Certified Surgical Technologist (CST) Practice Exam

How is the surgical informed consent signed if an adult patient is illiterate?

1. Authorized individual signs patient's name

2. Patient marks with an X and witness verifies

3. RN and surgeon sign that patient gave consent

4. Surgeon and risk manager sign consent

The correct answer is: Patient marks with an X and witness verifies

In situations where an adult patient is illiterate, signing the surgical informed consent can be managed by having the patient mark with an X. This is a recognized practice that denotes the patient's consent when they are unable to write their name due to lack of literacy. It is crucial, however, that a witness, typically a healthcare professional, verifies the patient's intention by observing this action. This ensures that there is an official record confirming that the patient was informed and agreed to the procedure, despite their inability to write. This method respects the patient's autonomy while also adhering to legal and ethical standards in obtaining informed consent. The signature and verification process protects both the patient and healthcare providers, ensuring that consent is valid and acknowledged. Thus, this approach is a practical solution in scenarios involving illiterate individuals.