While transporting a patient to a higher-level care facility, the patient is conscious but confused due to a mild traumatic brain injury. How should the flight nurse best handle obtaining consent for treatment during the transport?
Forego treatment unless the patient provides verbal consent.
Seek consent from the patient's family or legal guardian before proceeding with treatment.
Wait until the patient is oriented enough to give consent before providing any treatment.
Proceed with necessary treatments under implied consent due to the emergency nature of the situation.
In emergency situations where the patient is unable to provide informed consent due to altered mental status, implied consent is typically used. This covers necessary treatments to prevent significant harm, preserve life, or improve the patient's condition. Advanced directives, whenever available, can guide decisions. Consent from a family member or legal guardian is ideal, but not always practical or possible during an emergency transport.
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BCEN CFRN
General Principles of Flight Transport Nursing Practice
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