who to report when a nurse want security for a patient

by Gene Kilback 8 min read

Nurses and Mandatory Reporting Laws | CPH & Associates

36 hours ago Federal and state laws require that certain individuals, particularly those who work in health care, with the elderly, with children, and other vulnerable populations, have an affirmative duty to report to a specified state agency when violence occurs against those populations. Nurses are listed in most, if not all, mandatory reporting statutes. Statutes include child abuse and neglect … >> Go To The Portal


Chief nursing officer. Also known as a chief nursing executive, the chief nursing officer usually reports to the hospital CEO. Risk management director. Also known as a hospital risk manager, this individual works proactively to prevent situations that could result in liability. Patient safety officer is a similar hospital role.

Full Answer

Do nurses have to report what they do?

Most states and other countries do have some laws regarding who is mandated to report and what is protected information. As with anything in nursing, nurses are expected to be aware of the laws and circumstances regarding mandated reporting where they practice. Continuing education is a great option for finding this information and education.

Who can report nursing law violations?

Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the conduct occurred.

Do nurses have to report suspicious injuries?

Depending on the state, nurses may be required to report suspicious injuries to law enforcement whether or not the patient consents or wishes to press charges. Depending on the type of abuse, the nurse is required to call Adult Protective Services or Child Protective Services and follow it up with a written report.

Can a nurse give report outside of a patient's room?

If you are required to give report outside of a patient’s room try to keep your voice down so other patients and family members can not hear. Most nurses use the SBAR tool as a guide to help them give report, which is highly recommended. SBAR stands for S ituation, B ackground, A ssessment, and R ecommendation.

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Who is responsible for protecting patients individually identifiable health information?

All health care providers considered “Covered Entities” under HIPAA (most are) are responsible for complying with the two related rules of HIPAA: Privacy52 and Security53. The HIPAA Security Rule sets out specific protections that all covered providers must follow to protect health information.

What's a HIPAA violation?

What is a HIPAA Violation? The Health Insurance Portability and Accountability, or HIPAA, violations happen when the acquisition, access, use or disclosure of Protected Health Information (PHI) is done in a way that results in a significant personal risk of the patient.

What are 5 HIPAA violations?

5 Most Common HIPAA Privacy ViolationsLosing Devices. ... Getting Hacked. ... Employees Dishonestly Accessing Files. ... Improper Filing and Disposing of Documents. ... Releasing Patient Information After the Authorization Period Expires.

When must a breach be reported?

If a breach affects 500 or more individuals, covered entities must notify the Secretary without unreasonable delay and in no case later than 60 days following a breach. If, however, a breach affects fewer than 500 individuals, the covered entity may notify the Secretary of such breaches on an annual basis.

What are the 3 types of HIPAA violations?

Top 10 Most Common HIPAA ViolationsKeeping Unsecured Records. ... Unencrypted Data. ... Hacking. ... Loss or Theft of Devices. ... Lack of Employee Training. ... Gossiping / Sharing PHI. ... Employee Dishonesty. ... Improper Disposal of Records.More items...•

How do you report a HIPAA violation?

Complaint RequirementsBe filed in writing by mail, fax, e-mail, or via the OCR Complaint Portal.Name the covered entity or business associate involved, and describe the acts or omissions, you believed violated the requirements of the Privacy, Security, or Breach Notification Rules.More items...

What is the security rule?

The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information.

What is the most common HIPAA breach?

Snooping on healthcare records of family, friends, neighbors, co-workers, and celebrities is one of the most common HIPAA violations committed by employees.

What does the security Rule Cover?

The Security Rule protects a subset of information covered by the Privacy Rule, which is all individually identifiable health information a covered entity creates, receives, maintains or transmits in electronic form. The Security Rule calls this information “electronic protected health information” (e-PHI).

What is the first step toward security rule compliance?

The first step toward Security Rule compliance requires the assignment of security responsibility — a Security Officer. The Security Officer can be an individual or an external organization that leads Security Rule efforts and is responsible for ongoing security management within the organiza- tion.

Which are the correct reporting options if you know of a privacy violation or breach?

Filing a Complaint If you believe that a HIPAA-covered entity or its business associate violated your (or someone else's) health information privacy rights or committed another violation of the Privacy, Security, or Breach Notification Rules, you may file a complaint with the Office for Civil Rights (OCR).

Which HHS Office is charged with protecting patients health information?

U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is responsible for enforcing the HIPAA Privacy and Security Rules.

State and Territorial Boards of Nursing: What Every Nurse Needs to Know

This brochure offers nurses an explanation of what boards of nursing (BONs) do for the profession and those who work in it. This brochure provides information regarding:

Your State Board of Nursing Works for You: A Health Care Consumer's Guide

Serves as a guide for consumers who have experienced or witnessed a nurse exhibiting unsafe, negligent or incompetent behavior

What should a nurse do when treating a patient?

Nurses should provide a calm, comforting environment and approach the patient with care and concern. A complete head-to-toe examination should take place, looking for physical signs of abuse. A chaperone or witness should be present if possible as well.

What is the mandate of a nurse?

As mandated, they are trained to identify signs and symptoms of abuse or neglect and are required by law to report their findings. Failure to do so may result in discipline by the board of nursing, discipline by their employer, and possible legal action taken against them. If a nurse suspects abuse or neglect, they should first report it ...

Do nurses have a responsibility to care for victims of abuse?

Employers are typically clear with outlining requirements for their workers, but nurses have a responsibility to know what to do in case they care for a victim of abuse.

Should a nurse report abuse?

The nurse should notify law enforcement as soon as possible, while the victim is still in the care area. However, this depends on the victim and type of abuse. Adults who are alert and oriented and capable of their decision-making can choose not to report on their own and opt to leave. Depending on the state, nurses may be required ...

