The nurse must advocate for patient safety. The arm band cannot remain on the right arm because that arm must be properly prepped to prevent surgical site infection. Therefore, the nurse reminds the provider to utilize permanent marker rather than a removable bracelet to mark the correct side. The site should be marked by the surgeon performing the procedure, not the nurse. It is not appropriate to document that informed consent has been signed and the correct site has been identified because the surgeon has not properly identified the limb. Submitting an incident report may be necessary if the surgeon fails to properly identify the laterality prior to surgery. However, submitting an incident report does not protect the patient in the moment, so this is not the appropriate action.