While working in the emergency department, a practical nurse (PN) assists a healthcare provider who is preparing to insert a central venous catheter for an alert and oriented client. The provider hands the blank informed consent form to the PN and states, 'I need to grab the ultrasound machine. Have the client sign this now, and I will explain the procedure's risks while I am setting up the sterile field.' Which of the following is the most appropriate action for the PN to take?
- Inform the provider that the procedure must be fully explained to the client before the consent form can be signed.Answer
- BDescribe the potential complications of central line insertion to the client before obtaining the signature.
- CWitness the client's signature immediately so the provider can begin as soon as they return to the room.
- DAccept the delegated task and ensure the signed form is placed in the medical record for the provider.
Answer
The PN should inform the provider that the procedure must be fully explained to the client before the consent form can be signed.
Informed consent is a legal process that requires the healthcare provider performing the procedure to explain the risks, benefits, alternatives, and potential complications before the client signs the document. The role of the practical nurse (PN) is limited to advocating for the client, verifying they understand the provider's explanation, and witnessing the voluntary signature. Obtaining a signature before the provider explains the procedure renders the consent invalid. Therefore, the PN must intervene and ensure the provider fulfills their legal obligation before the form is signed.
Step-by-Step Solution
Key Concept
Informed Consent and PN Scope of Practice