A patient scheduled for a laparoscopic cholecystectomy asks the nurse why a surgical consent for a laparotomy must also be completed. How should the nurse respond?
1. "By signing both now, you'll never have to sign another one. We'll keep the extra on file for the future."
2. "Surgeons base their decision on whether to do the procedure laparoscopically or with a full incision on many factors. With this signed, the surgeon has options."
3. "You will be ready if the laparoscopic operating rooms are busy today."
4. "The surgeon will start the procedure laproscopically but may need to make an incision to complete the procedure."
Correct Answer: 4
There is a risk that a laparoscopic cholecystectomy may be converted to a laparotomy (surgical opening into the abdomen) during the procedure. Surgical consents are not signed in advance of procedures. The consent is not intended to provide the surgeon with options. The busyness of the operating rooms has nothing to do with the consent form.
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