This document provides an overview of privacy training at Northwest Orthopaedic Surgeons (NWOS). It discusses NWOS's commitment to patient privacy and confidentiality. It outlines the course objectives of understanding how to properly handle private patient information and who can access it. Several case studies are presented that illustrate common examples of privacy breaches, such as inappropriately sharing patient information with unauthorized individuals, accessing records without authorization, and losing private health information.
On the morning of the opening of Startup Fest Europe, 10 of the most promising disruptive and innovative companies run by budding Dutch or international entrepreneurs will pitch their plans to a panel of global Dragons, CEOs and special guests. Power breakfast will be served with the most amazing view of Amsterdam!
Siete claves o pilares para la lectura de un texto filosófico en la E.S.O. y/o en Bachillerato. [Curso: «Leer e investigar en la era digital»] José Fco Domínguez García
1. Leroy died suddenly, leaving behind him Margret, his wife, who .docxjackiewalcutt
1. Leroy died suddenly, leaving behind him Margret, his wife, who was suffering from atherosclerosis (hardening of the arteries) of the brain, for whom he had cared devotedly because she was practically an invalid. In his will, he left his substantial estate to her, to go upon her death to his side of the family. He had actually earned all the money because Margret had never gone to work. Margret’s sister, Anne, and her husband Eric an attorney agreed to take care of her, putting her into a skilled nursing facility near their home for which all expenses were paid from Leroy’s estate. While she was still alive, they changed Margret’s will, splitting the estate 40/60 in favor of her side of the family. They had a doctor certify that she was mentally competent to make such a change, but Leroy’s family, who had visited her, noticed that she was capable of very little in the way of decision-making. As longtime friend of Anne and Eric, they had trusted them not to do anything improper. When they learned that Anne and Eric had changed Leroy’s will under what they felt to be very shady circumstances, they accused them of stealing.
Do you believe that what Anne and Eric did was theft? Why or why not? If they felt their side of family had been wronged, was there anything that Anne and Eric could have done differently to rectify the problem?
2. A psychologist wants to videotape some of his patients during their therapy sessions, partly as a study he is doing and partly as a teaching device for advanced psychology students. He feels that if the patients know they are being taped, they won’t act naturally, which will both taint his study and diminish the film’s value as a teaching device. For this reason, he feels that the patients should not know that they are being taped even though what they do or say on the tape may reveal certain aspects of their private feelings and lives.
What should the psychologist do? Should he tell the patients he is taping them, or should he just go ahead and tape without their permission, assuming that he is just going to use the tapes for his own research and as a teaching device? Are there any other alternatives you can think of for the psychologist to follow?
3. Laura, a 19 years old woman, fell into a coma because of an overdose of drugs and alcohol. She was given emergency treatment at a hospital and was placed on a respirator, which stabilized her breathing. She remained in a deep coma, and when she was tested by neurologists; and neurosurgeons it was discovered that about 70 percent of her brain was irretrievably damaged. She was not brain dead, however: she reacted to pain, her eyes sometimes would open and her pupils contract, she would at times thrash about and her EEG showed some brain activity. She was in a PVS. Because she could not be pronounced dead in any medical or legal sense, the hospital and doctors refused to take her off the respirator or to stop any other treatments they were giving her. At one p ...
For this assignment, consider the following case and then using th.docxbudbarber38650
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
AETCOM module: Bioethics for Undergraduate Medical Studentslavanyasumanthraj
The Attitude, Ethics & Communication module introduced by the National Medical Commission is being followed in Medical Colleges. Here's a simple understanding of aspects on Bioethics & solution to Phase 2 MBBS modules
On the morning of the opening of Startup Fest Europe, 10 of the most promising disruptive and innovative companies run by budding Dutch or international entrepreneurs will pitch their plans to a panel of global Dragons, CEOs and special guests. Power breakfast will be served with the most amazing view of Amsterdam!
