A nurse is preparing a client for discharge. While reviewing the printed discharge packet with the client in their room, the nurse realizes that another client's sensitive laboratory results were mistakenly stapled into the packet. Arrange the actions the nurse should take in the correct priority order.
- 1Retrieve the incorrect laboratory results from the client's discharge packet immediately.
- 2Explain the clerical error to the client without disclosing the other client's identity.
- 3Provide the client with their correct discharge documents and complete the discharge teaching.
- 4Notify the charge nurse and the facility's privacy officer regarding the unauthorized disclosure.
- 5Complete an internal facility incident report detailing the confidentiality breach.
Cevap
The correct sequence is to first secure the breached information by retrieving the incorrect documents, explain the error to the client, provide the correct discharge documents, notify nursing leadership and the privacy officer, and finally complete an internal incident report.
The nursing process and prioritization frameworks dictate that immediate mitigation of harm (retrieving the PHI) takes precedence over all other administrative actions. After containing the active breach, the nurse must address the client's immediate needs by explaining the error and providing the correct documents. Only once client-facing care and immediate security are resolved should the nurse escalate the issue to leadership (privacy officer) and complete the required administrative documentation (incident report).
Adım Adım Çözüm
Anahtar Kavram
Prioritization of HIPAA breach response and mitigation
Tahmini Süre:1m 30s