{"text":"CONSENT BY PATIENT\/PARENT FOR OPERATION \nof \n, @(MD,CL&LM@\/,_ ) \nhereby cokf\u2018\\sent to \nssubmission of to the \noperation of \ufb01_\ufb01m \nthe nature and effect of which have been explained to me by: \n(L2 Ly \nDr\/ \n1 also consent to such further or alternative operative measures as may be found to be necessary during the \ncourse of the operation and to the administration of a local or other anaesthetic for any of these purposes. \nNo assurance has been given to me that the operation will be performed by a particular surgeon. \nDate %\/!9\u201c\/4\\1 {Signed) {><- lL M\\VQ \u2019 \ni e X \n-Relatibnship to Patient \nI confirm that | have explained the nature and effect of this operation to the patient, parent, relative or \nguardian. \nDate \"g\/[;)-\u00e9&% ] Signed M \n*Delete if not applicable \n{Doctor\u2019s Signature) . \nSPECIAL CONSENT FORM FOR STERILISATION AND JEHOVAH'S WITNESSES MUST BE USED. \n\" OPIATE ANALGESIA - INTRAVENOUS (PCA)\/EPIDURAL\/SPINAL \nPatients with spinal\/epidural opiates must not receive opiates by other routes. \nAll patient to have supplemental Oxygen at night for duration of therapy. \nSpinal\/Epidural Opiate \nPCA (Patient Controlled Analgesia)} \nPrepare: To a 50\/60 ml syringe add \nAdd sterile water to make 50\/60ml volume \nSettings: Concentration Dose Duration \nLoading Dose i Lockout Duration \nBolus Dose \\ Background Infusion \nMonitor: Total dose of analgesia given \nNo. of good tries \nInform Anaesthetist if: Respiration 8\/min or less \nPatient unduly sedated.\u2014 score 2\/3 \nPatient in undue pain - score 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