R.N.s report private information to abusive family members - page 3

In a true-to-life case scenario, an abusive relative calls the hospital and asks for information about a helpless patient who they have committed crimes against. Why does every nursing staff not have any plan to avoid this? ... Read More

  1. 0
    Quote from jadelpn
    And I do not disagree, however, anyone could be on the phone.
    Anyone could be on the phone, which is why basic steps are taken to ensure we're talking to the right person, but without delaying care.

    I suppose we could confirm identity only by DNA testing for medical decision making purposes, although by that point the only decisions they might be making is which Funeral home to use.

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  2. 0
    Quote from MunoRN
    Anyone could be on the phone, which is why basic steps are taken to ensure we're talking to the right person, but without delaying care.

    I suppose we could confirm identity only by DNA testing for medical decision making purposes, although by that point the only decisions they might be making is which Funeral home to use.
    And we can agree to disagree....with difficult family dynamics often prevelent, the house supervisor, the charge nurse....someone who is higher on the food chain than I can give whatever information they would like to. Otherwise, I follow the policy of the hospital. Cause when the sister's common law husband's third cousin once removed is making a scene and threatening lawsuits, claiming to be the HCP cause she dropped dinner off to the patient every holiday I am about all set......
  3. 0
    Quote from jadelpn
    And we can agree to disagree....with difficult family dynamics often prevelent, the house supervisor, the charge nurse....someone who is higher on the food chain than I can give whatever information they would like to. Otherwise, I follow the policy of the hospital. Cause when the sister's common law husband's third cousin once removed is making a scene and threatening lawsuits, claiming to be the HCP cause she dropped dinner off to the patient every holiday I am about all set......
    That's the policy everywhere. If a NOK is available in the case of patient unable to express their own wishes, then the NOK becomes the decision maker. It's not only appropriate for Nurses and other staff to share this information with the NOK, ensuring they are fully aware of all the information needed to play that role is a requirement of every Nursing BON in every state. Essentially, information sharing with the NOK must follow the same requirements that you would for the patient, would you refuse divulge information about the patient to the patient?

    There are of course exceptions to this. Staff need to make a good faith effort to ensure that the NOK/POA is fulfilling their role as patient advocate. I had a patient once who when we asked the POA (his wife) what should be done in a particular situation, her response was "let the bastard die", she lost her POA privileges. But absent that, we, including the patient's Nurse, are required to keep the NOK/POA informed of everything relevant to decision making.
  4. 0
    Quote from jadelpn
    When one is speaking of committing felonies, and threats to patient's welfare, then you need to get other disciplines involved. Including law enforcement if appropriate. Anyone who is truly a threat to a patient's welfare, they have no business being in the room with the patient to root and snoop.

    Accusing someone of these crimes is serious business. So be sure that you have assessed, concluded, followed policy, and have your charge or even manager well apprised. The MD well apprised. Just be sure that ALL of your "T's" are crossed, and your "I's" dotted, to protect you as well as the patient.
    When I mentioned people who root around in someone's room, I was not referring to the patient's room in the facility but to their own homes.


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