一位經驗豐富的外科護理師試圖取得選擇性結腸切除術的知情同意書。病患雖然簽了字，但隨後告訴護理師：『我簽名了，但我還是完全不知道他們明天到底要做什麼。』護理師的首要法律行動為何？
An experienced surgical nurse is attempting to obtain informed consent for an elective colon resection. The client signed the document, but tells the nurse afterward, 'I signed it, but I still have absolutely no idea what they are doing tomorrow.' What is the nurse's priority legal action?
- AImmediately notify the operating surgeon to return and directly clarify the surgical procedure.✓ 正解立即通知主刀醫師回來並直接澄清手術程序。
- BPermit the anesthesiologist to briefly clarify the surgery right before operating room induction.允許麻醉醫師在進入手術室麻醉前簡短說明手術內容。
- CExplain the exact anatomical boundaries of the colon resection to the client visually.向病患視覺化解釋結腸切除術的確切解剖範圍。
- DSend the signed consent document rapidly to the surgical suite securely.迅速將簽署的同意書安全送交手術室。
本題再次強化知情同意書 (Informed consent) 界線。病患不論是否簽名，只要承認「我不懂」，這份同意書就無效。護理師絕對不可越權解釋手術細節，唯一解是請動刀醫師親自回來將細節講到病患懂為止。
If a client indicates they do not understand the procedure despite signing the consent form, the nurse must act as an advocate by notifying the surgeon to return and clarify the details. The nurse should not attempt to explain the surgical procedure, as this exceeds their scope of practice and invalidates the informed consent process.
只要病人不懂，護理師就是『阻擋手術、叫醫生回來（Call surgeon）』。