Can anyone tell me an exception to the rule that would allow the RN to obtain consent for a Blood Transfusion and insertion of Mid or Picc line. The facility in Michigan that I work at not only allows this , but it is expected of the RN to obtain Consent from families via telephone or bedside of these procedures. Personally , I find it very challenging and confusing , and have spent many evenings after work trying to research the procedures and correct terminology on how to describe the procedures that physicians are suppose to obtain. I have been trained through the nursing program that "A RN IS TO WITNESS, NOT TO OBTAIN CONSENT" . I have challenged the practice of the RN obtaining consent and would love feedback.