Recently my brother-in-law was in the hosp. of a big city. He was in a semi- private room. The dr. came in to his roommate and reported that the recent biopsy was a lymphoma. The patient was visibly upset. The dr. attempted to console him. Now... his diagnosis was exposed to the roommate (my brother-in-law) who attempted to comfort the other patient. But what if the my brother-in-law decided to go out and report the conversation to the man's family? What if the patient did not want other family members to know? My brother-in-law did not do the unthinkable but I now realize that semi-private rooms violate HIPPA, do they not? Just how confidential can it be? This is a serious question.
Oct 27, '06
Okay this is just me but I feel that HIPAA is just a political deal such as many things in healthcare. If someone notices a probelm with anything in healthcare...things seem to swing like a pendulum to the total extreme! HIPAA is an extreme that I believe can not ever be fulfilled! In other words, I think it is a great idea, but the rules and regulations are comical!
How can you discuss medical information in a facility without someone hearing it? How can you have rooms with open doors and hide a patients face, condition (if visable), conversation??? Even with shut doors you can hear from the hall! How many times have I seen a visitor see a person in a room and say "Oh soinso..I didn't know you were sick...what happened?" and go in! How can you talk to an MD at the nurses station while you chart without someone hearing it (even with the lightest voice and not saying a pts first/last name..which can lead to confusion and potential errors in the first place!!!!).
How do things get done accurately if you are afraid to communicate to staff about a patient because it might tread on HIPAA? How do you fax or send electronic information to other staff/facilities needed for pt care if you aren't sure if it is legal or not? (I have run into this so many times! Calling faclities to ask about a pts norm or meds and get denied info...umm HELLO I am their nurse!!!!!!!!!!! I am allowed!).
I have always taken the fact I know things personal about my patients to heart..and never abuse it...I call it confidentiality and I swore an oath to protect it. I know not all people take it as seriously as I sadly...but I don't need some politics like a black cloud always looming over head with fines and threats to keep personal information personal. I find it is a joke for the most part...not realistic...not obtainable by the structure of it vs actual facilities...so I just go on with my business the way I always have...with confidentiality, only talking to people that need to know, being rational with the info, and appreciating my patients rights to keep things private!!!!
OH...and along the same lines as the semi rooms, how about those baby monitors in LTC/ALF? My old job had them in the hallways for people that were a fall risk so you can hear them and/or hear a ambu alarm! My gosh the person can't even pass gas or burp without having it heard by anyone in that hall!?!?! Is that a HIPAA violation? What if a resident is talking about where they stashed their money to a relative or how much is in their account (going off the stealing thread in general here too). That violates privacy, and not necessarily medical!!! I find those a huge violation, and big time HIPAA one...but nothing is done? No, I can get fined for accidentally saying too much to a family member about their loved ones condition if they don't have the proper paperwork and authority...but a facilty can't get fined for a blatant violation of privacy on the most basic level
(I know those baby monitors are for safety...but typically when you hear a fall..it has happened, I find ambu alarms/bed alarms/mat alarms are the best choice and frequents checking on patients with fall risks are enough if done right!).
Last edit by Antikigirl on Oct 27, '06