Kicked out of class for a "HIPAA" violation?

Nurses HIPAA

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Hello, I am a Senior nursing student and I was kicked out of clinicals and made to repeat the course for a few issues that happened during the day. I would be lying if I said I wasn't as prepared as I should of been that day, but I believe what happened to me was incredibly unjust. I am accused of violating HIPAA because I let another student into my patients room to look at her ventilator. As students, we are always trying to learn and he has never seen a ventilator before. I thought this was a good opportunity to learn, so I asked my nurse BEFORE we entered the patient room if it was okay for him to enter my patients room and look at her ventilator, in which the nurse said it was fine to do. A few days later, I get an email telling me not to go to clinicals and meet with my supervision. They were also appalled that I had to ask my nurse one of the medications were that we were hanging, and I also accidentally withdrew 30 iu's instead of 3 iu's of insulin AT the med station, in which the nurse saw and said that was way too much, in which I agreed with, apologized, and moved on.

The nurse reported me to her supervisors, which then contacted my school and were absolutely disgusted with my performance. When I met with my supervision, they completely sided with the hospital and were cared more about the school's image and less about my side of the story. If another student entering my patients room with permission from the nurse was a HIPAA violation, shouldn't the nurse be punished as well because she was the one who gave me permission to do so? That being said, I was removed from the course, 7 months away from graduation and had to sit out nearly 4 months before I could retake the class and pushes my graduation date back. Is this a legitimate case of a HIPAA violation?

HIPAA Violation Examples
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I don't have an opinion on the HIPPA issue, other than to say I suspect there are other details we are not hearing on this point.

The answer to the question above, however, is a resounding YES. Yes, absolutely, I would fire a nurse for this "near miss." Thankfully, the standard for competence is a little higher than waiting until a nurse actually kills someone before there are consequences.

Carry on.

As far is the HIPAA issue, there is absolutely nothing else I am leaving out of that situation. My fellow student was over in my pod and I told him I had a patient on a ventilator in which he asked if he could see because he has never cared for a patient before on a vent. I approached my nurse and asked if it was fine if he went into the room and she said it was okay. In the room, he asked the patients son if it was okay if he was in the room to look at the ventilator and he obliged. We talked about the ventilator for a couple minutes then exited the room.

Specializes in Hospice.
As far is the HIPAA issue, there is absolutely nothing else I am leaving out of that situation. My fellow student was over in my pod and I told him I had a patient on a ventilator in which he asked if he could see because he has never cared for a patient before on a vent. I approached my nurse and asked if it was fine if he went into the room and she said it was okay. In the room, he asked the patients son if it was okay if he was in the room to look at the ventilator and he obliged. We talked about the ventilator for a couple minutes then exited the room.

Well, you did leave something out, didn't you? The bolded bit wasn't in the OP. This is the first we're reading about the patient's son giving permission.

Yep, I'm nitpicking ... but as other posters have tried to point out, the devil is in the details.

Specializes in Psychiatric/ Mental Health.

Seems as though alot of nurses on this thread are being quite harsh and really coming down on you. Its as if they've never made mistakes...maybe they haven't, but anyhow.

I can see why the nursing admins at your school would say you violated HIPPA. The only individuals who should've been in the pts room were you, the RN who was precepting you, and other RNs sent in to provide care during a break or to tend to alarms in the pts room, something like that. Just pulling another student in a pts room because he had never seen a vent did violate that pts privacy. You have to think about it from the pts perspective...in a hospital, no comforts of home, different caregivers every 12 hrs. You get used to seeing certain staff, and randomly pulling some guy in to observe the pts vent, just think about it. That was not professional behavior, though it seemed like such a small thing I know.

Now to the insuln. Yes...3 units vs 30 units IS a BIG DEAL if it had been administered. Thank goodness we get another RN to check meds such as insulin.

Both of these situations were most def a teaching moment. I suspect they decided to have you sit out because they expected a student nurse so far along in the program to be more competent regarding things of this sort. Also, the preceptor should've also educated you on HIPPA and the insulin instead of reporting you. As your preceptor, she should've been guiding you. If you screwed up, she should've spoken to you in private regarding the matter. You as the student should get in the habit of asking your preceptor how you performed during clinicals, what your strengths were, what areas need improvement, etc. You will never know what your failing at unless you ask...perhaps if you had asked, these issues could've been addressed instead of reported because it shows the preceptor you actually CARE and WANT to excel as an RN. Maybe the fact that you seemed to breeze by the fact that you drew up 10 times more insulin that was order was your nail in the coffin.

There's nothing you can do now but take it all in stride and learn from the situation. I know you'll be a better RN because you went through this. Keep your head up :)

P.S. Spelling bee Nazis, please excuse typos as I can only use the internet on my tiny phone. Thanks.

Well, you did leave something out, didn't you? The bolded bit wasn't in the OP. This is the first we're reading about the patient's son giving permission.

Yep, I'm nitpicking ... but as other posters have tried to point out, the devil is in the details.

You're right, it wasn't in the original post, I thought it was rather irrelevant until someone mentioned we should of got permission from her next of kin if she was unable to talk. Just so happened her son was in the room and we asked him if it was okay if we could look at the ventilator in which he didn't have a problem with.

Yes, we all agree that 30 units of Insulin and 3 units is a huge difference. There are 3 checks to giving medication which it seems OP did not have time to do prior to the RN letting her know about the discrepancy. OP has stated that she would have done the other checks and (HOPEFULLY!!!!) caught her own mistake.

