A practical nurse (PN) working in a skilled nursing facility receives various requests for client health information. Match each specific request with the appropriate nursing action to maintain client confidentiality and comply with privacy regulations.
- A community organization leader calls requesting a list of all facility residents who are members of their group.Decline to provide the information, as sharing an aggregate list of resident affiliations violates privacy laws.
- The facility's clinical dietitian requests to view a client's electronic health record to verify a newly prescribed dysphagia diet.Permit access to the necessary documentation, as this information is required for safe interdisciplinary care.
- A client's adult child asks the PN for a printed copy of the client's entire medical record to take to an external specialist.Refer the individual to the facility's medical records department to complete formal authorization procedures.
- A triage nurse from a receiving acute care hospital calls to obtain a transferred client's baseline neurological status.Share the necessary clinical details to ensure safe continuity of care during a facility transition.
Cevap
Match the community leader to declining the request, the dietitian to permitting access, the adult child to referring to medical records, and the triage nurse to sharing clinical details.
Appropriate maintenance of confidentiality requires nurses to differentiate between permissible disclosures (e.g., interdisciplinary team members, transfer of care) and impermissible disclosures (e.g., community organizations without consent). It also requires knowing facility protocols for formal record releases.
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Anahtar Kavram
Confidentiality and Information Security