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Zorluk: OrtaConfidentiality and Information Security

A practical nurse (PN) is caring for a postpartum client. During the admission assessment, the client explicitly requests that no information regarding her hospitalization or the newborn be shared with anyone. Later in the shift, an individual calls the nursing station, identifies themselves as the client's parent, provides the client's full name and room number, and asks for a brief medical update. Which of the following is the most appropriate response by the PN?

  1. I have no information available regarding an individual by that name.Cevap
  2. B
    The client is currently resting, but she has instructed us not to share any details.
  3. C
    Since you already have the room number, I will transfer your call directly to her room.
  4. D
    I cannot share medical updates over the telephone, but visiting hours end at 8:00 PM.

Cevap

The most appropriate response is to state that there is no information available regarding an individual by that name.
When a client requests that no information be shared regarding their admission, they are essentially opting out of the facility directory. Under these privacy regulations, nurses must maintain strict confidentiality and cannot acknowledge or confirm the individual's presence at the facility to anyone, including family members. The most appropriate response is to state that no information is available.

Adım Adım Çözüm

1
Analyze the client's specific privacy request.
The client opted for complete privacy, meaning her presence in the facility cannot be confirmed to outside callers.
Healthcare privacy laws mandate that providers respect a competent client's right to control who knows about their hospitalization.
2
Evaluate the caller's request and provided information.
Despite the caller having accurate identifying information (name and room number), the PN cannot confirm the client is there.
Possessing a room number or knowing a client's full name does not override the client's explicit request for non-disclosure.
3
Select the response that best protects the client's privacy.
The PN must use standard phrasing to deny the request without confirming the client's admission status.
Stating that no information is available protects confidentiality without providing false information to the caller.

Anahtar Kavram

Client Privacy and Directory Opt-Out
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Konular

Confidentiality and Information Security

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