A client is placed on a stretcher for transport to the surgical suite for an elective procedure. The client has already signed the informed consent document. Suddenly, the client becomes highly anxious, tearful, and states, 'I cannot go through with this. I changed my mind.' The practical nurse (PN) is present in the room. In which order should the PN perform the following actions? (Arrange from first to last)
- 1Direct the transport personnel to halt the immediate transfer to the operating room.
- 2Validate the client's statement to confirm their clear intent to withdraw surgical consent.
- 3Notify the operating provider and the charge nurse of the client's revoked consent.
- 4Remain at the bedside to provide emotional support and address the client's anxiety.
- 5Document the client's exact verbal refusal and the provider notifications in the health record.
Answer
The correct sequence is to first halt the transport, then validate the client's intent, notify the provider and charge nurse, remain at the bedside for support, and finally document the event.
The practical nurse must act immediately as the client's advocate to prevent battery by stopping the transport. Following this, validating the client's statement ensures it is a true revocation rather than transient anxiety. The provider must then be notified, as it is outside the PN's scope to cancel the surgery or discuss alternatives. The PN provides continuous emotional support until the provider arrives, and concludes the process by thoroughly documenting the client's exact words and the actions taken.
Step-by-Step Solution
Key Concept
Client Autonomy and Revocation of Informed Consent