Wouter Leclercq

Chapter 2 34 PRACTICE IMPLICATION FOR AN ADEQUATE IC PROCESS General 1. Professionalize and structure your SIC and do not rely on good intent. 2. Focus on all operations, not just on the major operations. 3. Make patients and doctors aware of the importance of an adequate SIC. 4. Teach your patient what IC is. 5. Make sure the patient realizes he/she is in control and not the doctor. 6. Do not be afraid to use an interactive computer to help you, the doctor, and the patient. Competence Check your patient’s competence and do not count on your clinical insight. Information 1. Provide locally adapted information and try not to use general information. 2. Check if your patient understands your plan of operation, e.g., ask the patient to repeat the information. 3. Check if your patient understands the risks and the alternatives. Consent Register the SIC process in detail using an adequate IC form, and check that it is filled in correctly and store it in a safe place. Research Check for more research to be published as SIC is not a fixed format but a developing area of medicine.