A patient tells the nurse that her brother had surgery done on the wrong hand, and she wants to make sure the surgeon knows she is having surgery on her left shoulder. What should the nurse do to address the patient's concerns?
1. Tell the patient that she should write the words "Left Shoulder" on a piece of paper and take it to the operating room with her.
2. Explain that the surgeon will mark the site of surgery directly on the patient during a preoperative visit.
3. Assure the patient that someone will tell the circulating nurse that the surgery is to be done on the left shoulder.
4. Show the patient where the site of the surgery has been documented on the medical record.
2
Rationale 1: Safety procedures are now in place to prevent "wrong side" surgery. Taking a note into the OR is not indicated.
Rationale 2: The Joint Commission recommends that the person doing the procedure should mark the correct site with an indelible marker at a preoperative visit.
Rationale 3: Another response would be more effective at reducing the patient's anxiety.
Rationale 4: Another response would be more effective at reducing the patient's anxiety.
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