HIPAA....the nightmare....

Nurses General Nursing

Published

Went to one of the mandatory HIPAA inservices we had the other day. I tell you this is about enough to make me want to get out of health care....I am all for patient's privacy and such but I think some of this has gone too far. We have been told at our hospital that we can't even inquire how a patient is doing, even if we had cared for that patient the day before. I like to know how the patients are doing...I really think it is great when the patient improves but I guess now I won't know anymore. I like to know that my nursing skills and care may have helped someone to regain their health or at least be able to cope with what has been handed to them. Is HIPAA going to make us a less caring profession? I don't about the rest of you, but it makes me feel like I have accomplished something when I know my patients are improving.....maybe I am just self-centered and conceited.

With all this HIPAA stuff, I am afraid to even look in my own patient's charts....wouldn't want to accidentally find something out that I am not suppose to know...I feel a major headache coming on....

Our privacy officer told us that complaints about HIPAA are going to be handled by the Office of Civil Rights, and that they are already receiving complaints about HIPAA violations and the law hasn't even gone into full effect......lawsuit city....wonder how many good healthcare professionals will leave their professions because of "unobtainable" goals for compliance?

I agree that this is a big headache. The only good thing is that the lady that makes the appointments when I go to the dr shouldn't be able to ask me what the appointment is for. I can Just nunya:chuckle

Specializes in Med-Surg Nursing.

I'm really quite surprised that we haven't had our HIPPA inservice. HIPPA hasn't even been mentioned much at my facility. I'm sure it's coming though.

Specializes in LDRP; Education.

This was a very informative article regarding HIPAA. I think a lot of us may be blowing the requirements out of proportion a tad. At any rate, this article was quite good.

hipaa.txt

Specializes in Critical Care & FNP.

What about a patient's doctor, who doesn't have privilages at my hospital, asking about the patient's care? Should I be giving this doctor any information, given that the family of the patient has brought him into the unit with them as a consult? (Note: the patient is unresponsive).

Opinions, anyone?

Specializes in Critical Care & FNP.

What about a patient's doctor, who doesn't have privilages at my hospital, asking about the patient's care? Should I be giving this doctor any information, given that the family of the patient has brought him into the unit with them as a consult? (Note: the patient is unresponsive).

Opinions, anyone?

Specializes in ER.

I think different hospitals are interpreting the regulations differently. The only change at our hospital is to add passwords to the computer system. And pt info is not locked up, just out of sight on unattended units.

I also know that the hospital frowns on looking up your own lab reports, however I believe that is a hospital policy. As far as I'm concerned I will be looking them up and regs be darned. I have a right to know, and not just at their convienence.

Specializes in ER.

I think different hospitals are interpreting the regulations differently. The only change at our hospital is to add passwords to the computer system. And pt info is not locked up, just out of sight on unattended units.

I also know that the hospital frowns on looking up your own lab reports, however I believe that is a hospital policy. As far as I'm concerned I will be looking them up and regs be darned. I have a right to know, and not just at their convienence.

Originally posted by sherbeari

What about a patient's doctor, who doesn't have privilages at my hospital, asking about the patient's care? Should I be giving this doctor any information, given that the family of the patient has brought him into the unit with them as a consult? (Note: the patient is unresponsive).

Opinions, anyone?

My guess is that it would be in violation of HIPAA. When people check into our ER now for treatment, they are asked if they want a copy of their ER record to go to their PCP. So, I guess if a doc from another hospital calls and inquires about a pt who is not currently UNDER his services, then he has no more right to information than any other Tom, Dick, or Harry.

I HATE HIPAA.....:devil: :( :devil:

Originally posted by sherbeari

What about a patient's doctor, who doesn't have privilages at my hospital, asking about the patient's care? Should I be giving this doctor any information, given that the family of the patient has brought him into the unit with them as a consult? (Note: the patient is unresponsive).

Opinions, anyone?

My guess is that it would be in violation of HIPAA. When people check into our ER now for treatment, they are asked if they want a copy of their ER record to go to their PCP. So, I guess if a doc from another hospital calls and inquires about a pt who is not currently UNDER his services, then he has no more right to information than any other Tom, Dick, or Harry.

I HATE HIPAA.....:devil: :( :devil:

I work at a very gossipy hospital with full open visiting, and nosy gossipy docs who are into each others' business.. As a nurse, under the new HIPAA laws, I am now terrified of being sued or fined because I didn't stop some nosy doc, or give some info to family that I should not have.

Now we get in trouble at my hospital whenever visitors complain about ANYTHING. We are to 'keep the customer satisfied, and they are always right'. But family here is just EVERYWHERE ALL the time and we cannot limit them. We have zero privacy unless we give report in the can. No report areas, only the desk, halls and patient rooms.

Since visitors will NOT leave and we are not allowed to MAKE them go away even at change of shift time, I feel we are really stuck between a rock and a hard place.

And patient family complaints are through the roof because nurses are hedging even MORE on info to them since HIPAA. This is just another headache for us. :(

And what about the unconscious patient? How do we know if he wants his estranged (but still legal) spouse to know he OD'd on 3 drugs and ETOH?? But that wife complains I'm not giving her any info, becomes a thorn in my side all shift long, and THEN I'm in trouble with administration later when she complains about me.....grrr.

Thanks for listening to my vent. As ya'll can tell I'm frustrated today... another shytty shift last night in an ICU with open visiting 24/7....LOL.

I work at a very gossipy hospital with full open visiting, and nosy gossipy docs who are into each others' business.. As a nurse, under the new HIPAA laws, I am now terrified of being sued or fined because I didn't stop some nosy doc, or give some info to family that I should not have.

Now we get in trouble at my hospital whenever visitors complain about ANYTHING. We are to 'keep the customer satisfied, and they are always right'. But family here is just EVERYWHERE ALL the time and we cannot limit them. We have zero privacy unless we give report in the can. No report areas, only the desk, halls and patient rooms.

Since visitors will NOT leave and we are not allowed to MAKE them go away even at change of shift time, I feel we are really stuck between a rock and a hard place.

And patient family complaints are through the roof because nurses are hedging even MORE on info to them since HIPAA. This is just another headache for us. :(

And what about the unconscious patient? How do we know if he wants his estranged (but still legal) spouse to know he OD'd on 3 drugs and ETOH?? But that wife complains I'm not giving her any info, becomes a thorn in my side all shift long, and THEN I'm in trouble with administration later when she complains about me.....grrr.

Thanks for listening to my vent. As ya'll can tell I'm frustrated today... another shytty shift last night in an ICU with open visiting 24/7....LOL.

Specializes in Case Management, Home Health, UM.

It's just another example of the Feds doing whatever they can, to make things even harder than they should be. Case in point: I called one of my late father's insurance carriers last week, trying to get an unpaid doctor's bill taken care of.....and they wouldn't even TALK to me! :(

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