A practical nurse (PN) in an outpatient clinic is handed a surgical consent form by the supervising registered nurse (RN). The RN states, "The provider explained the procedure earlier but had to step away. Please get the client's signature and answer any final questions they have about the risks." Upon entering the room, the client asks the PN, "What exactly are the risks of the anesthesia they will use?" Which of the following is the most appropriate legal and ethical action by the PN?
- AProvide the client with the clinic's standardized educational brochure regarding anesthesia risks and witness the signature once the client finishes reading it.
- Refuse the RN's directive to answer questions about the risks and ensure the provider is notified that the client requires further clarification before signing.Answer
- CAccept the delegated task from the RN to explain the risks, as the supervising RN retains accountability for the educational information provided.
- DDefer the client's question and bring the client's waiting spouse into the exam room to discuss the anesthesia concerns and help make the decision.
Answer
The correct action is to refuse the RN's directive to answer questions about the risks and ensure the provider is notified that the client requires further clarification before signing.
The practical nurse's role in informed consent is strictly limited to witnessing the client's signature and advocating for the client by verifying they fully understand the procedure. Explaining the risks, benefits, and alternatives is exclusively the legal responsibility of the healthcare provider performing the procedure. A nurse cannot accept a delegated task to explain surgical risks. Because the client has unresolved questions about anesthesia, the PN must halt the consent process and ensure the provider addresses the client's concerns.
Step-by-Step Solution
Key Concept
Informed Consent and PN Scope of Practice
Estimated Time:1m 30s