Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
a. The nurse posts an update about a client on Facebook.
b. The nurse gives the report to the oncoming nurse in a private area.
c. The nurse gives information about the client's status over the phone to the client's friend.
d. The nurse logs off any computer screen showing client data before leaving the computer unattended.
e. The nurse puts any documentation with the client's information in the shred bin at the hospital before leaving for the day.
ANS: B, D, E
HIPAA regulations provide consumers with significant power over their records, including the right to see and correct their records, the application of civil and criminal penalties for violations of privacy standards, and protection against deliberate or inadvertent misuse or disclosure. Discussions about a patient with other professionals should be restricted to those who need to know and should occur in a private location. Nurses must take care to avoid violating patient confidentiality when using electronic patient data formats. For example, nurses must promptly log off terminals when finished so that unauthorized individuals cannot gain access to the system. Shredding documentation with client identifiers should be done before leaving the hospital. Discussing a client's status in any online forum is a violation of HIPAA. Giving information to a client's friend over the phone, without the client's consent, is a violation of HIPAA.
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