An adult client is brought to the emergency department by emergency medical services after being hit by a car. The name of the client is not known. The client has sustained a severe head injury and multiple fractures and is unconscious
An emergency craniotomy is required. In regard to informed consent for the surgical procedure, which of the following is the best initial action? 1. Obtain a court order for the surgical procedure.
2. Transport the victim to the operating room for surgery.
3. Call the police to identify the client and locate the family.
4. Ask the emergency medical services team to sign the informed consent.
2
Rationale: Generally, there are only two situations in which the informed consent of an adult client is not needed. One is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second is when the client waives the right to give informed consent. "Obtain a court order for the surgical pro-cedure" is unnecessary, and "ask the emergency medical services team to sign the informed con-sent" is inappropriate. Although "call the police to identify the client and locate the family" may be pursued, it is not the best initial action.
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