Question

Difficulty: EasyConfidentiality and Information Security

A registered nurse finds a paper containing a client's handoff report left unattended on a table in the public hospital cafeteria. Arrange the following actions the nurse should take in the correct order, from first to last.

  1. 1Retrieve and conceal the document immediately to prevent others from viewing it.
  2. 2Examine the document briefly to identify the responsible unit or client.
  3. 3Deliver the document securely to the appropriate unit's charge nurse.
  4. 4File a formal incident report with the facility's privacy officer.

Answer

The correct sequence is to first retrieve and conceal the document, then identify the responsible unit, deliver the document to the appropriate charge nurse, and finally file a formal incident report.
In any security breach involving Protected Health Information (PHI), the nurse's first priority is always to contain the breach and secure the information. Once the immediate risk to privacy is mitigated, the nurse can take steps to identify the owner, return the property, and fulfill administrative reporting requirements.

Step-by-Step Solution

1
Secure the exposed document.
The ongoing exposure of Protected Health Information (PHI) is stopped.
Patient privacy is the immediate priority in any breach scenario.
2
Identify the document's origin.
The nurse determines which unit the client belongs to.
The document must be returned to the correct location.
3
Return the document to the charge nurse.
The responsible unit reclaims the PHI and is made aware of the incident.
Continuity of care and unit-level awareness of the breach are necessary.
4
File an incident report.
The breach is officially documented.
Institutional policy and federal laws require tracking of privacy breaches.

Key Concept

Immediate containment of a HIPAA breach followed by appropriate chain-of-command reporting.
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