- Regarding Informed Consent
- Items included under comprehensive consent at NTT Medical Center Tokyo
- Medical Treatment that Requires Consent Individually
Regarding Informed Consent
At NTT Medical Center Tokyo, medical care procedures and items are divided into those requiring official written informed consent and verbal explanation and consent. Many of the following medical care items and procedures do not require the presence of a physician, and there is minimal physical and mental stress on patients. In order to ensure the smooth progress of treatment, the following medical care items and procedures are conducted upon verbal explanation and consent. If you have any questions, please ask your physician or nurse.
Items included under comprehensive consent at NTT Medical Center Tokyo
[General Services]
Interview, visual and physical examination; measurement of temperature, height, weight, and blood pressure; rehabilitation; nutritional status evaluation, nutritional guidance, and dietary prescription.
[Laboratory Tests/Monitoring]
Blood tests; urinalysis; microbiological examination of pooled urine, sputum, and other samples; pathological and cytological examination of samples; physiological tests such as electrocardiography (ECG), sphygmography (pulse waves); pulmonary function, echocardiography, electroencephalography, ultrasonography, respirometry, expired gas analysis, electromyography (EMG), and thermography; plain x-ray and x-ray fluoroscopy ; plain CT and MRI; radioisotope (RI) tests; psychological tests; monitoring including ECG, transdermal oxygen saturation levels, arterial blood pressure, respiratory ventilation, bispectral index (BIS), and muscle relaxation; intradermal reaction tests (e.g., patch, intradermal, scratch, and tuberculin reactions and minimal erythema dose); and allergic skin tests. Blood tests to determine the presence or absence of infection of syphilis (Treponema antibody), hepatitis B (HBs antigen), hepatitis C (HCV antibody), HIV antibody (AIDS), which will be necessary for medical treatment such as surgery, dialysis, and angiography.
For patient safety, conditions of patients are being monitored and recorded by video cameras in the ICU, HCU, CCU, 4C, 8A, 9A, ward, gamma-knife center, operating rooms, radiation therapy room, MRI examination room, CT examination room, angiography room, interventional radiology examination room, and endoscopy room, when required for treatment. Recorded images will be saved for a period specified by our internal regulations.
[Treatment]
Aspiration of sputum; nasal catheterization; indwelling bladder catheterization; examination and treatment of dental caries (tooth decay), periodontal disease, and dentures; and oral care.
[Medication/Administration]
Routine medication, routine injections, peripheral intravenous cannulation (establishment of an intravenous line), continuous subcutaneous cannulation, and oxygenation.
Even though the above medical treatment are performed by qualified medical personnel with appropriate levels of experience, complications such as bleeding may occur. In such cases, the complication is treated under ordinary health insurance coverage. We would like you to understand this arrangement in advance.
Communication of medication information when performing surgeries/ treatments that involve bleeding
For treatments such as surgery that involve bleeding, depending on the kind of medication you are normally taking, there is a possibility that we cannot perform the surgery/ treatment unless you temporarily stop taking that medication. Please inform the staff in detail about the medication you are taking when you are scheduled for a surgery or treatment involving the possibility of bleeding. If we are not informed about the detailed information of your medication and the surgery or treatment is called off, the patient may be held responsible for the expenses.
[Team Activities]
In order for us to enhance patient’s care, teams such as Infection Control Team, Nutrition Support Team, Palliative Care Team, Preventive Management for Diabetes Dialysis Team, Dementia Care Team, Urinary Continence Care Team, Pressure Ulcer Care Team, Neuropsychiatry Liaison Team, and Heart Care Team may be involved in treatment in addition to a team of clinical department, as needed.
[Medical Coordinator for International Patients and Medical Interpreter]
We accept non-Japanese patients while providing medical information in multiple languages, and accommodating cross-cultural, and religious consideration. We cooperate environmental improvement which Ministry of Health, Labor and Welfare of Japan promote for non-Japanese patients to receive medical treatment at ease. When necessary for smooth and safe medical treatment, a Medical Coordinator for International Patients and/or Medical Interpreter (including on-line interpreter) will support medical treatment at clinical practices. In that case, we ask for your understanding and cooperation. When family members or companions interpret for the International Patient please understand that there is a risk of interpretation errors or ethical problems.
[Participation of Students/Trainees in Treatment/Care]
We are a clinical training designated hospital that meets the designated standards set by the Ministry of Health, Labor and Welfare. Initial clinical residents are involved in medical practice under appropriate guidance. In addition, as our hospital is also a clinical training institution that fosters medical professionals, students and trainees may participate in tours, practices, and trainings under strict supervision. In that case, we ask for your understanding and cooperation.
