NRSG 311 Unit 2 – Discussion Board CTU

NRSG 311 Unit 2 – Discussion Board CTU

NRSG 311 Unit 2 – Discussion Board CTU

Situation

Electronic health records present various ethical challenges regarding access and responsible use of patient data. In one particular situation, it came to my attention that a nurse was using patient information from the EHR on social media. The nurse was using the information for patient education and awareness to the public. However, she used the information without hiding identifiable patient information (McBride et al., 2018). According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), providing patient health information without consent from the patient is a violation (HIPAA Journal, 2022). Additionally, HIPAA requires that healthcare providers use health information anonymously, eliminating any elements that might identify the patient.

Describe the ethical dilemma.

The ethical dilemma in this situation was protecting the nurse by not reporting her versus protecting patients’ privacy and confidentiality. HIPAA violations are serious and can result in loss of license (Edemekong et al., 2022).

Describe what you did and your rationale for your action(s).

While I would not have wished to see my colleague lose her license, protecting a patient’s privacy and confidentiality overrides any optional decision (McBride et al., 2018). I reported the matter to the nurse administrator. My rationale was based on doing what is in the patient’s best interest. Since the nurse was a novice with limited knowledge and experience on regulations applying to the use of patient information, the nurse administrator let her off with a warning. She had only made one post and was asked to pull it down. Also, the nurse was trained with other staff members on relevant regulations safeguarding access, use, and sharing of patient information and other issues concerning patient privacy and confidentiality.

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Other team members

The situation did not involve other healthcare team members.

NRSG 311 Unit 2 – Discussion Board CTU References

Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2022). Health Insurance Portability and Accountability Act. Treasure Island (FL): StatPearls Publishing.

HIPAA Journal . (2022). HIPAA Social Media Rules. HIPAA Journal .

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and Addressing Ethical Issues with Use of Electronic Health Records. OJIN: The Online Journal of Issues in Nursing , 23(1), Manuscript 5.

Primary Discussion Response is due by Thursday (11:59:59pm Central), Peer Responses are due by Saturday (11:59:59pm Central).

Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.

You are explaining to new staff nurses that they have to ensure patient privacy and confidentiality when using patient information from the healthcare information system. For this assignment, address the following:

  • Describe a situation in which you have had to make an ethical decision or invoke a regulation when deciding how to ensure patient privacy and confidentiality in the use of information from an information system in a healthcare setting.
  • Describe the ethical dilemma.
  • Describe what you did and your rationale for your action(s).
  • Did the situation involve others from the healthcare team (e.g., physician, aide, therapists, and so on), and how did your decision and action affect the others on the team?

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires alot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

NRSG 311 Unit 2 – Discussion Board CTU

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following question:

  • Do you agree with the person’s actions and rationale? Why or why not?

NRSG 311 Unit 2 – Discussion Board CTU Rubric

The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This Discussion Board Grading Rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric

For assistance with your assignment, please use your text, Web resources, and all course materials.

Patient privacy is a huge factor to be aware of when working in healthcare. According to Hebda, et al., (2018) “The HIPAA Privacy Rule was created to protect the privacy of people who seek care in the healthcare system” (p. 241). Patient privacy can be compromised by sharing a patient’s name, address, personal medical history and many other aspects of their care while involved in healthcare. It is every person’s responsibility to uphold the law to protect patient’s rights. The HIPAA act was initiated to protect the patient’s personal health information by privacy and confidentiality (Kiel, 2021). 

As a Labor and Delivery nurse there is often family at the bedside with our patients for most of their stay as there is no actual visiting hours in L&D. It is crucial to give a detailed report at handoff when changing shifts. We do a bedside handoff to include our patients, and this is when I have encountered a situation in the past that led to an ethical dilemma where there was a need to invoke a regulation. The situation became a privacy issue for my patient as the medical history had personal information that was not to be shared in front of the family. The patient had made sure to mention this ahead of time and was clear she did not want anyone to know about her history.  

