1. Imagine that you take a call about a patient (you are a health services administrator) and a lady claiming to be his (the patient 's) daughter calls on the phone to see how the patient is and what is going on with him. The patient in this scenario is asleep. What do you say? Explain your answer. In this case scenario I’m sure there are security questions I must ask. The most information if possible to share would that the patient is unavailable or indisposed at the moment, and that the patient is stable or unstable. Giving any more information would be a breach in contract through several acts. “A contract is a special kind of agreement either written, or oral, that involves legally binding obligations” (Pozgar, 2016, pg. 217). By providing …show more content…
Even though it is your father legally for the sake of your job you cannot, but ethically it is troubling to keep something this urgent from a relative. An important ability to have during situations similar to this is discernment. “Discernment is the ability to make a good decision without personal biases, fears, and undue influences from others” (Pozgar, 2016, pg. 36). 4. A baby is brought into the emergency room. It is obvious that the baby has been physically abused. There are cigarette burns and bruises all over its body. The hospital is swarming with media. A reporter has asked you a health services administrator, for details. What do you do (you are an allied health professional)? Explain your answer. Being a health services administrator under an oath that I have taken and under the Health Insurance Portability and Accountability Act, I may not comment on the current situation. “HIPAA was designed to protect the privacy, confidentiality and security of patient information” (Pozgar, 2016, pg. 245). Allowing for any of this information to come out would just give media a story in which they will most likely slander anyone in sight. 5. A patient asks you about her treatment (your are a health services administrator). She wants to know how long the treatment will take and if there are any side effects. What do you do? Explain your …show more content…
You see a co-worker at the supermarket (you are a health services administrator). She wants to talk about a particularly difficult patient. She is being very specific, using the patient 's name and condition. She even goes as far as to say what a nuisance this patient is because the patient is so demanding. What do you do? Explain your answer. First state that it is important to remember HIPAA, it is important to remember the law mandates one is to conform regulations. The fact that the co-worker in general is complaining about this patient to you is against HIPAA and the fact that is in public with others being able to listen or catch on is wrong. In our notes it clearly states that privacy standards apply to all and states that patient’s information should not be hallway conversation. 7. You work in the admitting department of the hospital. A friend who works in the ER tells you that she just saw a famous movie star get on the elevator with some men who looked like bodyguards. Your fiend is curious about this famous person. She read in the paper that the actress has cancer. Your friend asks you to find out what floor the star is on. What do you do? Explain your
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 flip side of the signing a confidentiality document under HIPAA policy healthcare officials many times has been frustrated because bounds they can’t cross. Many times family or friends who aren’t authorizes obtains valuable medical information are coming all hours of the day to ask for critical medical reason, the nurses, physicians and others officials bid my law not to get out information on the telephone, or in personal if the individual or individuals name aren’t on the privacy document. Having a ...
Administrators may play a role in ensuring that these systems adhere to all the relevant laws and regulations, like The Health Insurance Portability and Accountability Act (HIPPA). However, there are circumstances under which confidentiality must be broken in order to prevent harm to a patient or outside party. You'll need a thorough understanding of these rules to help ensure compliance.
For example, before the doctor administered the unnecessary spinal tap, that was a perfect opportunity to teach her patient in regards to the disease process of syphilis and the purpose of the spinal tab. Although it is important to use simple language and avoid medical jargon, it is important to inform the patient using the correct names and not made up names like “bad blood” or “back shot” in an attempt to decrease the severity of the situation at hand. She should always keep in mind that she is the patient advocate, and her role as a nurse is to do what will result in the best interest of her patient. In addition, I would tell Nurse Evers that instead of telling her patients that they have “bad blood” they would have benefited from an explanation of what is Syphilis in a short uncomplicated manner. I would tell her that although she had good intentions, this is not how we advocate for our patients and provide care that results in the best outcome. As their nurse, she had the moral obligation to educate her patients on what is syphilis, the disease process, and currently available treatment, the purpose of the study and how the study would have helped the
Overall these sources proved to provide a great deal of information to this nurse. All sources pertained to HIPAA standards and regulations. This nurse sought out an article from when HIPAA was first passed to evaluate the timeline prospectively. While addressing the implications of patient privacy, these articles relate many current situations nurses and physicians encounter daily. These resources also discussed possible violations and methods to prevent by using an informaticist and information technology.
