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照護管理 · EASY · MCQ

病人預計進行手術且需禁食,護理師發現手術同意書尚未簽署。護理師應採取什麼行動?

A nurse is caring for a client who is NPO and scheduled for surgery. The nurse notices the client's preoperative consent form is not signed. What should the nurse do?

  • APostpone the surgery until the surgeon arrives
    延後手術直至外科醫師抵達
  • BNotify the surgeon that the consent is missing✓ 正解
    通知外科醫師同意書遺漏
  • CExplain the risks and benefits of the surgery
    解釋手術的風險與益處
  • DAsk the family to sign the consent form
    請家屬簽署同意書
Explanation · 中文詳解

獲得知情同意(Informed Consent)是醫師的法律責任。護理師的角色是確認同意書已簽署並放入病歷,若未簽署,必須通知醫師前來解釋並取得病人的簽名。護理師不可代替醫師解釋手術內容,也不能要求家屬簽署(除非是法律代理人且病人無法簽名)。

Obtaining informed consent is the physician's legal responsibility. The nurse's role is to confirm that the consent form has been signed and placed in the chart; if not, the nurse must notify the physician to come and explain the procedure and obtain the client's signature. The nurse must not substitute for the physician in explaining the surgery, nor ask the family to sign (unless they are a legal proxy and the client is unable to sign).

✦ 台美臨床差異

台灣法律對於知情同意非常嚴謹,醫療機構通常備有簽署程序,護理師需確認程序完備以避免法律糾紛。

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