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Case: It's your first day back from vacation and you are working the day shift on a busy medical-surgical patient care unit and are in the middle of passing 0900 meds. The vascular surgeon for your patient in room 340 is making rounds and asks your associate to page you and have you come to the patient's room to assist him with a "simple" bedside debridement of a small foot wound. The patient is a 75 y/o male who is alert, cooperative and stable. He is a diabetic with severe neuropathy/bilateral foot wounds; he was admitted two days ago after post-op left fem-pop bypass surgery and you performed his initial assessment an hour before. The night nurse reported that the patient experienced "some bouts of disorientation and confusion" on his shift, which is a change from the previous 24-hours. You recognized that the patient was a "little off" this morning; oriented to person and place only. Upon entering room 340, the surgeon is in the process of debriding the left foot wound: you are unaware of a signed patient consent form or even a "Time-Out".
How would you respond in this situation?
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