A client is admitted to a short-stay surgical unit for a scheduled lumbar laminectomy. The neurosurgeon has discussed the procedure with the client and left the consent form at the bedside. When the practical nurse (PN) enters the room, the client states, 'I am ready to sign this paperwork.' Which actions are within the PN's scope of practice regarding the informed consent process? (Select all that apply.)
- Verifying that the client is signing the consent document voluntarily and without coercion.Answer
- BExplaining the potential risks of nerve damage if the client asks for clarification before signing.
- Witnessing the signature to confirm the identity of the person signing the document.Answer
- DAssessing the client's clinical competency to ensure they legally understand the provided information.
- Notifying the registered nurse (RN) or surgeon if the client expresses confusion about the planned procedure.Answer
Answer
The practical nurse's actions should include verifying voluntary consent, witnessing the client's signature, and notifying the RN or provider if the client exhibits any lack of understanding.
In the informed consent process, the practical nurse's role is strictly limited to advocating for the client and witnessing the signature. This involves verifying that the client is the actual person signing, ensuring the signature is given voluntarily without coercion, and confirming that the client has no further questions. If the client expresses confusion or asks new questions about the procedure's risks, the PN must pause the process and notify the registered nurse or provider.
Step-by-Step Solution
Key Concept
The practical nurse acts solely as a witness to the informed consent process, verifying the client's identity, voluntary agreement, and basic understanding, while escalating any knowledge deficits back to the primary provider.