A nursing student is preparing a care plan for an assigned patient. When accessing the electronic medical record, what is acceptable information to view? (Select all that apply.)
a. Laboratory data of the assigned patient
b. Admission diagnosis for a patient who is a former neighbor
c. The patient's age, date of birth, and gender
d. The history and physical of the assigned patient
e. A classmate's brother's chest x-ray report
ANS: A, C, D
The laboratory data, age, date of birth, gender, history, and physical of an assigned patient are necessary for identification and care of the patient so it is acceptable to view this information in the electronic medical record. The patient information in the medical record, whether electronic or print, is only to be viewed by those who have a legitimate role in the patient's care. Viewing information on patients other than the assigned patient is not appropriate, because the student does not have a need to view the information for patient care. These are violations of patient privacy.
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