My HIPAA dilemma

Nurses HIPAA

Published

I work 35 miles from my home. It's nice because I don't typically run into people I know. A few months ago, my Great Aunt was in the hospital. I didn't know she was there, but a fellow nurse asked me to verify insulin in a room, and it turned out to be hers. She was happy to see me and asked about my kids and my Grandma(they are sisters in law). She said well, tell her I said hi! I told her I can't really do that, but you can call her and let her know that you're here at my hospital! She understood.

Long story short, she bounced back and forth from the ICU to getting transferred to a bigger hospital, to subacute. One day I was charging and was called to a situation in the ICU. (At our hospital when a code, trauma etc happens, the Med/Surg charge also attends to help). The situation was my Great Aunt, back and in terrrrrrrrrible condition. It would not be long for her. I wrestled with this for days. All I wanted to do was call my grandma and tell her about her dear sister in law. My grandma did find out-when the children called her and told her that she had passed.

I have been sick with guilt. I know I am bound. It doesn't make it any easier. Perhaps my grandma could have said goodbye. Instead, now she is the last one standing from the family. HIPAA has always been pretty black and white for me. This is the first time I lived in that shade of grey.

Specializes in LTC, Memory loss, PDN.

there is no reason to feel guilty

you found out about the situation by accident

and in a situation where you have to be observant of

strict rules and regulations

you wanted to do the right thing and that's what counts

you're great aunt surely could have asked to call your grandma

or attempt to contact her

my only advice, don't go through trials like this on your own

if you're not sure, ask for help

supervisor, social worker, compliance officer, etc.

I'm sorry for your loss, and for the mental anguish you're going through r/t guilt. You did your best within the limits that you had to work within. Whatever you would have/could have done is now a moot point, but rest easy in knowing that you were just trying to do the right thing. I wouldn't try to explain this to family, as they would never understand; it's good that you posted your dilemma here.

Honestly I would have handled it the same way. I don't know that "tell her I said hi" would have made me feel comfortable enough given I work for a VERY strict (and often times unreasonable) health system. If she had wanted to reach out to your family, she would have in between hospitalizations. Be kind to yourself. You did what you felt was right. My thoughts are with you.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I am so sorry for your loss.....((HUGS))

You did as you felt was right. You made the best decision that you felt was appropriate at the time. Forgive yourself....you did your best at the time.

Me personally....I would have told my Grandma that so and so said Hi! I would have asked one of my relatives to call "grandma" or ask permission to tell "Grandma". If I told my family about the second one I would keep my mouth shut...what happens in my home stays there.

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