The best solution at that time was to get the family members to leave the room for a short while during the handoff. I was honest with the family and told them it was time for the bedside report and requested that they go to the cafeteria to get some coffee and breakfast as this was a good time to step out for a short time. The reason I asked the family to step out of the room was so the oncoming nurse would get all the information necessary to take over care while being aware of the patient’s full history and this way it was less awkward by having them step out to get food. This situation involved other care providers for this patient such as the other labor nurses, nursery nurses, postpartum nurses and the midwives and doctors as many different providers cared for this patient so they were all made aware of the patient’s wishes to keep her medical history private. The decision I made to ask the family to step out for a few minutes helped the oncoming nurse be able to really know what the full situation was coming into her shift and helped her to prepare for the delivery.  

NRSG 311 Unit 2 – Discussion Board CTU References: 

Kiel, J. M. (2021). It’s the law: HIPAA training for students. The Journal of Health Administration Education, 38(3), 839-844. https://coloradotech.idm.oclc.org/login?url=https://www.proquest.com/scholarly-journals/law-hipaa-training-students/docview/2615647022/se-2 

Hebda, T. L., Czar, P., & Hunter, K. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th Edition)(p.241). Pearson Education (US). https://coloradotech.vitalsource.com/books/9780134677064 

 I work in case management and am part of a team consisting of myself and three other team members that share one office with a window into the larger office. Our team accesses PHI quite often using online sharing from local hospitals to get patients’ info, hospital discharge info, etc. One of my team members left his computer screen on with PHI visible when he left our office briefly, not thinking that anyone outside of our team would go into our office. I immediately locked his screen and talked to him about it when he returned to the office. I am always very conscious of logging out and locking my screen when not actively using anything with PHI included as I never know who will come into our office or walk by. Since having the discussion with my coworker, and he has become much more aware of this and does not leave his screen unlocked unless he is actively using it at any time anymore.

This is something that brings up a big privacy issue around hospitals sharing info. They can control who they allow access to electronically, but they cannot control how the information if handled beyond that. This also brings up issues with health information sharing and patients’ privacy. Under HIPPA regulations, the party that receives the shared information is then responsible for keeping that information safe and secure (Savage, M., & Savage, L. C., 2020). EHR systems are configured to allow only authorized users to access health information, and HIPPA requires a list of caregivers that have accessed a patient’s chart be available to that patient upon request (Hebda, T., & Czar, P., 2013 pg. 125). These are all great security measures, but I think more trainings need to be conducted with all healthcare workers that access patients’ charts and other facilities’ EHR’s. Many people in healthcare have not gone through nursing school or other training, where the rules and importance of HIPPA have been repeatedly stressed. This is so important; I believe it needs more attention in every workplace.

NRSG 311 Unit 2 – Discussion Board CTU References

Hebda, T., & Czar, P. (2013).  Handbook of informatics for nurses and healthcare professionals (5th ed.). Pearson.

Savage, M., & Savage, L. C. (2020). Doctors routinely share health data electronically under HIPAA, and sharing with patients and patients’ third-party health apps is consistent: Interoperability and privacy analysis. Journal of Medical Internet Research, 22(9)https://doi.org/10.2196/19818

Nursing is a profession that requires not only engages the mind but also the heart. We spend so much time with our patients, who are often experiencing their worst days, that we can’t help but become emotionally invested in them. Some nurses tend to take that emotional investment too far.

We have a nurse on our unit (we’ll call her Susie) who is highly intelligent, detail oriented, and compassionate. She can also get too involved with our patients, to a point that is unhealthy and also causes her to cross the line sometimes. Susie typically works 07-1500. When we had a unit full of Covid patients, Susie would often call the unit at midnight or 1 AM to inquire as to how one of her patients from her earlier shift were doing, long after she had reported off to another nurse. She would want to know details and if we didn’t answer the phone the first time, would call over and over until she got someone on the line.

We all have patients that stick with us, and we want to know how they’re doing, but after you give a patient up to another nurse and go home for the day, that patient is no longer your concern and they have a right to privacy. She didn’t mean to, but by calling hours later and asking for an update, she was violating that patient’s right to privacy guaranteed by the Health Insurance Portability and Accountability Act in 1996 (Hebda et al, 2018).

When Susie called the unit and I answered, I told her that I could not share information about a patient, that it was a HIPAA violation, and reported it to my supervisor.

NRSG 311 Unit 2 – Discussion Board CTU References

Hebda, T. L., Czar, P., & Hunter, K. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th Edition). Pearson Education (US). https://coloradotech.vitalsource.com/books/9780134677064

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