A registered nurse (RN) preceptor is observing a newly licensed practical nurse (PN) providing care on a medical-surgical unit. Which action by the PN indicates a violation of legal and ethical standards and requires immediate intervention by the preceptor?
- Using a personal mobile device to photograph a client's complex wound to consult with the wound care specialist.Answer
- BRefusing to accept the transfer of a newly admitted client who has active gastrointestinal bleeding and unstable vital signs.
- CContacting adult protective services to report a suspicion of abuse based solely on observing multiple unexplained, fading bruises on an older adult client.
- DSigning a surgical consent form as a witness to confirm that the client voluntarily provided a signature after speaking with the surgeon.
Answer
The action that requires immediate intervention is using a personal mobile device to photograph a client's complex wound to consult with the wound care specialist.
The correct answer describes a significant breach of client confidentiality. Utilizing a personal mobile device to photograph and transmit protected health information (PHI), even for the purpose of a medical consultation, violates the Health Insurance Portability and Accountability Act (HIPAA) privacy laws and ethical nursing standards. Facilities require the use of secure, approved clinical devices for taking medical photographs.
Step-by-Step Solution
Key Concept
Confidentiality and Information Security