What are the components of the hipaa privacy rule that nurses should uphold?

⭳ 64 Download 📄 3 Pages / 582 Words

1. Complete an ATI Focused Review®

2. Answer the following questions and review the suggested learning activities. Send me your answers here.

Describe the steps a nurse should take when preparing to administer a blood transfusion.

- The nurse should type and cross match blood products to ensure compatibility of the blood transfusion to the client. Explain the procedure, assess vital signs and temperature and remain with client during the initial 15-30 mins. Verify blood product, gain consent, verify patient. Two RNs must identify the correct blood product and client by looking at the hospital identification number on the blood product and the number on the clients identification band. They should match. Prime the blood administration set with 0.9% sodium chloride. Y-tubing with a filter is used to transfuse blood. No larger than a 19 gauge needle is used in adults. Remain with client first 15-30 mins and monitor vital signs and rate of infusion. Document procedure and outcomes.

Define the delivery system, functional nursing.

- Functional nursing is a model of care that is task-focused, not client focused. Tasks are divided with one nurse assuming responsibilities for certain tasks. A lead nurse makes assignments and is available to help. The issue can be that communication is not always clear.
Activity: Health Care Delivery Systems- RN Focus

What are the components of the HIPAA privacy rule that nurses should uphold?

- The components of HIPPA privacy rule are both failure to protect private health information and inappropriate disclosure of information are considered HIPPA violations. Client information cannot be disclosed to an unauthorized individual. Many hospitals use code system where information is disclosed only to individuals that are able to recite the code.
Suggested Leadership Learning Activity: Confidentiality and Information Security

To promote a culture of safety and optimize risk management support to employees, the facility should track error reporting. What are two (2) types of events that should be tracked and reported under a facility's risk management programs?

- The following events require an incident report; medication errors, procedure/treatment errors, equipment errors, needlestick injury, client falls/injuries, visitor/volunteer injury, threat made to client or staff and loss of property.

Suggested Leadership Learning Activity: Incident Reporting

3. If available, create custom exam and complete 5 Board Vitals questions using the following content areas. Once you finish your custom BoardVitals Exam, send me a summary of two nursing concepts you reviewed from your Board Vitals quiz to indicate completion. Access the BoardVitals quiz bank on www.atitesting.comunder MY ATI under the NCLEX Prep tab.

RN Graduates

· Leadership-Management

· Safe and Effective Care Environment - Management of Care

· Alternate Format - Safe & Effective Care Environment – Management of Care

Horizontal Violence is often unrecognized and underreported. It is unwanted abuse or hostility in a workplace. This can be described as repeated acts of aggression, intimidation, criticism, harassment and interpersonal conflict that happens over a period of time. The Joint Commission mandates healthcare organizations to develop codes of workplace conduct that are defined acceptable and unacceptable in a work place.
A democratic leader assumes the members of the group are internally motivated and capable of making decisions. They provide information, ask questions and offer suggestions or constructive criticism. A democratic style of leadership is a participative style based on all participants in a given group should have input when setting goals and solving problems.

If you do not have access to Board Vitals or the access has now expired, please complete the Leadership learning system practice quiz.

To export a reference to this article please select a referencing stye below.

Urgent Homework (2022) . Retrive from https://www.urgenthomework.com/sample-homework/ati-focused-review

"." Urgent Homework ,2022, https://www.urgenthomework.com/sample-homework/ati-focused-review

Urgent Homework (2022) . Available from: https://www.urgenthomework.com/sample-homework/ati-focused-review

[Accessed 12/09/2022].

Urgent Homework . ''(Urgent Homework ,2022) https://www.urgenthomework.com/sample-homework/ati-focused-review accessed 12/09/2022.

In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of confidentiality and information security in order to:

Assess staff member and client understanding of confidentiality requirements (e.g., HIPAA)
Maintain client confidentiality and privacy
Intervene appropriately when confidentiality has been breached by staff members

According to the United States Department of Health & Human Services, the Health Insurance Portability and Accountability Act (HIPAA) and the HIPAA Privacy Rule provides federal protections for individually identifiable health information and gives patients an array of rights with respect to that information.

At the same time, the Privacy Rule is balanced so that it permits the disclosure of health information needed for patient care and other important purposes such as health insurance reimbursement and quality improvement activities.

