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Ethics of confidentiality in healthcare
Ethics of confidentiality in healthcare
Ethics of confidentiality in healthcare
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This situation is one where I can confidently say that the APPE student is in the wrong and has violate HIPPA. Andrew has demonstrated unprofessionalism and is not respecting his preceptor. Pharmacy students are still being evaluated during APPE rotations and should do their best to learn from their respective preceptors. Professionalism is a vital part that is being evaluate in APPE students and this includes multiple things such as; interactions with co-workers, work ethic, and proper use of social media. If I were in Anita Green’s position, I would let Andrew know that we need to talk as soon as possible regarding his professionalism. I would send him an email saying to meet in my office at 5:30pm on Friday (mandatory). I would sit down
When confidential patient information is disclosed without consent it is a violation of the HIPAA Title II Security Rule. This rule was enacted in response to private information being leaked to the news and emails containing privileged information were read by unauthorized people. Identity theft is a real concern so patient privacy should be taken seriously. This is a rule can easily be broken without the offender feeling any malice towards the victim for example gossip and curiosity. Gossip in a medical office can have devastating effects on a health care facility’s reputation. Employees engaging in idle chatter to pass the time can inadvertently be overheard by patients or family members. Simply not using the patient’s name may not be enough if the person overhearing the conversation sees the resemblance. Professional behavior should be exercised at all times and juvenile behavior such as spreading gossip, has no place in a business that relies on its credibility. This rule will impact the way patient medical records are handled because we know the seriousness of it. Hospitals that don’t enforce HIPAA rules will have negative repercussions. The patient can have irreversible damage done to their view on the medical field and that hospital if their information is not treated with care. They may even feel so violated that they bring litigation against the hospital.
The staff believed the patient’s altered behavior was due to the possible drug withdrawals. While the symptoms are similar, there are distinct differences between hypovolemic shock- secondary to blood loss, and acute opiate withdrawals. With a thorough exam, the staff should have been able to recognize this difference. The Clinical Opiate Withdrawal Scale, (Wesson, D. R., & Ling, W., 2003) would have been the proper objective measurement tool to be able accurately, assess the patient. Another breach of duty was not getting the CT scan down in an appropriate amount of time. The physician had a high index of suspicion that the patient was bleeding internally, yet the CT was not completed until the following morning. Lastly, the patient admitted to a substance abuse problem, yet a drug screen was not ordered. If it had been, they would have seen there were no opiates in his system and he was positive for alcohol and benzodiazepines.
Professionalism is key in any work environment whether it be the White House or Ms. Brittany’s preschool classroom.
First Amendment Rights of Public School Students How the judicial branch rules in cases relating to the 1st and how they relate that to all the rights of public school students. This includes anything from flag burning to not saluting the flag to practicing religion in school. The main point of this paper is to focus on the fact that schools have a greater ability to restrict speech than government. Research Question Does government or school districts have the ability to restrict free speech? This is a very important question because this gives great power to one over the other.
standard 22- all consultations between human service professional are kepth private unless to do so would results in harm to clients or communities.
From the reading “Ethical and Legal Issues in U.S. Education”, there were three points that that surprised me. One point was that it is so surprising to me that there are so many steps that a teacher, on tenure, must go through before they get fired. It makes it so difficult to be fired and such a long process that they will never be fired unless they commit a major crime and I believe that this should change. As a teacher, we need to be at the top of our game at all times, and teachers with tenure seem like they do not always have to in order to keep their job. It is also surprising to me that student teachers do not receive the same rights as normal teachers in some states. Student teachers are practicing to become a teacher one day, and
My plans after obtaining my advanced degree is to acquire licensure to practice as AGNP in the state of Texas. The Texas BON acknowledges that APN education, experiences, and competency levels vary, hence, holds individual APN accountable for knowing and practicing within their own scope of practice and competency always. The APN’s education is the grounds to their scope of practice: however, the APN can expand the scope of practice within the role and population-focus, as long as it remains within limits of the law. The Texas BON restricts the scope of practice for the APNs. The Nurse Practitioner Supervision Laws require¬¬¬¬¬ APN to work under physician supervision within seventy five mile perimeter. In addition, there is the Texas ' Nurse Practitioner Prescribing Laws which require APNs to prescribe medications under physician supervision and APNs are not allowed to prescribe schedule two drugs. All prescriptions written by the NPs must include the supervising physician 's name, address, Drug Enforcement Administration (DEA) number and phone number (Texas BON,
However for employees working in healthcare organization, conflicting situations may arise with confidentiality. Presenting a case study where HCA disclosing an employee’s confidential information, a nurse recently had to increase the work hours due to financial situation. The nurse was a bit apprehensive with the increase due to it would be stressful on top of the other responsibilities. Due to the stress, the nurse ended up using form of narcotics to help deal with stress level and anxiety, which seemed to have helped with providing care for patients. As time continued on, the nurse began to care for patients and signed out medication for them even though the patient was not prescribed the medication. The nurse was later discovered when working on the surgical unit as the pharmacist notice unfamiliar rise in medications along with signature errors. The incident was reported to the HCA for further reviewing. After analyzing the situation, actions taken were to have a leave of absences as well present this to a board of personnel. This then causes some form of breach of confidentiality for the nurse with HCA. Nevertheless, HCA was fearful of the patient’s safety and needed to address an issue that maybe more common that they think. As HCA, they are in charged with a fiduciary duty to protect the mission and values of the organization (Badzek, Mitchell, Marra,
Students should always comply with HIPPA laws and always keep information about patients’ conditions or progress confined within the clinic and only to be discussed with the licensed physical therapist that is involved. As a physical therapist there is a code of ethics that must be followed to ensure the safety of the therapist, the patient, and anyone else involved with the appointments. It is imperative that students learn these codes of ethics along with the HIPPA laws so they are not breached once the student becomes a licensed and practicing physical
When I started Miami Jacobs to become a MA, I kept hearing the word HIPAA. I knew somewhat of HIPAA but I didn’t get why it was so important. HIPAA is the health insurance portability and accountability act that started in 1996. This act basically sets limits on your medical records like who can view them, and to protect them from those who are not allowed to view them.
Beside overseeing the staff, she is in charge of the daily routine and the smooth running of Nori Nori. Sadly, with the termination of the General Manager Kenny Ly, Ms. Thach was given the option of another promotion in May. With careful deliberation and careful assessment, Ms. Thach accepted the offer. For 6 months Ms. Thach has operated Nori Nori and has been handling the minor to major details. Therefore, one of the reasons I decided to interview Hien Thach is because she is my General Manager and another one is because she is my friend. From server to GM she has experienced many problems with Nori Nori.
... of potential threats such as unauthorized access of the patient information. Health care leaders must always remind their employees that casual review for personal interest of patients ' protected health information is unacceptable and against the law just like what happened in the UCLA health systems case (Fiske, 2011). Health care organizations need clear policies and procedures to prevent, detect, contain, and correct security violations. Through policies and procedures, entities covered under HIPAA must reasonably restrict access to patient information to only those employees with a valid reason to view the information and must sanction any employee who is found to have violated these policies.In addition, it is critical that health care organizations should implement awareness and training programs for all members of its workforce (Wager, Lee, & Glaser, 2013).
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t...
The sixth ethical issue arises when the client is denied access to his medical chart. Currently, HIPPA (2006) grants clients access to their medical records. An exception to this is if the information contained within the medical records is “reasonably likely” to cause harm to the client (HIPPA, 2006; APA, 2002). The records were unlikely to cause harm to the patient and, therefore, the client should have had access to them.