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JustBeachyNurse 51,946 Views

Joined Aug 5, '10. Posts: 34,078 (21% Liked) Likes: 19,972

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  • 6:09 pm

    Quote from blondy2061h
    Really? Even alone? So if I say "I've taken care of a patient from Baltimore." that alone is a HIPAA violation. I just violated HIPAA?
    Read up on the 18 patient identifiers. There is more involved when you're talking about large metro areas, but I'm on my phone and didn't want to type the whole thing out.

  • 6:09 pm

    Quote from blondy2061h
    It doesn't sound like a hipaa violation to me. There is no identifying information. City is pretty broad, and the treatments you describe are fairly typical for a home care patient.
    Actually, any geographic area smaller than a state is considered an identifier. So yes, mentioning the city the patient is in IS a HIPAA violation.

  • 5:44 pm

    Sn community is super small.... A baby on a trach is rare enough it's an identifier. Hope you don't get into too much trouble.

  • 5:23 pm

    @betty52, it's not in your best interest to discuss patient/family complaints in public, if the mom is angry at you for mentioning another patient, think of how she may react if she sees that you are discussing the matter on an public forum.

  • 5:23 pm

    If your goal is to work as a RN in Canada, go to school in Canada, taking an associates degree in the US and hoping that you will work as a RN in Canada isn't logical career planning.

  • 4:22 pm
  • 3:59 pm

    Sigh. You gave some pretty specific details. SN parents tend to know of each other, so chances are your momma figured out whom you were blabbing about even though you didn't give a name. Frankly, I'd be worried if I were you.


    Quote from Betty52
    I have a question. I work in home care and became comfortable with the mother of a patient because she talks and talks about her personal life and problems for 2 hours every time I arrive. So I mentioned another case I have with the company, no name but that it's a baby trach, vent, gtube, in so-so city...now I am being called in to talk to human resource...how will this effect my nursing license?

  • 3:58 pm

    HIPAA Is a law that came about because we (health care providers in general) didn't use common sense about disclosure. I think the law can go too far to the point of silliness sometimes, but maybe that's just me. I've been in trouble for HIPAA twice.

    Once I was standing in an elevator in my scrubs, on my way to work talking to another employee in scrubs on his way home from work. We were married to each other. I was talking about a patient's lab values, cardiac cath, confusion and his wife's inability to cope. We were alone when the conversation started, but a gaggle of social workers entered the elevator and we continued our conversation because time was short -- I had to get to work, the topic was emotional for both of us and no patient identifiers were revealed. One of the social workers took it upon herself to follow me to the ICU and report the "HIPAA violation" to my manager. Fortunately, my manager knew (because I had called her before leaving my house) that the patient I was discussing with my husband on the elevator was my father who was hospitalized in another state and that I was leaving immediately from work at the end of my shift to fly to his side. I wouldn't have another opportunity to see my husband before leaving town. The social worker's reaction to this news was that "you shouldn't have been talking about it on the elevator." Possibly not, but we allow visitors to talk about their loved ones on the elevator, and everyone present was employed by the hospital. And it has always griped me that she never indicated any sympathy for my situation with my parents.

    The other time was long, long ago when Robin Scorpio's HIV test came up positive on General Hospital. My assistant manager and I were discussing our favorite character and speculating whether she got HIV from her boyfriend whose previous lover was an IV drug abuser. We were standing outside a patient room, and the TV in the room was on to General Hospital and the angst onscreen was all about Robin and Stone. A patient's wife came boiling out of the room next door and started shouting at us that she was going to report us for openly discussing a patient's HIV status. The assistant manager disappeared before the visitor could read her name tag, but I foolishly stayed behind and attemtped to explain to her what we were discussing, even going so far as to point to the TV screen. It didn't matter. She went straight to the manager. What saved me was the assistant manager who was the next person into the manager's office.

    I also got into trouble for NOT revealing information to "the patient's wife." John Doe went down on the golf course and was admitted to our unit. Woman shows up, says she's his wife and demands to start making his medical decisions. She has a ring. He has a ring. We put the name that she gave us on the chart and she started making decisions. I went into the room to check on an antibiotic that was hanging while I was providing lunch coverage for the patient's nurse. I found the woman sitting in the nurse's chair in the room, surfing through his chart on the computer that the nurse had left logged on. She pointed to a lab result on the screen and demanded that I explain it to her. Instead, I told her that it is part of our hospital policy that visitors not access the patient's chart, and when she refused to comply with my request that she get off the computer, I switched off the power strip the computer was plugged into. Instant dark screen. When the patient woke up, a couple of days later, he told us his name wasn't what she said it was and he had never seen her before in his life. Turns out the woman had recently lost her husband which had exacerbated her ongoing mental health issues.

    Perhaps there is some food for thought in the above, and maybe something to discuss in your class.

  • 1:47 pm

    Specifically, the "I'm glad you're not my nurse/I'd never want you as my nurse".

    Quote from roser13
    BuckyBadger likely meant that you're not the first, nor will you be the last new poster to bite the hand that fed you. You were, however, the quickest (so far) to get all riled up when someone answered your questions honestly but the answers weren't to your liking.

    You might very well retain your position as first, though. It would be hard to beat just the one post before you got mean.

  • 9:48 am

    This scenario is playing out where I work.Most facilities have policies against family members working together ,this is why.You also can't have it both ways.Either you become an independent adult and go out job searching on your own or you stay there and under your mother's wing.Make a choice.It sounds like if you don't like the new job your mom can manufacture another position for you anyway,what have you got to loose?.I bet the two of you are detested by your co-workers,can you see how this is wrong?

  • 6:41 am

    Quote from Farawyn
    You first.
    Thanks Farawyn!

    Well, Matt, I'd have to say the three biggest Practice Issues I that I have to face are:

    1.Balancing my breakfast tray, so it doesn't spill, in order to unlock the Psych Unit doors.

    2.The reality that I am not King of the Universe. Heck! I'd settle for King of the World! Anyone want to nominate me? Anyone?

    3.The Hospital doesn't come crumbling down every time I take a day off. Well, it does- but only in my dreams!

    Thanks for asking, Matt. I feel as tough a real catharsis has taken place here!

    Okay, Farawyn- your turn!

  • 6:39 am

    If you're old enough and mature enough to get through nursing school and get licensed, you're old enough to be making your own career decisions. If you really want advice about dealing with mothers, my advice would be to stop working with yours, and stop letting her tell you what to do.

  • 6:38 am

    The last time my dad helped me find a job I was 14.

  • 6:17 am

    That hurt my eyes to read.

  • 6:17 am

    You know yourself better than anyone else, including your mother. Nip the helicopter parenting in the bud. Do not let her "help" you get jobs anymore. You are an adult and you will make decisions about your own life.


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