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Question? - Crib Cards & HIPPA - researching policies



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  #11  
Old Apr 10, 2008, 07:59 PM
hikernurse's Avatar
Summer dreaming
Join Date: Apr 2005
Re: Crib Cards & HIPPA - researching policies

We have really cute scrapbook-like cards with the babies first name on it. There isn't any other information on it; parents love it. I think the cards help parents understand that we see their baby as a person, not just a patient.

We also have the baby's id bracelet on the bed which is used by lab, etc. It's small enough that I can't imagine it would be much of a privacy violation.

It's funny, in a room full of babies, privacy violations occur all the time. We pull curtains, but they don't seem all that soundproof .

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  #12  
Old Apr 14, 2008, 02:50 AM
NICUandLearning (Female)
Registered User
Join Date: Jul 2007
Re: Crib Cards & HIPPA - researching policies

We are a level 4 regional medical center.
We have code cards that have the babies last name (mom's last name it does not matter what the birth certicicate says the name always says mom's last name) the either female or male and for multiples it is the letter right after female or male for example femaleb and femalea or malea,maleb, malec

So... example... Winters, Female or Winters, Femaleb

We also have hospital cards that we put on the beds that say Winters, Female and the have spaces for date of birth, primary nurse, resident or neonatal nurse practioner, length and weight when born, and attending doctor that the nurses can fill out but dont have to the primary nurses usually do.

Also the primary nurses usually do some crafty cards

Furthermore we have a nurse that does name cards that go in the issolette that has the infants first and last name (again mom's last name) and their date of birth that are printed on nice card stock with a girl, boy, or multiple theme.

We have arm bands that are on the parents the whole addmision and the visitors have to stop and get a name badge of the infants name and what nursery they get addmision to because we have 7 nurseries. All the people that come in only come by one entrance way and get stopped by the secetary or nurse at the desk.

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  #13  
Old Apr 14, 2008, 01:28 PM
Registered User
Join Date: Feb 2005
Re: Crib Cards & HIPPA - researching policies

My Unit is split into well-baby and NICU/PICU. Of course the NICU and PICU admits don't ever leave the unit unless we are getting ready to d/c and are doing a parents-in-attendance prior to sending them home. RE the last names on chart spines, we were able to keep them as-is after we got a special cart on which to keep all our charts...it has a closing cover/gate on the front that covers all the charts and keeps them out of sight until needed.
In the well-baby unit we use the generic Enfamil blue and pink cards with last names only and boy or girl. Mother's Dr, Baby's Dr and date/time of delivery along with measurments of baby are included and only written with ball point pen so it would be difficult to read if not very close to the crib. Mom's room # and whether bottle or breast fed is also included. We went through a time when they would not allow the window shades to be opened for baths or diaper changes due to HIPPA policy, however that did not last very long at all. Now the curtains are open during the day excepting procedures, Dr's rounds and etc...Our administration is currently formulating a policy on cameras, phone cams and pictures/videos in delivery rooms & through nursery windows and so on so we'll see if things change in that regard. Right now there is no standing rule except that parents have to consent to others taking photos prior to it being allowed.
Our unit is also closed with tight security (HUGs electronic bands are applied shortly after delivery, and only nursing staff with appropriate visible ID are to transport infants to and from parent rooms). We also use a verbal password system so that parents know the person coming to pick up their infant is truly who they say they are to prevent abductions. Our babies spend much time with parents on a flexible schedule and parents are instructed to keep babies in the room with them at all times--only nursing staff may bring them in and out. Infants are ideally only in the nursery for VS, wts, baths, Dr's rounds and procedures, although this varies depending on the situation (ie: if a recent CS mom has no one to help with the baby or is too groggy with pain meds to functionally care for infant).
Our policy is also much in need of review and my director is currenlty working on that with about 10 jillion other irons in the fire as well so it could be a while before we see any changes. Hope this helps!!

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Question? - Crib Cards & HIPPA - researching policies

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