28 hours ago Jun 09, 2017 · In most states, disciplinary actions include a reprimand, censure, probation, suspension or revocation of the nurse’s license. “When anyone falsifies information about themselves, it is a serious matter, as it is obviously misleading, deceptive and reflects on your trustworthiness. But it is extremely serious when a nurse does this.”. >> Go To The Portal
Jun 09, 2017 · In most states, disciplinary actions include a reprimand, censure, probation, suspension or revocation of the nurse’s license. “When anyone falsifies information about themselves, it is a serious matter, as it is obviously misleading, deceptive and reflects on your trustworthiness. But it is extremely serious when a nurse does this.”.
The nurse should log off the computer and then allow the physician to log on under his own password. Accessing information that is not relevant to the care that the nurse is providing is a HIPAA violation. Rushing to complete a pharmacy request for patient medication is a situation of risk for medication error.
If a patient asks you to fax a letter about her condition to her employer, you must _____. Choose all that apply. a. Let the patient know that you cannot send the fax because it will include protected health information b. Ask the patient to fill out an authorization form c. Ask the employer to complete an authorization form d.
10.When charting the patient's condition and nursing care, the nurse records: (Select all that apply.) 1.activities planned for a later date. 2.goals for the medical treatment and evaluation. 3.the interventions performed and the patient's responses. 4.patient statements and behaviors that are observed. 5.clinical data measurements.
Nurses are constantly faced with issues that require critical thinking and decision making. One of the most problematic concerns involves ethical dilemmas.
Nurses should verbalize concerns to their supervisor so that assignments can be switched or replacements found. However, when possible, nurses should practice in care areas where they will be less likely to be faced with these dilemmas. Personal beliefs can also affect how nurses approach patient education.
Privacy screens help reduce the visibility of patient charts, and passwords are required to access integrated systems. Nurses must keep patient privacy as one of their top priorities. However, breaches can occur even with the best intentions. One common occurrence involves divulging health information to a family member.
Being open and honest about the prognosis using factual data is also essential, but at the same time, nurses should include the family to educate on pros and cons of treatment and work to inspire hope, encouragement, and positivity.
A common ethical dilemma nurses face is when the values and beliefs of the patient differ from the family. For example, a family may ask members of the healthcare team to downplay (or even avoid disclosing) the severity of a diagnosis to avoid burdening the patient.
To avoid inadvertently divulging health information inappropriately, nurses should be familiar with their organization's policies and procedures; some facilities must have written release of information forms or use passwords/other identifying information with family members.
HIPAA laws protect healthcare consumers from having their personal health information shared inappropriately. Nurses are trained to protect private health information in nursing school and throughout their career by their employer. Healthcare technology is set up to protect privacy as well. Access to electronic health records is granted and monitored. Privacy screens help reduce the visibility of patient charts, and passwords are required to access integrated systems.
In most states, disciplinary actions include a reprimand, censure, probation, suspension or revocation of the nurse’s license. “When anyone falsifies information about themselves, it is a serious matter, as it is obviously misleading, deceptive and reflects on your trustworthiness. But it is extremely serious when a nurse does this.”.
Other examples of nurse falsification with patient care matters include inaccurate entries; medications and treatments documented as being given when they are not; covering up bad outcomes; and staff simply documenting in charts “en masse,” not knowing for sure whether what is being recorded is accurate (“Falsified Patient Records Are Untold Story of California Nursing Home Care,” California Advocates For Nursing Home Reform).
Unfortunately, falsification of documents in nursing is not a new phenomenon. A 2012 article in the Journal of Nursing Regulation by Latrina Gibbs McClenton, discusses two cases of falsification of licensure applications by two separate candidates applying for RN licensure in Mississippi. McClenton identifies falsification in such instances as a result of “deception or omission” and includes failure to disclose a criminal history, listing or claiming an educational degree that the applicant does not possess, and using personal information taken from another to apply for licensure.
