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  • Proceed with the procedure, as consent was obtained.
  • Document the patient's reluctance and proceed.
  • Immediately stop the procedure, inform the physician, and ensure the patient's informed consent is freely and genuinely given.
  • Ask the family member to reconfirm consent.
  • Administer the medication as ordered.
  • Refuse to administer the medication without question.
  • Express concerns to the physician, provide evidence of potential harm or lack of benefit, and seek clarification or an alternative order, escalating if necessary.
  • Administer a reduced dose.
  • Insist on following hospital policy strictly.
  • Allow the family to provide all care regardless of policy.
  • Collaborate with the family to integrate their cultural practices while ensuring essential medical care and infection control standards are met.
  • Document that the family is uncooperative.
  • Use the monitor and manually verify readings.
  • Disregard the monitor and use only manual methods.
  • Document the malfunction and report the faulty equipment to the biomedical department for repair or replacement, as it impacts patient safety.
  • Tell patients the monitor is unreliable.
  • Administer less frequent doses to avoid over-medication.
  • Administer the pain medication more frequently as per order and advocate for better pain management.
  • Wait for the physician to proactively change the order.
  • Tell the patient to endure the pain.
  • Continue using the device carefully.
  • Hide the knowledge of the design flaw.
  • Report the design flaw and its potential risks to hospital administration, risk management, and the appropriate regulatory bodies.
  • Inform patients about the flaw.
  • Support the family's decisions to avoid conflict.
  • Report the family's actions to adult protective services if coercion or exploitation is suspected.
  • Encourage the patient to comply with the family's wishes.
  • Ignore the situation as it is a family matter.
  • Administer medication and observe for reactions.
  • Hold all medications until the allergy information is confirmed, and actively seek to verify it through reliable sources or the physician.
  • Ask the patient if they have allergies.
  • Document the missing information and proceed.
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