Who's in violation of Hipaa?

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Specializes in Nephrology, FM.

A friend was on shift, taking care of a patient who needed their medication list updated. The patient was having a few complications at the time and was unable to provide any information. In order for the medical team to provide effective treatment, they needed an updated medication list. The medical team was unsuccessful at contacting the pcp for the current medication list. It was decided by the medical team, to contact a nurse off duty, that had just gone prn for the company, to see if he could contact the pcp. (the prn nurse had priviledged private contact numbers for that pcp.) The prn nurse called the pcp to alert him that the medical team was looking for some information, as to provide continuity of care. Was there a Hipaa violation in this scenario?

Specializes in Pediatric Critical Care.

I don't really see what the problem is..... they needed the information in order to provide care for this individual... if not they would not be getting adequate care needed

:twocents::twocents::twocents::twocents:

Is this a student assignment? It sounds like it and it sounds like the type of question you are supposed to be answering by yourself.

Specializes in Nephrology, FM.

This is not a student assignment. This is a legitimate question. The details were spared because I did not want to be in Hipaa violation.

Specializes in med/surg, TELE,CM, clinica[ documentation.

Sounds like homework to me.................

Specializes in LTC, Med-SURG,STICU.

Did anyone give the pts name or health info? I do not see a violation in call the nurse in question and saying that you need the nurse to contact the MD because you have a pt of their's that is unable to give the info that you need to provide care. Give that nurse your contact info and that should be fine. No other info really needed to be given to the nurse in question. Was more info given?

Specializes in Nephrology, Cardiology, ER, ICU.

What about calling the pharmacy? Usually, if you call Walgreens/CVS, any big chain, they can look up stuff online.

Specializes in Nephrology, FM.

The prn nurse had been assigned to this patient on many occassions and therefor was familiar with this patient and the patients needs. Is the medical team in hipaa violation because they inititated the order to call the prn nurse? Was the nurse making the call to the prn nurse in violation? Or the Prn nurse in violation because she was now prn status and made the phone call to the pcp? All one company, all for the continuity of care for one patient.

If everyone in the scenario needed to share information with each other to prevent errors and further continuity of care, HIPAA was not violated.

The prn nurse had been assigned to this patient on many occassions and therefor was familiar with this patient and the patients needs. Is the medical team in hipaa violation because they inititated the order to call the prn nurse? Was the nurse making the call to the prn nurse in violation? Or the Prn nurse in violation because she was now prn status and made the phone call to the pcp? All one company, all for the continuity of care for one patient.

I don't know what being prn status would have to do with whether or not it made her violate HIPAA...

Specializes in Med/Surg, Ortho, ASC.

I don't believe that a HIPAA violation occurred. Everyone involved had a "need to know" in order to treat the patient.

Pharmacies are increasingly reluctant to send med lists due to the obvious HIPAA concerns. The nurse with prior experience was appropriately contacted and responded appropriately.

Specializes in Med/Surg, Ortho, ASC.
I don't know what being prn status would have to do with whether or not it made her violate HIPAA...

Absolutely nothing. PRN was a just a descriptor used - nothing to focus in on.

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