Our unit has built in wall units outside the pts rooms (we call them walleroos)the charts are kept there. Anyway, they open up and the Kardex is taped on the inside. The ward clerk writes memos on the kardex reminding us of new orders, labs, etc. Today, she had written on my pts kardex-- in big letters --HIV TEST--I pointed it out to the charge nurse and she immediately marked it out. We have the walleroos open when we are charting and any passer by could have seen it, the pt's names are on the outside of the walleroo, also. This is a small community and you know how gossip gets started. I hope I did the right thing.