HIPAA is there to help protected all the patients information no matter if is written down, oral and or an electronic record (Stember, 2005). There are more than one HIPAA rules that protect all aspects of the PHI. Some of those rules let the patient take hold of their healthcare. This lets the patient have more control over their health records. HIPAA lets the patient get their records when they want to view them. But they can’t get and medical records that are involved in a criminal or proceeding of any kind, and do not have the right to psychotherapy notes (Green, 2017).
The notice must also tell you how to exercise your rights and how to file a complaint with your health care provider and with the DHHS Office of Civil Rights. HIPAA Requires Accounting for Disclosure Details. You have the right to know who has accessed your health records for the prior six years, however there are several exceptions to the accounting requirement. Accounting is not required when records are disclosed to persons who see your records for treatment, payment, and health care operations. These individuals do not need to be listed in the disclosure log.
Some of the things that HIPAA does for a patient are it gives patients more control over their health information. It sets boundaries on the use and release of health records. It establishes appropriate guidelines that health care providers and others must do to protect the privacy of the patients’ health information. It holds violators accountable, in court that can be imposed if they violate patients’ privacy rights by HIPAA. Overall HIPAA makes it to where the health information can’t b...
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
She also had ovarian cancer, was on heparin, and was waiting for surgery to be scheduled. I displayed professionalism by not sharing personal patient information with anyone outside of her health care team. This patient was a nurse in her previous career, ands he was very educated on her disease process. I did take notes during my time with her, but all notes I wrote I shredded before leaving the floor for the day. There was also respect for my patient shown on my part by giving her rest time when she stated she was
As an advocate for patients, their information is solely for helping the patient understand their condition more and making the best decisions on their behalf, while in cooperating their beliefs and values (Nurses Code of Ethics, 2015). This also includes not talking about patient’s information with other colleagues, family or friends, unless it’s work related. It’s just like with any other situation, would you mind if your best friend would causally tell your secrets to other local colleagues? It’s a form of disrespect and violation of personal space as an individual. As a nurse advocate for patient it’s also important to make sure you’re a voice as well, for the defenseless groups such as, children, elderly and the mentally ill.
Confidentiality in health care is a growing concern as nurses are often faced with the challenges of reacting to question regarding patient’s progress (McGowan, 2012). Confidentiality as defined by Gregory, Raymond-Seniuk, Patrick and Stephen (2015) is the promise given to a person that his or her personal information will not be disclosed randomly if no consent has been given regardless of who is seeking such information (p.600). This paper will attempt to explore the concept of confidentiality as a sensitive issue, challenges that nurses face as they try to protect patient’s health information and some guidelines that govern protection of information and when this information can be divulged.
Explain who the patient is (Race, Ethnicity, Gender, Sexual Orientation, Age/ Generations, Socioeconomic Status, Language, and Religion) and describe a situation in which a nursing professional must navigate an encounter that is affected by his/her own biases.
The Health Insurance Portability and Accountability Act (HIPAA), Patient Safety and Quality Improvement Act (PSQIA), Confidential Information and Statistical Efficiency Act (CIPSEA), and the Freedom of Information Act all provide legal protection under many laws. It also involves ethical protection. The patient must be able to completely trust the healthcare provider by having confidence that their information is kept safe and not disclosed without their consent. Disclosing any information to the public could be humiliating for them. Patient information that is protected includes all medical and personal information related to their medical records, medical treatments, payment records, date of birth, gender, and
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.