A hospitalized client rapidly deteriorates and becomes unresponsive, requiring an emergent bedside central venous catheter insertion. The attending physician, who is actively setting up the sterile equipment, directs the practical nurse to telephone the client's legally appointed healthcare proxy, explain the risks of the procedure, and obtain a two-nurse witnessed verbal consent over the phone. Which response by the practical nurse demonstrates appropriate client advocacy and adherence to the scope of practice?
- AContact the proxy, provide the clinical explanation as directed by the physician, and have a second nurse verify the verbal authorization.
- BInform the physician that a registered nurse must be delegated the task of explaining the medical risks and securing the proxy's consent.
- CLeave an urgent voicemail on the proxy's phone detailing the client's condition and the need for the central line, requesting an immediate callback.
- Clarify that the physician must speak directly to the proxy to explain the procedure, while offering to stay on the line to witness the verbal consent.Cevap
Cevap
Clarify that the physician must speak directly to the proxy to explain the procedure, while offering to stay on the line to witness the verbal consent.
The practical nurse acts as a client advocate by ensuring the proxy receives critical medical information directly from the authoritative source. It is legally outside the scope of practice for any nurse to explain the risks, benefits, and alternatives of a medical procedure. The physician performing the procedure holds the absolute responsibility for obtaining informed consent. The nurse's role is strictly limited to witnessing the signature or verbal authorization after the provider has completed the clinical explanation.
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Practical Nurse Scope and Informed Consent Limitations