Am I going to get dismissed from the nursing program?

[Bunnie90]

So I turned in my mental health care plan and got a 0 from it and also got a U for violating hippa. I put my patient full name on the SBAR on clinical form and I don't remember how this happened. I'm not trying to deny my mistake but I put patient initial on the very first page of the care plan then somehow I put the full name on the SBAR on the very last page. My instructor was the only one who saw the full patient name on my clinical form that I turned in. My clinical instructor told me that the patient was minor so they might have to contact her parents and I'll have to meet with the a&p committee too. I'm so anxious about it. I think I might get dismissed.

[caliotter3]

Nobody here can answer that question for you. Undoubtedly you will find out soon.

[Cat365]

I hope that you will not. As a tip for future use. During clinical I made a practice to never write the full names of my patients down. I carried a special notebook during clinical that I used to record information on. We were not permitted to print out anything. So the notebook was the only thing that came home. At the top of each page I wrote only first and last initials of my patient and the clinical date.

Im awful with names so by the time I was writing papers to be turned in most times I couldn't have told you the full name of that patient if I wanted to.

Is the SBAR something you wrote at home or did you take home an SBAR from the clinical site?

[Bunnie90]

I wrote the SBAR at clinical because I got the information printed out but before leaving I gave them back to my clinical structure. Then three days later the clinical care plan was due. nobody saw it but my instructor. And then she graded it a week later and found out that I put my patient name on the SBAR. Then she went back to the green sheet that she gave me a Satisfactory and changed it to a unsatisfactory. I mean if I wrote the name on the sbar on the careplan that day and she doesn't know until a week later of grading my care plan, I'm a deserve a U for participating and doing everything right at the clinical? Because my mistake was found on the clinical care plan that due three days later you know. Honestly I felt like I was thinking about like I was talking to the doctor and wrote the full name down unintentionally on the SBAR without thinking that I can only put initial name on the care plan. I really don't know how to talk to them at the meetings

[Bunnie90]

My care plan have 10 pages and the sbar is included on there. I took a blank care plan to clinical and I filled them there. I got the sbar done but I still had some reflection questions to do and also medications. And the form is not due until three days later. So as usual we are allowed to bring it home and finished. Nobody saw my clinical form because I live by myself and so I turned it it three days later and got graded a week later. I meant it is right that my instructor gave me 0 for putting name on the sbar because we can only do initial. But is it right for her to go back to the clinical green sheet and changed the grade from satisfactory to unsatisfactory on that clinical day like the day I was doing my care plan? Because I got everything done and took care of patient right without mistakes. My real mistake is that she did not know that my patient name was in my care plan that day because the clinical form is due three days later. I'm just wondering

[Here.I.Stand, BSN, RN]

But is it right for her to go back to the clinical green sheet and changed the grade from satisfactory to unsatisfactory on that clinical day like the day I was doing my care plan? Because I got everything done and took care of patient right without mistakes.

Well, taking anything from the clinical site with the pt's name on it would be a mistake. Without asking your instructor, I'm guessing this is why she changed *that* portion to a U

[95PGTTech]

I personally think the 0 AND the U is excessive. If it were my decision (which it is not), you would get a formal write up on your file and a very clear talking to that a future violation will result in your termination from the program and possibly blacklisting you from others. Again though, not my decision.

If you had your RN and made the same mistake, you likely would be out of a job. In the field, many verbal HIPAA violations are made on a daily basis on busy floors, none ill-intended - because it's hard to prove what he/she said etc.. But when you make a mistake like you did by committing it to paper (or accessing the EMR and electronically committing it to paper), that's hard evidence that never goes away.

[ilhamtony, MSN]

The meeting is more than likely related to requirement under HIPAA - and the host facility policy and procedure to disclose and discuss the inadvertent and accidental disclosure of patient protected information. These events do occur even with the tightest scrutiny of programs; hopefully you will get to share your first hand experience with the importance of carefully managing access to patient records for years to come after you graduate from the program you are in!