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.Cevap
- 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.
Cevap
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.
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Anahtar Kavram
Confidentiality and Information Security