Siete claves o pilares para la lectura de un texto filosófico en la E.S.O. y/o en Bachillerato. [Curso: «Leer e investigar en la era digital»] José Fco Domínguez García
1. Leroy died suddenly, leaving behind him Margret, his wife, who .docxjackiewalcutt
1. Leroy died suddenly, leaving behind him Margret, his wife, who was suffering from atherosclerosis (hardening of the arteries) of the brain, for whom he had cared devotedly because she was practically an invalid. In his will, he left his substantial estate to her, to go upon her death to his side of the family. He had actually earned all the money because Margret had never gone to work. Margret’s sister, Anne, and her husband Eric an attorney agreed to take care of her, putting her into a skilled nursing facility near their home for which all expenses were paid from Leroy’s estate. While she was still alive, they changed Margret’s will, splitting the estate 40/60 in favor of her side of the family. They had a doctor certify that she was mentally competent to make such a change, but Leroy’s family, who had visited her, noticed that she was capable of very little in the way of decision-making. As longtime friend of Anne and Eric, they had trusted them not to do anything improper. When they learned that Anne and Eric had changed Leroy’s will under what they felt to be very shady circumstances, they accused them of stealing.
Do you believe that what Anne and Eric did was theft? Why or why not? If they felt their side of family had been wronged, was there anything that Anne and Eric could have done differently to rectify the problem?
2. A psychologist wants to videotape some of his patients during their therapy sessions, partly as a study he is doing and partly as a teaching device for advanced psychology students. He feels that if the patients know they are being taped, they won’t act naturally, which will both taint his study and diminish the film’s value as a teaching device. For this reason, he feels that the patients should not know that they are being taped even though what they do or say on the tape may reveal certain aspects of their private feelings and lives.
What should the psychologist do? Should he tell the patients he is taping them, or should he just go ahead and tape without their permission, assuming that he is just going to use the tapes for his own research and as a teaching device? Are there any other alternatives you can think of for the psychologist to follow?
3. Laura, a 19 years old woman, fell into a coma because of an overdose of drugs and alcohol. She was given emergency treatment at a hospital and was placed on a respirator, which stabilized her breathing. She remained in a deep coma, and when she was tested by neurologists; and neurosurgeons it was discovered that about 70 percent of her brain was irretrievably damaged. She was not brain dead, however: she reacted to pain, her eyes sometimes would open and her pupils contract, she would at times thrash about and her EEG showed some brain activity. She was in a PVS. Because she could not be pronounced dead in any medical or legal sense, the hospital and doctors refused to take her off the respirator or to stop any other treatments they were giving her. At one p ...
For this assignment, consider the following case and then using th.docxbudbarber38650
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
AETCOM module: Bioethics for Undergraduate Medical Studentslavanyasumanthraj
The Attitude, Ethics & Communication module introduced by the National Medical Commission is being followed in Medical Colleges. Here's a simple understanding of aspects on Bioethics & solution to Phase 2 MBBS modules
Lecture on the definition and the principles of Breaking Bad News in clinical practice, prepared and presented by Prof. Faisal Ghani to Alfarabi Medical College Students
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Introduction
• NWOS has always treated Privacy and
Confidentiality as a priority.
• In this course, you will learn about NWOS’s
privacy policies and procedures.
• You are required to complete privacy training
every year.
• All NWOS workforce members must comply
with our privacy policies and procedures.
Prev Next
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Course Objectives
After completing this course, you should
understand:
– That privacy is your responsibility!
– How you can recognize situations where sensitive
information may be handled improperly.
– How you can protect patient and confidential
information in common workplace situations..
– That you will be held responsible for improperly
handling sensitive information.
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To meet the objectives of this course, we will
visit several areas of a fictional but typical
healthcare system.
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Sharing Information With Persons
Not Involved in Care
Janice, a hospital clinic employee, was in a car
accident and brought by ambulance to the ER.
Her friends Tamika, Mary and Dr. Drake also
work there.
Janice is being wheeled into the ER on a
stretcher.
Did the ER/Mary follow proper procedures in
releasing information to Tamika?
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Sharing Information With Persons
Not Involved in Care
No! The ER/Mary should have first checked to
see if Janice wanted the information shared and
if not, only have answered “Janice is in fair
condition”. Cont..So Tamika goes to the ER…
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Accessing Information
No! Since Tamika was not directly involved in
Janice’s care, she should not have looked at
her friend’s chart, even though Tamika is a
hospital employee.
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Sharing Information with Family
and Friends
Joe Bacon, who is a recent college graduate,
has been admitted to the ER from the ASC for
treatment. He “opted out” of communications
with family and friends and specifically indicated
that nothing about his condition or treatment
was to be discussed with his parents.
