A client in a medical-surgical unit is scheduled for a laparoscopic cholecystectomy. The surgeon visited earlier in the morning to discuss the procedure, potential risks, and expected benefits. A registered nurse (RN) delegates the task of obtaining the client's signature on the surgical consent form to the practical nurse (PN). Upon bringing the form to the bedside, the client states, "The doctor explained everything, but I still do not really understand what they are going to do inside my body." Which action by the PN is legally required?
- Notify the surgeon or the supervising RN that the client requires further clarification before signing the consent form.Answer
- BExplain the steps of the surgical procedure using simple terminology until the client expresses understanding, then witness the signature.
- CReassure the client by stating, "This is a very routine surgery and your surgeon is excellent, so there is no need to worry," before having them sign.
- DPerform a comprehensive cognitive assessment to determine if the client is mentally competent to sign the legal document.
Answer
Notify the surgeon or the supervising RN that the client requires further clarification before signing the consent form.
For a surgical consent form to be legally valid, the client must fully comprehend the procedure. The nurse's role in informed consent is to act as a client advocate and witness the signature, not to provide the primary medical explanation. Because the client expressed confusion, the legally required action is to pause the consent process and notify the surgeon or the supervising RN so the provider can return to clarify the procedure.
Step-by-Step Solution
Key Concept
Informed Consent Witnessing and Scope of Practice