Quote from JasonValentine
You're constantly fighting over not being told why a patient is in any form of isolation? Do the nurses even know?...how can you take care of someone if you don't know what you need to look for? How do you keep a patient who is disoriented in bed at night? Are side rails even permitted?
In the past 15 years many, many things have changed. HIPAA, restraints are amongst the biggest. Side rails are considered a form of restraint. While restraints are still used....with a physician order and specific guidelines...in the acute care setting. Many LTC (long term care) have gone "restraint free". While they can still use them ....the regulations and documentation necessary to remain compliant is difficult to impossible with the staffing levels they maintain...so they just don't.
The utilize bed alarms....mattresses on the floor. Yet they (administrators) insist that it is the staff fault when patients do fall even though that nurse may have 30 patients.
It's become a scary world out there.
Not telling staff about isolation...that is not true everywhere....it is not a HIPAA violation to share patient information on a need to know basis. Yes they can share why a patient is in isolation. In some instances...the HIV status is protected and if they are admitted for something else you may not know their status unless it pertains to why they are there.
Some facilities have interpreted these regulations to the ninth degree and have gone a little over board. In HIPAA it talks about the use of identifiers to maintain confidentiality but you must have 2 identifiers....the patient full name and DOB to administer meds.
We have an entire forum about HIPAA that I think you would find interesting and informative!
HIPAA and Nursing Challenges