The nurse takes the form identified below to a patient's room in preparation for an emergency surgical procedure. The patient states, "Doc said he would tell me all about the surgery when he gets here. Do you know what they are going to do?"
What is the nurse's best response?
1. "Let's wait on signing this until your physician has talked to you."
2. "Let me go get a medical surgical textbook so I can use the pictures to explain the procedure."
3. "I am not certain; let me call the nursing supervisor to explain it to you."
4. "Go ahead and sign this so we will have that part done when the physician gets here."
Correct Answer: 1
The form pictured is an informed consent document. It should not be signed until the procedure has been explained to the patient, and the explanation is the responsibility of the physician. This nurse should not explain the procedure or ask another nurse to do so. The signing of this document must wait until the patient is educated about the procedure so that true "informed" consent can be given.
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