At my facility there is a nurse that has been given a hard time regarding the AMA forms, and I was hoping to help her out with an answer to the following question. Whose legal responsiblity is it to fill out the risks/benfits portion of the AMA form, the nurse or the physician? In school we have been taught that it is ultimately the physician's responsiblity to explain the risks and benefits and fill out that portion. PLEASE HELP!!!
P.S. in the P&P manual of this facility it does not specify who should fill out this portion.
Feb 27, '09
by canoehead, BSN
I notify the doc that the patient wants to leave, and if they make it to the room before elopement then the MD fills out the AMA and has the patient sign.
If the doc doesn't make it to the room I review the risks I see from a nursing point of view, and have the patient sign. I always include injury and death as possible consequences. After going to a conference a few years ago I also tell the patient they can come back at any time if they wish, or if they get worse, and I document that I told them that.
Last edit by canoehead on Feb 27, '09