Consent issue

So I wanted to get people's feedback on this. My hospital originally had one consent which covered the surgery and anesthesia. Now, we have a separate consent for the surgical procedure (wording had not changed and we still use the same form that covered both originally) and the anesthesia consent.

So today, we were to do a simple cysto stent. I did the pre-op interview in our one day surgery area with the patient and went through the chart. She confirmed the surgery as it's written in the consent, spoke with an anesthesiologist earlier in the AM and all was well in her chart...except we were missing the anesthesia consent. No problem. I grabbed another one, clipped it to the front of the chart, and told the CRNA in the room about it. He said he would take care of it. You can already see where this is going. So my orderly wheels the patient to the OR doors and the CRNA, who had not yet spoken to the patient anyway, checked things over with the patient also and spoke to her about the anesthetic being used for the surgery, and the patient agreed and understood. At the same time, another CRNA came by and started speaking to my CRNA and said he was going to relieve him for a bit for a short break. Somewhere along there, there was a breakdown in communication and the anesthesia consent was not signed. I had to go back into the room to help the scrub and all the while I thought it was signed. Anyway, the patient is positioned, hooked up, and the propofol goes in. The Dr. asked me about something in the chart so I go to look and the first thing I notice is that the anesthesia consent still was not signed. I immediately went to anesthesia about it. Both CRNA's were still in the room at the time and they said don't worry about it and that they'll take care of it. At this point, what can we really do? We pushed forward and once my CRNA came back from his break, both of them approached me about what they did to the consent. They both signed under the witness area where we would normally have two people sign for those who can't sign for themselves and said that it should be acceptable that way. I was going to talk to my manager about it as well as fill out a variance, but since they seemed to be confident about it, I didn't worry about it, and my manager had left for the day (doesn't help to be second call with a ton of add-ons at shift change). The surgery went without a hitch, took 20 minutes, and the patient woke up just fine. In addition, the surgical consent was correct, and the patient did agree to the anesthetic when the CRNA spoke to them about it. Anyway, sorry for the fluffy story, but what does everyone think about this?