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Zorluk: KolayAdvance Directives and Informed Consent

A client is scheduled for a peripherally inserted central catheter (PICC) placement. The client states they are ready to complete the legal paperwork. Place the following steps the practical nurse (PN) must take to properly witness the informed consent in the correct chronological order.

  1. 1Ask the client if the healthcare provider has explained the procedure and answered all their questions.
  2. 2Confirm that the client is alert, oriented, and not under the influence of sedating medications.
  3. 3Observe the client physically signing and dating the consent document.
  4. 4Sign the designated witness line on the consent document.
  5. 5Place the fully executed consent document into the client's medical record.

Cevap

The correct sequence is to first ask if the provider explained the procedure, then confirm the client is alert, observe the client sign, sign as a witness, and finally place the document in the medical record.
The proper sequence aligns with the PN's legal scope of practice. First, verify the provider completed their duty. Next, ensure the client is competent to sign. Then, directly observe the signing. Afterward, sign as the witness. Finally, secure the document in the chart for the procedural team.

Adım Adım Çözüm

1
Ask the client if the healthcare provider has explained the procedure and answered all their questions.
The PN ensures the provider has fulfilled the legal obligation of informing the client.
The PN cannot witness consent if the provider has not yet explained the risks, benefits, and alternatives.
2
Confirm that the client is alert, oriented, and not under the influence of sedating medications.
The PN establishes that the client has the cognitive capacity to sign a legal document.
Consent is invalid if the client is sedated, confused, or coerced.
3
Observe the client physically signing and dating the consent document.
The PN fulfills the core requirement of being a witness.
A witness must visually confirm that the specific client is the one signing the document voluntarily.
4
Sign the designated witness line on the consent document.
The PN legally documents their presence and observation of the client's signature.
The witness signature authenticates that the client's signature was obtained properly.
5
Place the fully executed consent document into the client's medical record.
The document is secured for the healthcare team.
The completed consent must be on the chart before any procedure can legally and safely commence.

Anahtar Kavram

The practical nurse's role in informed consent is strictly limited to ensuring the provider gave the explanation, assessing client competency, and witnessing the voluntary signature.
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