State boards of nursing can initiate professional disciplinary proceedings against a nurse when falsification occurs, including in cases when unprofessional conduct is likely to deceive, defraud or harm the public; using false, deceptive or fraudulent statements in any record in connection with a nurse’s practice; practicing beyond the scope of one’s practice; and violating state or federal laws, rules and regulations governing controlled substances. In most states, disciplinary actions include a reprimand, censure, probation, suspension or revocation of the nurse’s license.
“Falsification by nurses is not only unethical, it shatters legal parameters. Initially, criminal charges on the state or federal level may be brought against the nurse.”. Other examples of nurse falsification ...
The nurse certainly could try to report her concerns to the CNO, who should appropriately intervene in the situation. Or the nurse could report the situation to her state board of nursing, which would investigate the matter and determine if disciplinary proceedings should be initiated. The bottom line is that the reader is describing an example of falsification, which is the willful perversion of facts and includes such behavior as lying, distorting and paltering.
When anyone falsifies information about themselves, it is a serious matter, as it is obviously misleading, deceptive and reflects on your trustworthiness. But it is extremely serious when a nurse does this.
Wisdom is the appropriate use of knowledge in managing or solving human problems. Data are raw, unprocessed numbers, symbols, or words that have no meaning by themselves. Information consists of groupings of data processed into a meaningful, structured form. Knowledge is formed when data are grouped, creating meaningful information and relationships, which are then added to other structured information.
A patient's protected health information includes any individually identifiable health information; current, past, or potential physical or mental conditions; and any payment information, such as Social Security numbers or insurance.
Alerts are configured to notify the nurse of potential adverse effects before the patient receives the medication. Sometimes patients state they are allergic to a medication when, in reality, they may only have experienced a side effect. The physician or pharmacist can be instrumental in discerning if the patient's reaction was a true allergy. The physician should always be notified before administering medications when an allergy error has been received. Although an antidote to a medication could be useful in the event of a harmful effect, the medication in the situation should not be given, and therefore, the antidote would not be necessary.
Never share your password with another person or log on to a computer to allow another access to information. Instead, notify your supervisor that the new employee needs a password. In most hospitals, nurses are given a password during their orientation.
If a nurse violates HIPAA by accident, it is vital that the incident is reported to the person responsible for HIPAA compliance in your organization – the Privacy Officer, if your organization has appointed one – ...
Gossiping – Talking about specific patients and disclosing their health information to family, friends & colleagues
Examples of HIPAA Violations by Nurses 1 Accessing the PHI of patients you are not required to treat 2 Gossiping – Talking about specific patients and disclosing their health information to family, friends & colleagues 3 Disclosing PHI to anyone not authorized to receive the information 4 Taking PHI to a new employer 5 Theft of PHI for personal gain 6 Use of PHI to cause harm 7 Improper disposal of PHI – Discarding protected health information with regular trash 8 Leaving PHI in a location where it can be accessed by unauthorized individuals 9 Disclosing excessive PHI and violating the HIPAA minimum necessary standard 10 Using the credentials of another employee to access EMRs/Sharing login credentials 11 Sharing PHI on social media networks (See below)
The failure to report a minor violation could have major consequences. You can read more about accidental HIPAA violations here. Serious violations of HIPAA Rules, even when committed without malicious intent, are likely to result in disciplinary action, including termination and punishment by the board of nursing.
A criminal complaint was filed and the nursing assistant faces up to three and a half years in jail if convicted. Author: Steve Alder has many years of experience as a journalist, and comes from a background in market research.
Accidental HIPAA violations by nurses happen, even when care is taken to follow HIPAA Rules. While all HIPAA violations can potentially result in disciplinary action, most employers would accept that accidental violations are bound to occur from time to time. In many cases, minor violations of HIPAA Rules may not have negative consequences and can be dealt with internally. Employers may decide to provide additional training in some cases to ensure the requirements of HIPAA are fully understood.