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Sharing Information with Family
and Friends
Unable to learn what is happening with their son
through the ER, Mr. & Mrs. Bacon ask their
friend, Dr. Bart, who works at the ASC but, isn’t
involved in Joe’s care, to review Joe’s records.
Dr. Bart reviews the records and informs Joe’s
parents that Joe has hepatitis B and shows
signs of drug abuse.
Were proper procedures followed when
sharing information with Joe’s parents?
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No! Joe’s parents should not have received
information about Joe’s condition because he
had “opted out” of sharing information with
family and friends. This information is also
protected under WAC 246-08-400 and
RCW70.96A. Which do not allow this disclosure
without specific written consent from the patient.
In addition, Dr. Bart should not have reviewed
Joe’s records unless he was directly involved in
Joe’s medical care.
Sharing Information with Family
and Friends
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Inappropriate Disclosure
Passing through a crowded check-in area,
Nurse Betty overhears Brandy (the clinic check-
in clerk) telling a patient on the phone that he
needs a follow-up appointment because his HIV
test just came back positive. She notices
waiting patients listening intently to the
conversation.
Is Brandy taking the proper precautions?
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No! Brandy should have done at least one of
the following:
– Spoken in a lower voice in order not to be
overheard by the other patients.
– Waited until the clinic check-in area was less
crowded.
– Moved to another, more private area prior to
making the call.
Inappropriate Disclosure
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Inappropriate Use and Disposal
• On her way to get a patient from the waiting room,On her way to get a patient from the waiting room,
Nurse Shrene is approached by Dr. Maize, whoNurse Shrene is approached by Dr. Maize, who
hurriedly sticks a note in her hand before going tohurriedly sticks a note in her hand before going to
another exam room. Shrene is a bit surprised to seeanother exam room. Shrene is a bit surprised to see
that an invitation for drink and dinner is written on thethat an invitation for drink and dinner is written on the
back of a patient’s lab report.back of a patient’s lab report.
• ““Really!?” Shrene thinks to herself before throwingReally!?” Shrene thinks to herself before throwing
the crumpled note into the nearest trash bin.the crumpled note into the nearest trash bin.
What’s wrong with this scenario?
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Inappropriate Use and Disposal
Dr. Maize should have:
– NOT used a document containing personal patient
information for his own personal notes
– NOT given patient information to a co-worker who
wasn’t involved in the patient’s care.
Nurse Shrene should have:
– Disposed of the paper appropriately (for instance,
in a shredder or confidential disposal bin).
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Inappropriate Disclosure in a
Public Area
Katherine (an Accounts Payable clerk) steps
into the ASC waiting area and is surprised to
overhear a nurse and a doctor discussing the
potential transfer of a cardiac patient named
Rupert Survivor.
What should Katherine do?
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Inappropriate Disclosure in a
Public Area
Katherine should remind the doctor and nurse
that this information is confidential and should
not be discussed in a public area.
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Lost PHI and Inappropriate
Access
Colby, an environmental services employee
working in a hallway after hours, finds a piece of
paper lying on the floor. Upon examination, he
discovers that it is a lab report containing the
name of his favorite Dixie Chick, so he calls his
co-worker, Matt, over to take a look at it. . . .
What’s wrong with this scenario?
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Lost PHI and Inappropriate
Access
• The lab report was left in a non-secure area
• Colby should NOT have read the report
• He should NOT have shared the information
with Matt
• He SHOULD have notified:
– His supervisor OR
– The Privacy Officer
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Incidental Disclosure
During rounds, Dr. Billow pulled the curtain
around Mrs. Stinkles’s bed and quietly
discussed her diagnosis and prognosis with her,
after checking that her roommate was not
present. However, her roommate returned to
her bed just in time to overhear the discussion.
When Mrs. Stinkles discovered that her
roommate had overheard the discussion, she
became very upset.
Did Dr. Billow handle the situation correctly?
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Incidental Disclosure
Yes! By pulling the curtain and speaking in a
low voice, Dr. Billow took the proper steps. The
roommate’s overhearing was an “incidental”
disclosure. These cannot always be prevented,
even with the appropriate safeguards.
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Summary
• You should consider ALL patient information
as confidential.
• It should ONLY be accessed by, and shared
with, authorized persons.
• It is YOUR responsibility to protect patient
information – and to report any breaches of
confidentiality.