Ethical/Personal Dilemma - What would you do?

Nurses HIPAA

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Hello everyone- I need some insight on what to do on this event that occurred 3-4 weeks ago.Currently a RN student in my last semester; there is a friend ( X) in my program whom also works at one of the local hospitals which I do as well. During one of her shifts, X sent me a message stating that one of the patients in her floor was the husband of one of our past professors and whom we were supposed to have as a professor this last semester again. She told me in this message that the patient had been admitted a day before with X Diagnosis and also suffering from X and Y. I felt weird because even though she is a friend, I felt that its not right for her to be sharing that kind of information with me so I told her that she should be careful and respect patient confidentiality.1 week later school started and we find out that this professor will not be teaching our class for a personal issue.. While walking to class on campus, Y, another friend from the program tells me that this professor is probably not going to teach the class because her husband is sick, maybe pretty sick.. As not knowing, I asked Y how did she know, which she replied.. Oh, X told me... That made me feel even more uncomfortable because to be honest I really care for this professor, we have built a great relationship. A few hrs later I find out that X had not only told me, but also to Y and to Z.. Not sure if she mentioned it to more people or not..She violated HIPAA, Hospital Policy and Patient's rights... Should I mention this to my professor? That X told several of our class about her husband's condition? Should I contact the nurse manager of her floor and mention what X mentioned to me and several others? If I dont do it because she is a friend, I will be failing one of my duties as a healthcare provider and preventing this from happening in the future.. I would be very ****** off and upset if someone was leaking information from a family member..If I do say it and she gets fired from her work I will feel guilty, and what if she gets kicked off the program? She has done certain things in the program that I was not happy about in the past, like cheating while on an exam with another student and the professor had a serious talk with them..I just don't know what to do?? What would you do?Tell the professor? Tell her Nurse Manager? Thanks in advance.

The class ahead of me in nursing school had some issues with students cheating and attempted to kick the students out of the program. Some lawyers and proceedings later they each ended up in with my class (1 year behind). These same people have now gone on to bigger violations as licensed RNs. I vehemently say TURN HER IN. Go to the Dean of your program, and have Y & Z on board with you. Present the text messages as proof you aren't just fibbing. HIPAA is important in healthcare, as is general respect for individuals as human beings. We are nurses--we don't write for TMZ!

Love what was written above!. Gossip girls and cheaters? You shouldn't be friends or associating yourself with this type of person anyway. I wouldn't want this person to ever be my nurse. Please protect the profession and act on this.

Specializes in General.

Yes it is a dilemma. For one there were never any safest way to solve this kind. Any choice made always has negative consequence(s) on the other side. What we must understand is minimizing and/or preventing further damage. Being head down and MYOB might save you in some aspects but not for the other side. Turning her in will save the HIPAA privacy rule, but not for your friendship with her. Another option is talk to her in an assertive manner showing her that she has done a serious misconduct that putting you in it by sending out text. Have her conscience brought up and admit it officially and accept the consequence(s). By doing this, you have done what is good on your side no matter she will listen or not. Ethics only work by "Do no harm" Make your choice, face the rest, life goes on. (Sorry for my poor English)

Specializes in ICU.

OP, any updates? ... If you're still deciding, I would have to say the anonymous compliance hotline (assuming your work has one) is your best bet. HIPAA cannot, and should not, be ignored.

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