Informed Consent Responsibility - page 2

by Bec717

An OR nurse wanted to write up a unit nurse because the informed consent, signed by the MD and the patient had abbreviations that were written by the MD. Is it the witnessing RN's responsibility to inform the MD what and what... Read More


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    If it was an on call type of situation the OR nurse cant redo the consent without another nurse in alot of hospitals. Alot of places have policies in place that the RNs on the OR team can not be the one to witness the consent, my hospital is like this so if I am on call and the consent is no good or not signed I have to get a house supervisor to come up and redo it. I have gotten in trouble for trying to educate some of the floor nurses cause they say I am mean, typically I just dont smile all day long and am direct and to the point when telling people the way something is done per policy. Since I recieved that complaint I just started having the RNs on the floor written up for poor nursing practice things that should have been done prior to getting them up in holding. I give the write up to their department manager and she can do what she wants with it, at least she knows and can do something.... All of my OR nurses have the ovaries(or male equivilant) to write up anyone including physicians for things they did that way at least something is documented that an effort was taken to correct the problem. I would say 90% of the time it does NOT go in their work file, it just gets addressed and we move on.
  2. 0
    One RN suggested, if pre-op meds are not given then just tell them in report the patient has questions, document the consent has not been witnessed, tell them in report the consent has not been witnessed b/c the patient has questions, and put the responsibility on the Pre-OP RN each and every time....... let the MD and Pre-OP RN take responsibility for the consent and leave the unit RN out of the situation altogether.
  3. 0
    Quote from Bec717
    One RN suggested, if pre-op meds are not given then just tell them in report the patient has questions, document the consent has not been witnessed, tell them in report the consent has not been witnessed b/c the patient has questions, and put the responsibility on the Pre-OP RN each and every time....... let the MD and Pre-OP RN take responsibility for the consent and leave the unit RN out of the situation altogether.
    This would work if all preop units were staffed 24/7. Most aren't, and the OR nurse is expected to get the patient ready for surgery. Having the consent completed before arriving in the OR, especially since the doc would have seen the patient on the floor, makes more sense.
  4. 0
    Except the floor RN is the scapegoat for the MD's mistake of using abbreviations!


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