If a family member serves as an interpreter, what should be done?

• A. Consent, limit information, and document.
• B. Never document anything.
• C. Document only the final translation.
• D. Document only the patient's refusal.

Answer: (A)

Handling interpreter use with a family member centers on protecting patient privacy and ensuring accurate communication. The best approach is to obtain the patient’s explicit consent to involve a family member, clearly communicate which information will be translated, and document the arrangement. Documenting consent confirms the patient’s choice and informs the care team of who is interpreting. Recording the interpreter’s identity and relationship helps assess potential biases or conflicts of interest. Noting what information was shared and any limits placed on translation protects privacy and reduces the risk of miscommunication or withholding important details. If a professional interpreter is available, that option should be used instead; if not, document the rationale for using a family member and any known limitations in translation accuracy. This combination of consent, information boundaries, and thorough documentation supports patient autonomy, confidentiality, and a reliable medical record.