Which step should occur first when obtaining informed consent for elective surgery?

• A. Healthcare provider explains procedure to client
• B. Client signs consent form
• C. Witness signs consent form
• D. Consent form is placed in chart

Answer: (A)

The essential idea is that informed consent must be based on the patient understanding what will be done. The first step is for the healthcare provider to explain the procedure, including what will be done, why it’s recommended, the potential risks and benefits, and available alternatives, and to answer any questions. This ensures the patient can make a voluntary and informed decision. Only after understanding and agreeing should the patient sign the consent form; thereafter a witness can attest the signature if required, and the completed form is filed in the chart.