An older adult client on an orthopedic unit is preparing for a scheduled total knee arthroplasty later this morning. The orthopedic surgeon has already visited the client to discuss the surgery. The charge nurse directs the practical nurse (PN) to assist with the informed consent document. Which of the following actions are legally appropriate for the PN to take? Select all that apply.
- Witnessing the client's signature on the surgical consent formAnswer
- BExplaining the potential surgical risks and complications to the client
- Confirming that the client is signing the document voluntarilyAnswer
- DDetailing the available alternative treatments if the client refuses surgery
- Notifying the surgeon immediately if the client expresses confusion about the surgeryAnswer
Answer
The legally appropriate actions for the PN are witnessing the client's signature, confirming the document is signed voluntarily, and notifying the surgeon if the client expresses confusion.
In the informed consent process, the practical nurse acts as a witness and client advocate. The PN is legally permitted to witness the physical signature on the consent form and must verify that the client is signing voluntarily and possesses the cognitive capacity to do so. Additionally, if the client verbalizes hesitation or confusion, the PN's duty is to advocate for the client by delaying the signature and notifying the healthcare provider so they can provide necessary clarification.
Step-by-Step Solution
Key Concept
The practical nurse's role in informed consent is limited to witnessing the signature, verifying voluntary consent, and advocating for the client by notifying the provider if further clarification is needed.