Informed Consent Responsibility

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    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 he cannot write on his surgical informed consent? And the witnessing RN, the PM nurse witnessed and signed the consent, passed the chart over to the day shift RN who sent the patient to OR and now OR nurse wants to write up an incident on the day shift RN. What is the RN's responsibility in regards to informed consent?
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    The nurse is not responsible for providing the information necessary for informed consent to the patient or health care proxy agent. The nurse’s role is both as a witness and as a patient advocate. First, the nurse as witness acknowledges that the patient has been given the information and is the witness to the patient’s signature on the consent form. Second, as patient advocate, the nurse asks questions of the patient to determine whether the patient has received sufficient information to make an informed decision.
    According to the NYSNA
    http://www.nysna.org/practice/positi...ition18_04.htm

    IMO, unless the nurse felt the patient did not understand the procedure, she was not in the wrong.
    Tait and Bec717 like this.
  6. 1
    This reeks of making a problem where none exists. Is this a pattern by the OR nurse? Are there bad feelings between these units?

    Everything seems kosher here. The doctor obtained informed consent and documented it. The RN verified the patient understood and felt confident being a witness to it. The patient also signed the document and it doesn't appear there was a problem on that end either.
    Bec717 likes this.
  7. 1
    sounds good to me. probably an insecure OR nurse... there are some out there....
    dragonflyRN likes this.
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    Reading this makes me happy...I always ask my patients if they have any questions, do they understand everything, or something along those lines when I witness a consent. Today I got a touch of sarcasm from the MD for it...whatever.
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    Some hospitals have as their policy that NO abbreviations are ever to be uses on any consent...this is a very typical policy..that way the patient or surrogate can NOT say..."I did not know what I was signing for" Can you see how on can use that if ever they decided to sue!!!.So this usually comes form the facilities legal department and may even be spelled out in the stat consent manual. Would I write it up?? probably not...but I would communicate with the manager of that unit so they could train both the nurse and MDs. Maybe the incident report was lss about being punative and more about solving a problem by highlighting it that way
    wooh likes this.
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    Our policy is that the consent cannot have abbreviations. Not sure that I would have done a write-up, but there should have been an explanation for education.
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    I would write the doc up if it was policy. I am no one's secretary!

    I bet that OR nurse wouldn't have the ovaries to do it though...

    Tait
    Last edit by Tait on Feb 20, '10 : Reason: More sass.
    Batman25 likes this.
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    We can not have any abbrevations as well. I have been written up before because a consent form was not filled out to the hospital's expectations. Depending on it hospital, it is our responsibility, as an RN to make sure that the consent is correct. It's hard to correct a doc, and I'm shocked that one would fill out his own consent- here we have to fight to get the MD to even sign the consent after the patient has.
  13. 1
    Soooooooooooo sick of crazy nurses! If it were THAT big of a problem, the OR nurse could have a new consent done in holding provided anesthesia hadn't given a cocktail
    Tait likes this.


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