Published Nov 21, 2010
tiger74
3 Posts
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?
heartnursing
125 Posts
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:
Mulan
2,228 Posts
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.
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.
nurse grace RN, BSN
1 Article; 118 Posts
Sounds like homework to me.................
JB2007, ASN, RN
554 Posts
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?
traumaRUs, MSN, APRN
88 Articles; 21,268 Posts
What about calling the pharmacy? Usually, if you call Walgreens/CVS, any big chain, they can look up stuff online.
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.
TakeOne
219 Posts
If everyone in the scenario needed to share information with each other to prevent errors and further continuity of care, HIPAA was not violated.
nohika
506 Posts
I don't know what being prn status would have to do with whether or not it made her violate HIPAA...
roser13, ASN, RN
6,504 Posts
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.
Absolutely nothing. PRN was a just a descriptor used - nothing to focus in on.