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Who obtains the informed consent for a surgical procedure?

Author

Emma Newman

Published Jan 17, 2026

Who obtains the informed consent for a surgical procedure?


Score: 4.7/5 (65 votes)

Obtaining patients' informed consent is the physician's responsibility, but the process is more than just a signature on a page. Surgery center staff are witnesses who confirm the informed consent form has been signed.

Except in emergencies, a physician owes a duty to a patient to obtain the informed consent of the patient or the patient's authorized representative prior to conducting the following procedures: (1) Performing surgery, including the related administration of anesthesia.

-The physician is ultimately responsible for the informed consent process.

In most states, if you're younger than 18, a parent or guardian will need to give consent on your behalf. But some states allow teens who are emancipated, married, parents, or in the military to provide their own consent. You want someone else to make the decisions.

Any member of the healthcare team may sign as a witness to the patient's signature, although this serves only to verify that it was the patient who signed the form. The witness does not obtain consent or verify the patient's competency to give consent.

17 related questions found

It is reasonable that if the practitioner is ordering and performing the procedure and they are operating under appropriate Standardized Procedures (SPs), they could obtain informed consent from the patient.

Surgical consent is defined by giving your physician permission to perform surgery and may not always be in written form. Without this consent given for a surgery it is considered a criminal offense. ... A physician needs both types of consent to be able to perform any surgery.

Participating in Obtaining Informed Consent

The nurse is responsible and accountable for the verification of and witnessing that the patient or the legal representative has signed the consent document in their presence and that the patient, or the legal representative, is of legal age and competent to provide consent.

Any healthcare treatment, not just operations and other procedures, requires valid consent either verbally, written, or implied.

The perioperative nurse is responsible for ensuring informed consent has been obtained and that it's appropriately signed and on the patient's record prior to surgery, Conner says. The circulating RN is the last guardian, the last one to check it," she says.

For consent to be valid the patient must (1) be competent to take the particular decision; (2) have received sufficient information to make a decision; and (3) not be acting under duress. The last point may be an issue if consent is obtained upon the day of surgery.

Obtaining informed consent in medicine is process that should include: (1) describing the proposed intervention, (2) emphasizing the patient's role in decision-making, (3) discussing alternatives to the proposed intervention, (4) discussing the risks of the proposed intervention and (5) eliciting the patient's ...

Your doctor has a duty to explain your medical condition, the recommended treatment (including the other treatment options available) and the benefits, risks and possible complications of the recommended treatment. This is essential so that you can make a decision. This is known as 'informed consent'.

A witness is required to attest to the adequacy of the consent process and to the subject's voluntary consent. Therefore, the witness must be present during the entire consent interview, not just for signing the documents.

Informed consent is a process of communication between you and your health care provider that often leads to agreement or permission for care, treatment, or services. Evey patient has the right to get information and ask questions before procedures and treatments.

The nurse must verify that consent is informed and witness the client sign the consent form. The form for informed consent must be signed by a competent adult.

Minors aged 14 and above may have the capacity to consent to medical treatment depending on their level of their level of maturity; their understanding of the proposed treatment and its consequences; and the severity of treatment .

Types of Consent/Assent
  • Written Informed Consent Document: ...
  • Waiver of Signed Documentation of Informed Consent: ...
  • Waiver or Alteration of SOME Informed Consent Elements: ...
  • Waiver of ALL Informed Consent Document Elements: ...
  • Oral Informed Consent Script:

In 1914 in US, for the first time the case law on Schloendorff v. Society of New York Hospitals gave the term “informed consent” a legal standing when the court gave a decision in favor of a competent Mrs.