[Privacy]
At our hospital, it is prohibited to take photos or videos with a camera or smartphone, etc. in order to prevent the breach of privacy to others.
[Providing information to dispensing pharmacies]
For smooth cooperation to improve the safety of medication therapy, we will provide information such as the patient’s medication history profile, history of side effect, laboratory data, and explanations about the medication to dispensing pharmacies and other medical institutions as needed.
[Religion and Culture]
While we will do our best to accommodate different religion and cultures, we may not be able to meet your requests for the gender of medical staffs and your dietary restrictions. We will not be performing any surgery for those patients who do not accept any blood transfusion.
[Jurisdiction of Court]
The Tokyo District Court is the exclusive court of jurisdiction for the first instance for any legal matters or disagreements regarding our clinical practice or interpretation/translation services relating to clinical practices, and/or office procedures.
[Governing Law]
Any matter in our hospital will be interpreted and dealt with according to the Japanese law.
April 1st, 2022, NTT Medical Center Tokyo
Medical Treatment that Requires Consent Individually
Medical Treatment | |
---|---|
All departments | CT-guided biopsy |
All departments | Central venous (CV [subcutaneously implanted]) port construction |
All departments | Stent insertion |
All departments | Bronchoscopy |
All departments | Tracheostomy |
All departments | Endotracheal intubation |
All departments | Thoracentesis / drainage |
All departments | Transesophageal echocardiography |
All departments | Angiography |
All departments | Anticancer drug therapy |
All departments | Bone marrow puncture |
All departments | Continuous epidural anesthesia tube placement |
All departments | Intravenous sedation for procedures |
All departments | Physical restraint |
All departments | Pericardiocentesis |
All departments | Cerebrospinal fluid puncture |
All departments | Biopsy (except for superficial ones) |
All departments | Myelography |
All departments | Contrast enhanced CT scan |
All departments | Contrast enhanced magnetic resonance imaging (MRI) scan |
All departments | Central venous catheter placement |
All departments | Gastrostomy |
All departments | Discography |
All departments | Endoscopy |
All departments | Superficial lymph node biopsy |
All departments | Abdominocentesis / abdominal cavity drainage |
All departments | Transfusion / use of blood products |
All departments | Lumbar spinal puncture |
Surgical departments | Surgery performed in a surgery room or on an outpatient basis |
Anesthesiology, surgical departments | General anesthesia, epidural anesthesia, local anesthesia |
Cardiovascular Medicine | Endovascular therapy (EVT; percutaneous peripheral artery intervention) |
Cardiovascular Medicine | Percutaneous coronary intervention (PCI) |
Cardiovascular Medicine | Inferior vena cava filter insertion (temporary, permanent) |
Cardiovascular Medicine | Left heart catheterization (coronary angiogram [CAG], left ventriculogram [LVG], aortogram [AoG]), right heart catheterization |
Gastrointestinal Endoscopy | Balloon dilation of stenosis |
Gastrointestinal Endoscopy | Endoscopic retrograde cholangiopancreatography (ERCP) |
Gastrointestinal Endoscopy | Endoscopic submucosal dissection (stomach / large intestine) |
Hepato-Biliary-Pancreatic Medicine | Radiofrequency ablation |
Hepato-Biliary-Pancreatic Medicine | Percutaneous transhepatic biliary drainage (PTBD) | Hypertension & Nephrology | Vascular access creation |
Hypertension & Nephrology | Vascular access contrast examination |
Hypertension & Nephrology | Introduction of dialysis |
Hypertension & Nephrology | Catheter insertion for dialysis |
Hypertension & Nephrology | Catheter insertion for peritoneal dialysis |
Endocrinology & Diabetes | Endocrine load test |
Hematology | Bone marrow transplant |
Hematology | Bone marrow transplantation for aplastic anemia |
Hematology | Autologous peripheral blood stem cell transplant |
Hematology | Autologous peripheral blood stem cell harvesting |
Hematology | Intrathecal injection |
Hematology | Allogeneic peripheral blood stem cell transplant |
Hematology | Allogeneic peripheral blood stem cell harvesting |
Surgery | Gastrostomy (performed outside of a surgery room) |
