While providing care on a busy acute care unit, a practical nurse (PN) manages a semi-private room occupied by two clients. Client 1 is a recognizable public figure, and Client 2 is receiving end-of-life care. Both clients have multiple family members visiting. Which actions by the PN demonstrate appropriate adherence to information security and client confidentiality regulations? Select all that apply.
- Drawing the center privacy curtain and using a hushed tone when asking Client 1 about their current pain levelCevap
- Asking Client 2's visitors to step out of the room before reviewing the newly prescribed comfort care medications with Client 2Cevap
- CPlacing a printed vital sign flow sheet face-down on a hallway computer workstation while briefly entering a supply closet
- DAcknowledging Client 1's presence on the unit to a media representative who provides the client's correct full name
- Locking the mobile electronic health record (EHR) screen immediately after documenting Client 2's urinary outputCevap
- FDiscussing Client 2's declining condition with an off-duty nurse who is a relative of Client 2, without prior client authorization
Cevap
The correct actions include using a hushed tone behind a privacy curtain, asking visitors to leave before discussing medications, and locking the EHR screen after use.
Under HIPAA and standard confidentiality protocols, nurses must implement reasonable safeguards to protect health information. These include using lowered voices and physical barriers in semi-private rooms, asking unauthorized visitors to step out during clinical discussions, and securing electronic records whenever leaving a workstation.
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Anahtar Kavram
Reasonable safeguards must be employed to prevent unauthorized access to physical, electronic, and verbal protected health information (PHI).