A 40-year-old male with a hearing impairment has a daughter who knows limited American Sign Language. While attempting to establish IV access he pushed your hand away. What should you do?

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Multiple Choice

A 40-year-old male with a hearing impairment has a daughter who knows limited American Sign Language. While attempting to establish IV access he pushed your hand away. What should you do?

Respect patient autonomy and ensure informed consent by effective communication. In this case the adult patient with a hearing impairment pushed your hand away, signaling a refusal or lack of understanding. You should not proceed without clear consent. Because communication is a barrier, you must adapt your approach and reattempt after explaining the procedure using accessible methods (for example, a sign-language interpreter, written notes, or simple, confirmable explanations). Only proceed with IV access once the patient understands and agrees. A relative’s consent isn’t appropriate unless the patient cannot communicate or has delegated decision-making, and simply documenting an inability to obtain consent isn’t the right move when you can improve understanding and obtain consent.

Respect patient autonomy and ensure informed consent by effective communication. In this case the adult patient with a hearing impairment pushed your hand away, signaling a refusal or lack of understanding. You should not proceed without clear consent. Because communication is a barrier, you must adapt your approach and reattempt after explaining the procedure using accessible methods (for example, a sign-language interpreter, written notes, or simple, confirmable explanations). Only proceed with IV access once the patient understands and agrees. A relative’s consent isn’t appropriate unless the patient cannot communicate or has delegated decision-making, and simply documenting an inability to obtain consent isn’t the right move when you can improve understanding and obtain consent.

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