Gynecology & Obstetrics | Delivery by cesarean section |
Gynecology & Obstetrics | Delivery (normal delivery, abnormal delivery, episiotomy) |
Gynecology & Obstetrics | Induction and stimulation of labor (including cervical dilatation procedures) |
Pain Clinic | Facet thermo / joint thermo |
Pain Clinic | Continuous epidural drug infusion with Racz catheter |
Pain Clinic | Thoracic/lumbar sympathetic ganglion block |
Pain Clinic | Epidural block / sacral epidural block |
Pain Clinic | Trigeminal nerve block |
Pain Clinic | Nerve root block / nerve root thermo |
Pain Clinic | Stellate ganglion block |
Pain Clinic | Sacral epidural contrast, sacral epidural irrigation |
Pain Clinic | Facet joint block |
Pain Clinic | Discography |
Pain Clinic | Intercostal nerve block / intercostal nerve block under fluoroscopic guidance |
Pain Clinic | Brachial plexus block |
Gamma Knife Center | Gamma knife treatment |
Gamma Knife Center | Cerebral angiography |
Neurosurgery | Carotid endarterectomy (CEA) |
Neurosurgery | Diamox® Tolerance Single Photon Emission Computed Tomography (Radioisotope tomography equipment) |
Neurosurgery | Thrombolysis (rt-PA inj. Therapy) |
Neurosurgery | Transesophageal echocardiography |
Neurosurgery | Cerebral angiography |
Cerebrovascular Medicine | tPA therapy (thrombolysis) |
Cerebrovascular Medicine | Diamox® Tolerance Single Photon Emission Computed Tomography (Radioisotope tomography equipment) |
Cerebrovascular Medicine | Endovascular treatment for acute cerebral infarction |
Cerebrovascular Medicine | Transesophageal echocardiography |
Cerebrovascular Medicine | Endovascular thrombolysis (transarterial ) |
Cerebrovascular Medicine | Endovascular treatment (coil, stent, PTA (percutaneous transluminal angioplasty) |
Cerebrovascular Medicine | Cerebral angiography |
Urology | Gonadotropin-releasing hormone (GnRH) antagonist (endocrine therapy [hormone therapy]) |
Urology | Luteinizing hormone-releasing hormone (LHRH) agonist (endocrine therapy [hormone therapy]) |
Urology | Endocrine therapy for prostate cancer |
Urology | Bacillus Calmette-Guerin (BCG) infusion therapy for bladder cancer |
Urology | Intravesical BCG infusion therapy for bladder cancer |
Radiology | CT-guided lung biopsy |
Radiology | Myelography |
Radiology | Image-guided biopsy |
Radiology | Image-guided abscess drainage |
Radiology | Angiography (incision ×) |
Radiology | Contrast enhanced CT scan |
Radiology | MRI with contrast (gadolinium) |
Radiology | MRI with contrast (Resovist R injection) |
Dermatology | ALEX laser |
Dermatology | V-beam laser |
Dermatology | Treatment of ingrown nails |
Dermatology | Variceal sclerotherapy |
Otorhinolaryngology – Head & Neck Surgery | Swallowing videofluorography |
Otorhinolaryngology – Head & Neck Surgery | Myringotomy |
Otorhinolaryngology – Head & Neck Surgery | Nasal mucous membrane ablation |
Ophthalmology | Sub-Tenon steroid injection |
Ophthalmology | Steroid pulse therapy |
Ophthalmology | Laser iridotomy |
Ophthalmology | Fundus fluorescein examination |
Ophthalmology | Anti-vascular endothelial growth factor (VEGF; intravitreal injection) therapy |
Ophthalmology | Aqueous humor collection |
Dentistry & Oral Surgery | Oral surgery in patients with bisphosphonates (BPs) |
Dentistry & Oral Surgery | CDDP (cisplatin) concomitant chemoradiotherapy |
Dentistry & Oral Surgery | Cmab (cetuximab) concomitant chemoradiotherapy |
Dentistry & Oral Surgery | FP (fluorouracil + cisplatin) therapy |
Dentistry & Oral Surgery | TPF (docetaxel + cisplatin + fluorouracil) therapy |
Dentistry & Oral Surgery | TS-1 therapy (oral antineoplastic agents) |
Dentistry & Oral Surgery | Open reduction and internal fixation |
Dentistry & Oral Surgery | Neck dissection |
Dentistry & Oral Surgery | Dental implant treatment |
Dentistry & Oral Surgery | Apicoectomy |
Dentistry & Oral Surgery | Tumor resection / reconstruction |
Dentistry & Oral Surgery | Maxillary sinus floor augmentation |
Dentistry & Oral Surgery | Partial glossectomy |
Dentistry & Oral Surgery | Cystic fenestration / excision |
Dentistry & Oral Surgery | Tooth extraction |
Dentistry & Oral Surgery | Impacted wisdom tooth extraction |
Rehabilitation | Swallowing videofluorography |
Neuropsychiatry / Psychosomatic Medicine | Administration of therapeutic sedatives |
Neuropsychiatry / Psychosomatic Medicine | Electric current therapy |