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HIPPA Health Insurance Portability and Accountability Act
1. Protection of privacy
HIPPA 2. Administrative simplification
3. Security standards
Federal agency that oversees HIPAA DHHS - Department of Health and Human Services
1. Communicable disease to the local HD or CDC including
AIDS
2. Vaccine-related adverse reaction to the the DHHS
3. Criminal acts including rape
4. Equipment-related injuries when using a medical de-
Client info that must be revealed vice results in injury or death
5. When there is clear and present danger which includes
patient mistreatment & professional misconduct
6. Abuse or neglect of children or elderly
7. Incompetence or unprofessional acts including drug or
alcohol impairment
1. Patient has right to access medical records
2. Patient has right to request changes to medical records
(amendments to records)
3. Restrictions on the the use of PHI
4. Patient can request a list of people, companies or agen-
cies that have received the PHI (access to an accounting)
5. Confidential communications
HIPAA notice of privacy practices
6. Complaints about violations of privacy to the Privacy
Officer
7. Minimum necessary rule dictates that least amount of
PHI be disclosed
8. Telephone requests for PHI including name, room num-
ber & condition
9. Email & faxes utilizing only minimum necessary rule
Social media implications & consequences
, Fundamental Concepts of Practical Nursing 1 - Exam 1
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See image
Lateral violence is receiving greater attention as more is
learned about its impact on patient safety and quality
Social media lateral violence
clinical outcomes.
1. Communication or post is private and accessible only
to the intended recipient. The nurse may fail to recognize
that content once posted or sent can be disseminated to
others. In fact, the terms of using a social media site may
include an extremely broad waiver of rights to limit use of
content.
2. Content that has been deleted from a site is no longer
accessible.
3. It is harmless if private information about patients is
disclosed if the communication is accessed only by the
intended recipient.
4. It is acceptable to discuss or refer to patients if they
Social media - myths & misunderstandings
are not identified by name, but referred to by a nickname,
room number, diagnosis or condition.
5. Confusion between a patient's right to disclose personal
information about himself/herself (or a health care orga-
nization's right to disclose otherwise protected informa-
tion with a patient's consent) and the need for health care
providers to refrain from disclosing patient information
without a care-related need for the disclosure.
6. The ease of posting and commonplace nature of shar-
ing information via social media may appear to blur the
line between one's personal and professional lives. The
quick, easy and efficient technology enabling use of social
, Fundamental Concepts of Practical Nursing 1 - Exam 1
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media reduces the amount of time it takes to post content
and simultaneously, the time to consider whether the post
is appropriate and the ramifications of inappropriate con-
tent.
1. Nurses must recognize that they have an ethical and
legal obligation to maintain patient privacy and confiden-
tiality at all times.
2. Nurses are strictly prohibited from transmitting by way
of any electronic media any patient-related image. In
addition, nurses are restricted from transmitting any in-
formation that may be reasonably anticipated to violate
patient rights to confidentiality or privacy, or otherwise
degrade or embarrass the patient.
3. Do not share, post or otherwise disseminate any infor-
mation, including images, about a patient or information
gained in the nurse-patient relationship with anyone un-
less there is a patient care related need to disclose the
Social media - how to avoid problems information or other legal obligation to do so.
4. Do not identify patients by name or post or publish
information that may lead to the identification of a patient.
Limiting access to postings through privacy settings is not
sufficient to ensure privacy.
5. Do not refer to patients in a disparaging manner, even
if the patient is not identified.
6. Do not take photos or videos of patients on personal
devices, including cell phones. Follow employer policies
for taking photographs or video of patients for treatment
or other legitimate purposes using employer-provided
devices.
7. Maintain professional boundaries in the use of elec-
tronic media. Like in-person relationships, the nurse has