So I am about half way through RN school and tonight something interesting happened to me and I have questions that hopefully someone here can help me with.
For starters, this took place in NYS.
I was on the floor tonight when a friend spotted me and called me over. His mother was a patient on the floor where I was doing my rotation. He introduced me to her and his father and I never asked any medical questions, not even why she was in the hospital. She volunteered a few things on her own but for the most part we just engaged in some chit chat. She was concerned about her allergy to penicillin not being on her wrist band so I promised to ask her nurse for her about checking her record (not me but the attending nurse) and getting back to her about it.
I told them about using proper hand hygiene just to be safe and said I would stop in to see if she needed anything later on. I also explained that I couldn't look into her chart or do anything treatment oriented with her, but would be willing to help out in any other fashion I was legally able to. Fresh pillow, sheets, utensils, that sort of stuff. I even told my friend when he told me to send his regards to my wife that I couldn't because of privacy rights.
So the problem came later when I saw my friend leave the room with his coat while talking with another student and went over to say goodbye. My professor saw me and told me I couldn't go near any of them because of HIPAA regulations. Now she is more knowledgeable than I by far but I am pretty sure that I wasn't in violation of any laws.
Was I wrong? I mean, we're told to help with any and all patient's on the floor and not just the ones assigned to us so this really got under my skin and she didn't seem to have the time or desire to explain this to me. So hopefully someone here can!
Thanks in advance.
Feb 17, '12
by tokmom, BSN, RN
I don't think you are. I can't figure out what you have done wrong. How many times do we run into people we know at work?
If I'm incorrect, I need to be educated as well. Now if you had gone through the chart, etc.. then as you have already stated, you would have been in violation.
Last edit by tokmom on Feb 17, '12
Feb 17, '12
by loriangel14 Guide
I don't think you did anything wrong.How could it be a violation to speak to someone you know? I don't think we are required to pretend we don't know people.Goodness,I work in the town I grew up in,I always see people I know at work.
Last edit by loriangel14 on Feb 17, '12
: Reason: spelling
If the instructor was not aware of the earlier interaction, she wouldn't have known that the friend initiated the contact and that the family was apparently comfortable with your presence. It would have looked like you were the one striking up the conversation, and the instructor's caution would have been not only correct, but necessary.
Why didn't you just explain that the friend and family members (including the patient) had started the ball rolling earlier and you were simply saying goodbye?
Instructors are only human. If an important piece of the puzzle is missing, it might be good to supply it rather than get all bent our of shape because she didn't understand.
On the flip side, having had the earlier conversation with your friend, it probably wasn't necessary to interrupt a conversation to go say goodbye to him. You were there to attend clinical, not to socialize.
I would caution you further that, while what took place doesn't appear to have broken any rules, encouraging friendship or a social connection while at a clinical or on the job can predispose you to errors down the road. You can still be friendly in your demeanor, but I really wouldn't encourage a lot of interaction with people you know (who are not your patients). Even though you understand the boundaries, they don't. They might mention aspects of their treatment with you before you can stop them and put you on the spot. Without doing anything wrong, you might still end up knowing more than is good for you or for them. Also, people who feel vulnerable sometimes spill their guts and feel awkward about it after the fact. It's better for you to set the boundaries that will help avoid this.
Even if they say something about their treatment and you do nothing more than refer them back to their doc or their nurse, their confidences can create discomfort. And heaven help you if your expression or anything you say creates a question. It wouldn't take much for one of them to say, "When I told that other nurse what meds I'm taking, he made a funny face." You might have. You might not have. It doesn't matter. You just don't need that kind of hassle while you're still in school. Or after.
Bottom line--be friendly but not overly so. Extricate yourself from any and all confidences regarding someone else's patient. Don't go out of your way to recognize or say hello or goodbye to people you know from other areas of life. If they initiate contact, be cordial but brief. Keep a professional distance between you and other people you know. It may feel odd at first, but eventually, it will come naturally.
Last edit by rn/writer on Feb 18, '12