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照護管理 · EASY · MCQ

病人預定進行手術,護理師發現知情同意書尚未簽署,最好採取什麼行動?

A client is scheduled for surgery. The nurse notices the consent form has not been signed. What is the best action?

  • ACancel the surgery appointment
    取消手術預約
  • BVerify if the client understands the procedure and risks✓ 正解
    確認客戶是否了解手術程序及風險
  • CObtain the client's signature immediately
    立即取得客戶的簽名
  • DAsk the surgeon to explain the procedure and risks again
    要求外科醫師再次解釋手術程序及風險
Explanation · 中文詳解

知情同意(Informed Consent)的取得責任在於施行手術的醫師,醫師必須親自向病人解釋程序、風險、益處及替代方案。護理師在此過程中的角色是「見證人(Witness)」,確認病人是在神智清醒、非受脅迫的情況下簽署文件。若護理師發現同意書尚未簽署,首要任務是評估病人對手術內容是否具備正確的認知與理解,而非直接催促簽名或自行代為解釋。

Obtaining informed consent is the responsibility of the surgeon, who must personally explain the procedure, risks, benefits, and alternatives. The nurse's role is as a witness, confirming the client is alert, oriented, and not coerced. If the consent has not been signed, the nurse's first action is to verify the client's understanding of the procedure and risks, not to obtain a signature or cancel the surgery.

✦ 台美臨床差異

美國非常強調「知情同意」的法律效力,護理師簽名僅代表「見證簽署過程」。若病人表示不清楚手術內容,護理師必須立即通知醫師(Surgeon),醫院通常有明確的 Policy 規定若同意書未完成,手術室將拒絕接收病人。

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