The Security Rule of HIPAA has administrative, physical, and technical safeguards to insure the confidentiality, integrity, and availability of electronic protected health information. This rule relates to electronic information security as well as other forms of information.

Our nation's Health Insurance Portability and Accountability Act (HIPAA) protects the patients' rights to the privacy and confidentiality of all medical information, including written, oral electronic information, unless the client has expressly consented to it in writing.

The HIPAA Privacy Rule legally limits access to medical records and information to only those who have a NEED to know. Those who have the need to know have this need because they need some data and information about the patient so that they can perform some indirect or direct patient care. For example, nurses have a need to know information about the patient so that they can provide the patient with quality care. Dietitians have to need to know some information about the patient so that they can assess and plan care for the patient as based on their nutritional needs and status, and, those who provide indirect care, such as the director of nursing, the infection control nurse, the wound care nurse and the members of the quality assurance department, also have a need to know about patients and groups of patients so that they can perform their roles even though they are not providing any direct patient care to the patient. Others who have a need to know are health insurance companies and students including student nurses.

All nurses must be aware of the implications of and the possible consequences for violations relating to the Health Insurance Portability and Accountability Act and the HIPAA Privacy Rule.

Few nurses violate patient confidentiality intentionally. It is often momentary lacks of judgment that lead to these breaches so nurses must consciously think before they act or speak.

Nurses should never discuss patients with others who do not have the "need to know". They must protect and secure client written records and they must also secure electronic records by protecting and not sharing their password and logging off after each entry.

Other things that protect patient privacy and confidentiality include not responding to any telephone or email inquiries about patients unless the inquiring person states a unique identifier for the patient such as a secret code number or word. Lastly Facebook, and other forms of social media, and photos using a cell phone are strictly prohibited.

All healthcare facilities have regulations, policies and procedures related to confidentiality and accessing client records. All nurses, and other healthcare providers, have the responsibility to be knowledgeable about these regulations, policies and procedures and adhering to them at all times without any breaches.

Personal privacy, including privacy during visits and during conversations as well as when they are getting personal care such as hygiene must also be upheld and maintained.

Assessing Staff Members' and Client Understanding of Confidentiality Requirements

The best way to know whether or not staff members understand and apply the requirements associated with confidentiality and privacy is to observe the staff member as they perform their roles and uphold these rights.

For example:

Are all staff members knowledgeable about the Health Insurance Portability and Accountability Act (HIPAA)?
Is the staff member carrying on idle conversations in the cafeteria about patients?
Is the staff member logging off the computer before leaving the screen unattended?
Is the staff member securing medical records so that anyone without the need to know has no access to them?

Clients must also know their rights and the rights of others in terms of medical information. Nurses can identify a knowledge deficit in this area when a patient asks a nurse a question like "What is wrong with that patient who is always screaming out?" or a similar question. Nurses should inform this inquisitive patient that you cannot share any information with them that relates to other patients.

Intervening Appropriately When Confidentiality Has Been Breached by Staff Members

The registered nurse has the professional, ethical and legal responsibility to insure that all client rights, including the clients' rights to privacy and confidentiality, are upheld, supported and advocated for.

Whenever a nurse witnesses any breach of confidentiality and privacy including, but not limited to, any unauthorized access to medical records by those without the need to know, idle discussions that violate HIPAA regulations, a failure to log off the computer when done, and the lack of privacy during change of shift reports, the nurse must intervene immediately by correcting the situation and not allowing it to continue.

RELATED NCLEX-RN MANAGEMENT OF CARE CONTENT:

SEE – Management of Care Practice Test Questions

Alene Burke RN, MSN is a nationally recognized nursing educator. She began her work career as an elementary school teacher in New York City and later attended Queensborough Community College for her associate degree in nursing. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. She got her bachelor’s of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. She graduated Summa Cum Laude from Adelphi with a double masters degree in both Nursing Education and Nursing Administration and immediately began the PhD in nursing coursework at the same university. She has authored hundreds of courses for healthcare professionals including nurses, she serves as a nurse consultant for healthcare facilities and private corporations, she is also an approved provider of continuing education for nurses and other disciplines and has also served as a member of the American Nurses Association’s task force on competency and education for the nursing team members.

Latest posts by Alene Burke, RN, MSN (see all)