedure without directly informing him is somehow an invasion of his privacy. it seems the physician is attempting to circumvent the consent process hoping the patient will not read the entire form. does the hospital feel this is right? the feeling must be that the hospital feels most patients would object if asked beforehand. i myself would consent to my procedure being taped as long as i was asked prior to the taping. i would, however, feel very hurt and angry if they tried to slip it past me, and would never, ever, use the services of that hospital or surgeon again.
    I just want to day that at the hospital where I have had my surgeries since 2010 the consent says that the surgery may be videotaped at the discretion of the physician for diagnosis/treatment of the condition and that a separate consent must be used for photographing/videotaping for educational purposes.

    The bottom line is that you are in control. It's important to read EVERYTHING on that consent form and if you don't it's your own fault for them doing something you didn't want. Just don't glance over it and sign it. I highly doubt the surgeon is trying to circumvent the consent process if everything is written down on it and you fail to read it all even if the surgeon goes over it with you.
  10. Mar 16 by
    Quote from J.R.theR.N2b
    i guess what i am really asking is why the patients are not informed of the videotaping possibility by the surgeon when he/she obtains informed consent for the patient's original procedure? do you not feel privacy issues are important enough for patients that they should not have to comb through the entire consent form to discover the possibility that their medical procedure might be videotaped?

    Like I said, it's your responsibility to "comb" through the entire consent form before you sign it if. I really don't know what the big deal is to reading it-the one at my hospital is two pages.