JUN 10, 2019
Surgery Without Office Exam
Question: One of our surgeons is injured and unable to perform cataract surgery. Is another surgeon of the practice able to perform surgery without seeing the patient in the office?
Answer: This is more of a risk management question, so we spoke with the Ophthalmic Mutual Insurance Co. (OMIC), an affiliate of the Academy. A representative stated that surgery can take place with the following recommendations:
- Offer the option of waiting since it is elective surgery.
- Inform the patient of the change in surgeon and document consent to have the second surgeon perform procedure.
- A new surgeon reviews the medical record.
- If nothing unusual and there are no questions, there’s no need to see the patient again.
- See if the surgeon expects complications or has questions about choices.
- Meeting patient before surgery helpscanbuild a trusting relationship.
- If there is no meeting, a phone call would also be helpful.
- Check the consent form: You may need to change name and/or get new form signed.