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
baby in arms of clinician


More CRICO Guidelines or Algorithms

CRICO decision support tools.
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    Neonatal Encephalopathy Guidelines

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    At the behest of its membership, the Academic Medical Center Patient Safety Organization convened a Task Force to arrive at a set of consensus-based guidelines for the most effective use of therapeutic hypothermia in cases of suspected neonatal encephalopathy.
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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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