The nurse is caring for a critically ill patient on mechanical ventilation. The physician identifies the need for a bronchoscopy, which requires informed consent
If the physician were to obtain consent from the patient, the patient must be able to: a. be weaned from mechanical ventilation.
b. have knowledge and competence to make the decision.
c. nod his head that it is okay to proceed.
d. read and write in English.
B
Informed consent requires that a person know what is to be done and have the competence to make an informed decision. Most critically ill patients do not have this capacity; however, an assessment should be made to determine the patient's capacity. Some patients on mechanical ventilation are able to give written consent. Reading and writing in English are not requirements for informed consent.
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