Sample Form

This sample form contains sections for you to record notes concerning:

• Indications for the OVD

• Patient counseling

• Maternal-fetal assessment prior to operative delivery

• Details of the procedure

• Birthing person and newborn status


View the PDF
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More CRICO Guidelines or Algorithms

CRICO decision support tools.
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    General Informed Consent Guidelines

    Guideline
    A document to assist institutions in reviewing policies, procedures and forms relative to obtaining and documenting informed consent.
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    OB Guideline 15: Assessment and Monitoring in Labor and Delivery

    Guideline
    During prenatal care, the clinician and patient will discuss common events and procedures in labor, including methods of assessing fetal well-being.
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    Obstetrics Guidelines Introduction

    Guideline
    The Clinical Guidelines for Obstetrical Services at CRICO-insured Institutions are intended to provide guidance for clinicians and to support the safest maternal and fetal outcomes for patients receiving care in CRICO-insured medical institutions.
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