Mrs. Ortex has been admitted to your surgical center for a breast biopsy under local anesthesia. This is the second beast biopsy for her, having had the first one 12 months prior to today. She is accompanied by her husband of 14 years. They have three children, ages 2, 8, and 10. Both appear relaxed, joke with you as you admit her, and seem not be overly worried about the results of the upcoming biopsy. The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband now acknowledges that he is worried about the procedure itself and that something could be said during the procedure to alarm his wife. What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has already signed the form, is there anything more you should do?
Mrs. Ortex has been admitted to your surgical center for a breast biopsy under local anesthesia. This is the second beast biopsy for her, having had the first one 12 months prior to today. She is accompanied by her husband of 14 years. They have three children, ages 2, 8, and 10. Both appear relaxed, joke with you as you admit her, and seem not be overly worried about the results of the upcoming biopsy.
The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband now acknowledges that he is worried about the procedure itself and that something could be said during the procedure to alarm his wife.
What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has already signed the form, is there anything more you should do?
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