Sharing protected health information on social media websites should be further explained. There have been several instances in recent years of nurses who violate HIPAA with social media. Posting any protected health information on social media websites, even in closed Facebook groups, is a serious HIPAA violation.
c. An administrative worker in a nurse's station sees the names of patients on a whiteboard used to inform staff of which patients are in which rooms.
A patient rolling up their sleeve to have blood work taken is giving their implied consent.
a. A hospital inpatient in a shared room overhears two healthcare providers discuss the other patient's care at her bedside.
The security rule only applies to PHI that is transmitted electronically.
A member of the office should only access a patient's chart if they are involved in the patient's care.
d. A medical center is no longer allowed to provide information about patients to the media under any circumstances.
3.the patient and family have a right to read the record.
3.others can see what is being input as the nurse works with the charting screens.
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching? "Use the complete name of the medication magnesium sulfate.". A nurse is caring for a client who has tuberculosis.
The client holds the cane on the stronger side of her body .
To avoid contamination of regular insulin with NPH insulin: Inject 10 unites of air into the vial of NPH without touching the solution Inject 5 units of air into the vial of regular insulin and withdraw the correct amount of the regular insulin. Then insert the needle into the NPH and withdraw the correct amount of insulin.
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. To avoid contamination of regular insulin with NPH insulin: Inject 10 unites of air into the vial of NPH without touching ...
Nurse’s Inaction Leads to Wrongful Death Lawsuit for Hospital
2 — If you are unsure about sharing a patient’s information, seek guidance from your nurse manager.
A breach of patient confidentiality can result in a lawsuit. Who is at fault -- and who isn't -- will be determined by the courts based on several factors.
A letter was sent to Doe from the president and CEO of the facility informing Doe that an unauthorized disclosure of his confidential health information did occur, appropriate disciplinary action had been taken and steps put into place to prevent such a breach from happening in the future.
Chapter topics include hypertension, diuretics, GI, critical care, sexually transmitted diseases, asthma, oncology, non-opioid analgesics, diabetes, weight loss, mental health conditions and more. APN tips are featured throughout the chapters to help clinicians in their prescribing practices. This course will help APNs meet the new ANCC 25-contact hour pharmacology requirement for recertification.
The court opined that a medical facility’s duty of safekeeping a patient’s confidential medical information is “limited to those risks that are reasonably foreseeable and to actions within the scope of employment.”
But if an employee who is obligated to protect patient medical informationacted in a manner as this nurse did, the only potential liability is with the employee and not the employer.
It is important that nurses support the patient in their medical wishes and ensure that the medical team is remembering those wishes.
As patient advocates, it is imperative that nurses ensure that patients receive all medical information, education, and options in order to choose the option that is best for them . This includes all potential risks, benefits, and complications to make well-informed decisions.
Nursing is consistently regarded as the most honest and ethical profession and practicing with the nursing code of ethics is essential to ensuring that patients and their families receive the care they have come to know and expect. Utilizing the ethical codes of justice, nonmaleficence, autonomy, and beneficence on a daily basis allows nurses ...
Currently, the nurse’s code of ethics contains 9 main provisions: 1 The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. 2 The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population. 3 The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. 4 The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to provide optimal patient care. 5 The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. 6 The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care. 7 The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy. 8 The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. 9 The profession of nursing, collectively through its professional organization, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.
According to the American Nurses Association (ANA), the nursing code of ethics is a guide for “carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession.”. Ethics, in general, are the moral principles that dictate how a person will conduct themselves.
Knowing the nursing code of ethics is essential for nurses because it will help guide everyday practice and navigate the daily complexities of the healthcare profession. Nurses often use the four major ethical principles throughout a shift, even if not fully aware of it.
While ethical principles are sometimes confusing and often taught briefly during undergraduate nursing -- they should be constants in nursing practice in order to provide the best, safest, and most humane care to all patients.