Which of the following is an example of a nurse violating the Health Insurance Portability and Accountability Act (HIPAA) of 1996?
a. The nurse asks the unit clerk to look up lab values for her relative recently admitted to the hospital.
b. A group of fellow employees are discussing a patient's clinical status in a public place. The nurse manager requests that they step into private room to complete the discussion.
c. After entering the progress notes on a patient's electronic medical record, the nurse logs off the computer to allow her coworker to use the terminal.
d. As a family approaches the nursing desk, the nurse removes the patient census sheet from view on the counter.
ANS: A
When the nurse asks the unit clerk to look up lab values for her relative recently admitted to the hospital, the nurse is accessing protected health information not required for the nurse to perform his or her job. This is a violation of privacy even if it is a relative. The other choices are all actions that are consistent with protecting a patient's privacy right as defined by HIPAA.
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