Now, I'd like to ask OP this. How do you think the patient would have felt had you gone to the room to give that insulin and you did a final "check" there and realized the dose was incorrect? At the very least, and I do mean ​very least How much trust would that patient have with you from that point on?

Yes, we all agree that 30 units of Insulin and 3 units is a huge difference. There are 3 checks to giving medication which it seems OP did not have time to do prior to the RN letting her know about the discrepancy. OP has stated that she would have done the other checks and (HOPEFULLY!!!!) caught her own mistake.

Now, I'd like to ask OP this. How do you think the patient would have felt had you gone to the room to give that insulin and you did a final "check" there and realized the dose was incorrect? At the very least, and I do mean ​very least How much trust would that patient have with you from that point on?

Well said, certainly a learning experience. I was always careful during med administration and prided myself on being so, but I made a mistake that I will never make again. It is extremely important to make multiple checks during med administration...starting from the med station to the bed side and right before administration .

I almost failed my last medical surgical clinical but thankfully my school stuck up for me and gave me remediation, which the hospital based educator agreed to and I passed. I did make a med error of giving a patient 1000 mg of antibiotic (a whole tab) instead of 500 mg (half tab). That, and another issue of what the instructor perceived to be incorrect prioritization when my nurse's (and my) patient had a low blood sugar and there were three nurses in her room helping her and I decided to take care of the other patient, who was slightly demented and a huge fall risk getting out of bed because of severe diarrhea. No one was paying attention to her, there were three nurses in the other patient's room and I thought the best use for me was to stay out of the way and keep the other patient safe. It was a really tough clinical which I hated every day of on a tele floor. I was really grateful my school stood behind me and helped. I would have to say at no time was I angry or defensive. When the clinical instructor told me I wasn't going to pass (but could continue the clinical), I wept for a few minutes but then pulled myself together and thanked her for letting me continue and vowed I would make the most of every minute of clinical time I got. I did pass with the evaluation and remediation the school and the clinical instructor gave me and did well on my capstone clinical.

One of the biggest mistakes we can make as new nurses and students is to be over confident, but there is such a fine line with that because you have to be confident or you just freeze with fear, or at the very least scare your patient too.

I'm sorry this happened to you and wish you a great experience on your next class. Right now the best thing you can do is work with your instructors to identify weak areas, remediate, and ace your next clinical. Excuses are pretty much a waste of energy at this point. It is what it is. You will look back at this when you ARE a nurse and probably be grateful it happened. I agree with other posters that it was the insulin mistake the sealed the deal.

I almost failed my last medical surgical clinical but thankfully my school stuck up for me and gave me remediation, which the hospital based educator agreed to and I passed. I did make a med error of giving a patient 1000 mg of antibiotic (a whole tab) instead of 500 mg (half tab). That, and another issue of what the instructor perceived to be incorrect prioritization when my nurse's (and my) patient had a low blood sugar and there were three nurses in her room helping her and I decided to take care of the other patient, who was slightly demented and a huge fall risk getting out of bed because of severe diarrhea. No one was paying attention to her, there were three nurses in the other patient's room and I thought the best use for me was to stay out of the way and keep the other patient safe. It was a really tough clinical which I hated every day of on a tele floor. I was really grateful my school stood behind me and helped. I would have to say at no time was I angry or defensive. When the clinical instructor told me I wasn't going to pass (but could continue the clinical), I wept for a few minutes but then pulled myself together and thanked her for letting me continue and vowed I would make the most of every minute of clinical time I got. I did pass with the evaluation and remediation the school and the clinical instructor gave me and did well on my capstone clinical.

One of the biggest mistakes we can make as new nurses and students is to be over confident, but there is such a fine line with that because you have to be confident or you just freeze with fear, or at the very least scare your patient too.

I'm sorry this happened to you and wish you a great experience on your next class. Right now the best thing you can do is work with your instructors to identify weak areas, remediate, and ace your next clinical. Excuses are pretty much a waste of energy at this point. It is what it is. You will look back at this when you ARE a nurse and probably be grateful it happened. I agree with other posters that it was the insulin mistake the sealed the deal.

Thanks for sharing your story!

Hugs. Go back and kick butt this semester in clinicals!

Specializes in ICU.
I never once said it was "no biggie" that the nurse caught it after I pulled the needle out of the vial. You need to stop putting words in my mouth and assuming how I feel or reacted. I told you that I felt horrible for what I did but I always double check my insulin with the nurse BEFORE I administer it to the patient. She just happen to catch the error at the med station. If we are going to talk about hypothetically administering 30 iu's to the patient, than we must hypothetically consider that I would of caught it bed side before administration. I feel that this situation was poorly handled by my school's end and so do other of my nursing friends who have been in the practice for quite some time. I don't feel like I am immune from the situation, but this is a first offense and there is no pattern of malicious behavior at any facility I have ever been to in almost 3 years of clinical experience, administering many units of insulin within that time frame. Stop assuming I don't care, you don't know me, don't pretend like you do.

Hypothetically you should have caught this mistake prior to DRAWIN up this medication. You truly seem clueless and cavalier to the magnitude of this MAJOR ERROR!

Hugs. Go back and kick butt this semester in clinicals!

thank you

Hypothetically you should have caught this mistake prior to DRAWIN up this medication. You truly seem clueless and cavalier to the magnitude of this MAJOR ERROR!

Perhaps you didn't read the part where I said that it severely affected my psyche. I am sure you have never once made a mistake right? And if you are a nurse you have never once made a mistake during clinicals or practice right?

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