During a routine home health visit, a client scheduled for outpatient cataract surgery shows the practical nurse (PN) an informed consent document. The client's surgeon discussed the operation during a previous clinic appointment. Which of the following actions correctly reflect the PN's scope of practice regarding this document? (Select all that apply.)
- Sign the form strictly as a witness to the client's signature.Answer
- Verify that the client is signing the agreement voluntarily without coercion.Answer
- CDescribe the potential risks and surgical complications to the client.
- DDetail alternative medical treatments available instead of surgery.
- Notify the RN or surgeon if the client expresses confusion about what the operation entails.Answer
Answer
The practical nurse is permitted to sign as a witness, verify the client's voluntary participation, and escalate any confusion to the RN or surgeon.
In the informed consent process, the practical nurse's role is specifically limited to witnessing the client's signature, confirming that the client is acting voluntarily, and assessing for basic understanding. If the client indicates confusion, asks new questions about the procedure, or hesitates, the nurse must stop the signing process and inform the RN or the healthcare provider who will perform the surgery to return and clarify.
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Key Concept
Informed Consent and Scope of Practice