The patient refuses to take off her diamond wedding band prior to going to the operating room. The nurse should first:
a. record in the chart that the patient refused to remove jewelry.
b. tape the ring to finger, covering the ring.
c. request that the patient sign a waiver to release the hospital from responsibility.
d. alert the surgery team to the presence of the jewelry.
B
Taping the ring will protect the ring and secure it to the finger. Care must be taken not to wrap the tape too tightly. The nurse will also need to document the presence of the ring on the preo-perative checklist or in the nurse's notes. There is no need for a signature on a waiver. Most fa-cilities have policies in which the patient signs a release of responsibility for valuables. There is no need to notify the surgical team of the presence of the ring.
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