had a question for you all. i recently had surgery and while in the preop holding room, was given a consent form to sign. this consent form had the wrong side and omitted one of the procedures. i notified the nurse of these issues who told me that she couldn't get the consent form changed nor could i speak with the surgeon until i was in the anesthesia room.
i find this very hard to believe. the nurse might have been new, or perhaps she just didn't want to page the surgeon to come fill out a new consent with the correct info. an incorrect surgical site listed on the consent is a sentinel event:
"a sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof
. serious injury specifically includes loss of limb or function. the phrase, "or the risk thereof" includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. such events are called "sentinel" because they signal the need for immediate investigation and response." -the joint commission
furthermore, you should have been marked with the surgeon's initials on the correct site. many times, this is done in the pre-op holding room.
of course you could have spoken to the surgeon prior to going to the anesthesia room. i imagine if the surgeon heard this excuse from the nurse delivering this message to you, s/he would have been irate. it's not like you are knocking on the giant door to oz and asking to a funny looking guy with a cartoonishly large mustache to speak with the wizard. i have never heard anything so ludicrous!
she said i was required to sign the errant consent form before she could move me down to the anesthesia room.
wrong, wrong, wrong. you have got to report this to risk management. this is beyond wrong, and i can't believe this was allowed to happen. it sounds like plain ol' laziness to me, and this nurse needs a serious sit down convo with her nurse manager. no hospital would ever advocate this practice.
if i didn't sign, i could not have the surgery.
if you didn't sign the correct consent form, you couldn't have the surgery. again, this is serious and i implore you to take this up with risk management. can you imagine what a layperson would feel like in this position? many pts feel so stripped (literally and figuratively) while in pre-op holding, that they will sign anything because they trust that we as medical professionals have all of our ducks in a row. you recognized that it was the wrong site and that a procedure was omitted, but you can probably understand how a scared and nervous pt wouldn't even read over the consent.
i felt at a loss so i signed the consent form with the wrong side, and omitted procedure, then moved down to anesthesia where i spoke with the doc and got the consent form rewritten and signed (prior to me being given anesthesia).
thank goodness for that! but the process this hospital uses is very dangerous.
i had also figured that once i got on the table i could make sure i was positioned to ensure they were doing the correct side, but i was given anesthesia while being wheeled into the room, and my last memory is of entering the operating room, so i was out before i was transferred to the or table.
yep. good ol' versed will do that to you!
i had a few questions for you all. i was wondering how often consent forms have the wrong side listed on them? i was also wondering why i was required to sign an incorrect consent form before i was allowed to speak with the doctor? i was really concerned that they'd accidentally use the bad consent form in the surgery
and is it usual to be knocked out before even being put on the or table?