Do nurses have to be able to connect victims of abuse?

While not required by law, nurses should also offer to connect victims of abuse to counseling services. Many times, victims fall into a cycle of abuse which is difficult to escape.

What did the nurse tell Doe about the STD?

While Doe was waiting for his treatment, the nurse texted her sister-in-law and told her Doe was being treated for the STD. The manner in which she texted this information led the sister-in-law to believe the staff was making fun of his diagnosis and treatment. The sister-in-law immediately forwarded the messages to Doe.

What is a 60185?

60185: Advanced Practice Nurse Pharmacology#N#(25 contact hours)#N#Written and rigorously peer reviewed by pharmacists and advanced practice nurses, this course features a wide range of medical conditions and the medications associated with them. 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.

What is the importance of patient confidentiality?

What this case underscores about patient confidentiality is that there can be liability for a facility for its own duties to protect a patient’s medical information.

What did the letter to Doe from the President and CEO of the facility informing him of?

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.

Why is it so difficult to track the scope of trafficking?

It is difficult to track the scope of trafficking because of the underground or hidden nature of activities. Most victims in the U.S. are unwilling participants in the sex trade.

Did Doe sue the nurse?

Apparently Doe did not name the nurse in his lawsuit but elected to sue only the facilities that either owned or provided staff and other support to the facility. Perhaps Doe thought this was how he could obtain the largest amount of a monetary award. If so, the decision was unwise at best.

Who is Nancy Brent?

Our legal information columnist Nancy J. Brent, MS, JD, RN, received her Juris Doctor from Loyola University Chicago School of Law and concentrates her solo law practice in health law and legal representation, consultation and education for healthcare professionals, school of nursing faculty and healthcare delivery facilities. Brent has conducted many seminars on legal issues in nursing and healthcare delivery across the country and has published extensively in the area of law and nursing practice. She brings more than 30 years of experience to her role of legal information columnist. Her posts are designed for educational purposes only and are not to be taken as specific legal or other advice. Individuals who need advice on a specific incident or work situation should contact a nurse attorney or attorney in their state. Visit The American Association of Nurse Attorneys website to search its attorney referral database by state.

Why do nurses give reports outside of the room?

If you are required to give report outside of a patient’s room try to keep your voice down so other patients and family members can not hear. Most nurses use the SBAR tool as a guide to help them give report, which is highly recommended.

Why is it important to get a nursing report before you start your shift?

It is not only important for the nurse but for the patient as well. Nursing report is given at the end of the nurses shift to another nurse that will be taking over care for that particular patient.

What does SBAR stand for in nursing?

SBAR stands for S ituation, B ackground, A ssessment, and R ecommendation.

How to deal with an assault on a nurse?

2. Take action after an assault. If you have been assaulted, remove yourself to a safe area and ask a co-worker to stand in for you.

Why are nurses not violent?

Studies have shown that many incidents of violence against nurses are not reported. One of the reasons might be that nurses accept violent behavior as part of the patient’s problem “He couldn’t help it,” “She was drunk”.

What hospital did a nurse gouge out her eye?

“Police say a patient nearly tore off a nurse ’s ear and attempted to gouge out her eye at Pembroke Hospital ove r the weekend.”#N#– Patriot Ledger. March 7, 2016 (USA)

How to report an assault to the police?

Report the assault to your supervisor as well as to your union. This can initially be done verbally, but you should follow up with written reports. Exercise your civil right of reporting the incident to the police.

Should organizations have policies and other measures to deal with acts of violence?

All organizations should have an adequate policy and other measures in place to deal with acts of violence. Unfortunately, based solely on statistics of incidences rather than the real and hidden costs, many organizations do not view this as a priority.

Is there a hotline for nurses?

The British Columbia Nurses Union in Canada has launched a hotline for nurses assaulted on the job. According to the President of the Union, nurses have a higher rate of work-related assault than police officers.

Reporters are not expected to investigate or prove abuse

The nurse or any other mandated reporter is not expected to investigate or to prove the abuse nor to pass judgement on the situation. In fact, it is imperative to report suspicions without waiting for more evidence or proof.

What qualifies as abuse, neglect, or exploitation?

Abuse or neglect can happen at any age, in any family or caregiving circumstance, and any socio-economic situation. Scenarios involved can include physical, mental, and financial abuse, neglect including abandonment, restriction of food, fluids, or hygiene, and preventing an adult or from receiving appropriate medical care.

Types of abuse to report

The most recognized forms of abuse or neglect include child maltreatment, abandonment, neglect, or sexual exploitation and trafficking. Dependent adult and elder abuse often involve things like financial abuse, physical abuse, neglect, or sexual exploitation or trafficking.

Who else is mandated to report?

Other mandated reporters include Physicians, Physician Assistants, NP’s, Social Workers, Teachers, Teacher’s aides, Police officers, and Clergy. Laws vary from state to state and take in to account privileged/confidential conversations such as doctor-patient or clergy-patient.

What is a hospital security guard?

Hospital security guards are always ready to lend a helping hand to patients. For instance, they may help a patient get to the hospital from their car or vice versa. They may notice a patient that’s gotten lost in the hospital and help them find their way back to their room safely.

What is the hardest part of hospital security?

One of the hardest parts of hospital security is the constant influx of visitors. It’s difficult to know who belongs and who doesn’t. For optimal patient safety, guards can work with patients to quickly identify anyone who shouldn’t be there.

Why do hospitals need guards?

The top priority of any guard in a hospital is to protect the premises. Since they are usually a highly visible presence, they’re able to offer a little peace of mind to not only patients, but their families.

Do guards have to be on security?

Guards don’t always have to just focus on security. When patients are feeling anxious, guards are available to greet them, help them find their way, and just listen to the patients’ concerns.

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