Digital Signature Legality for Physical Exam Consent in Canada

How to eSign a document: digital signature legality for Physical Exam Consent in Canada

now for Hippa ethics and legal starting with HIPPA confidentiality and privacy so Hippa is all about privacy of information knock knock okay what's this who's there it's Hippa Hippa who sorry I can't tell you that's private you know I can't work like this I'm I'm done okay on a serious note Hippa is health insurance portability and accountability act this is a law protecting the right to privacy for clients it regulates how clients personal health information for example diagnosis test results and other things are used and disclosed now this is vitally important on exams and the end click so pause the screen and write down those words nurses and healthc Care Professionals are both legally and eth required to protect clients privacy as well as maintain confidentiality of their medical information guys this is critical many nurses have got fired as well as their license placed on probation and even removed for violating Hippa so trust me it is no joke these privacy rules are huge on the enlex and are always tested on exams we must protect client's information and keep it private now for the key points to write down number one only share client info with other team members directly involved with care big key terms right there directly involved with care also it's a need to know basis only and no oversharing detailed information with non-essential Personnel like Transporters and secretaries for example oversharing too much details like specific diagnosis or LA reports with non-essential Personnel like Transporters and unit secretaries as mentioned before who don't necessarily need to know these details so a Saunders question a charge nurse from another unit ask about the client's condition stating the client's my neighbor and I want to check on her the correct answer is I'm sorry I can't tell you yes the key term is the charge nurse is from another unit this is a need to know basis and in this case this nurse does not need to know now a hessy question the nurse looks up the chart of a cousin uh-oh who is not under the care of the nurse what is the manager's next action correct answer contact human resource department yes hessie states that there's a breach in confidentiality which can lead to termination but HR should be contacted and they should be made aware now the second key point is never discuss client info in the hallway elevator public area or even outside the hospital as mentioned by ATI always in a secure private area at work for example a nurse's station or a private room key Point number three is do not access charts or information that is not needed directly for work trust me this was always tested on the big enlex question Banks so it's not needed directly for your job don't access the information now the next one here is computer charting no password sharing this is huge not even with the supervisor charge nurse director or even manager we can't share our passwords and number two here is log off when stepping away and even a big key term log off your co-workers if they leave the computer in the hall unattended ATI mentioned this a lot about 45% of students got this question wrong so remember our number one goal is to protect the clients's info so ATI had a question a nurse has shared his computer username and password with a student nurse possible consequences correct answer the nurse can be prosecuted as a criminal seriously though you can go to jail oh no Hippa is real and It Don't Take No Mess key Point number five no taking information home always dispose of report sheets in a secure Shredder as mentioned by ATI and Kaplan and even old medical records are kept in a locked file cabinet in the department as mentioned by hessie now they're mostly online but they are secured nowadays now number six is information releases so yes the client has a right to receive a copy of their own healthc care records hey did you see the new study guide that follows along with this video so cut your study time in half and increase your attention of the need to know key points and memory tricks that love to come up on nursing school exams plus get 900 more videos not here on YouTube neatly organized into playlists try it for free visit simplenursing.com today but no we can't share information with family or a friend without the client's permission the key terms there are without the client's permission so a big big exam tip as well as enlex tip test questions love to ask questions about a client's spouse asking for more information you must first get permission from the client trust me it's always tested so ATI had a question here husband requests lab results for his wife how should the nurse respond let me check if you have permission and question two a 19-year-old female asks for prescription of oral contraception she is under her parents insurance but doesn't want her parents to know about it oh man this some Jerry Springer type stuff ing to Hippa which of the following should the provider tell the patient correct answer the client's parents may not view the medical record but may learn about it from their insurance bill receipts now this is because the client is over 18 and considered a legal adult so parents cannot view her medical record without her permission and lastly number seven we have to report any breach of confidentiality so violation examples include talking to a client's condition in a hallway elevator or even cafeteria ATI loves to use the term cafeteria so always go to a private room or nurses station and even stop co-workers Midway through and tell them this is not appropriate let's go to a private area another big example is taking home a client's report sheet this is medical information it must be shredded at the end of the shift you can't take this information home and another example sharing information with a client's roommate for example your roommate is going for a goal bladder test no this is oversharing we can't do that so just say your roommate's going for a normal test or just say your roommate's going to be back soon no oversharing info and lastly sharing info with the client's spouse or legal guardian key terms here without permission we can't be like yep your wife is pregnant or even more exciting your daughter is super pregnant no no no we must keep that information private so don't let the enlex trick you with these non violations for example censoring visitor conversations in the waiting room talking about their loved one is a non-violation as well as a nosy client's roommate who overhears report detail s through the room's curtain now this is a non-violation and even writing the last name of a client on the Whiteboard or calling out the full name in a waiting room again not a violation and the last two here telling a visitor to wear a mask because the clients's on isolation precautions as long as the diagnosis or details are not shared you're in the safe Zone and the last one here General discussions about cures for a disease like HIV doesn't disclose a client's personal info so don't get tricked on the enlex there now for a top missed enlex question to test your knowledge which of the following violates the health information Privacy Law option number one calling out a client's full legal first and last name in the waiting room nah this is not a violation we're just asking for the client to come up like in triage now option two here telling the client's transporter Tech that the client has state AG for pancreatic cancer for 3 weeks and needs to be handled gently guys this is a violation so remember no oversharing details with non-essential Personnel this transporter doesn't need to know that the client has stage four can this is way too much information we're definitely oversharing here they only need to know to be gentle with this client now option three here the client overhears the nurse giving report details on the client's roommate through the room curtain talk about a nosy roommate right now this is not a violation surprisingly since the nurse did their best due diligence to keep it private by closing the magical curtain right and we can't stop a nosy roommate in the same room now the last two options the new graduate nurse accessing updated medical records of a client that they took care of last week but not currently assigned yes this is a big violation the key term there is not currently assigned remember we only access info on a need to know basis in order to do our job as current duties and the last option here explaining the results of the client's lab values or laboratory report to the unit secretary who's organizing the client's medical record yes this is a huge violation remember this unit secretary doesn't need to know the details remember don't overshare with over sharing these details it's only a need to know basis now a little side note to Hippa rules there are some exceptions some information must be shared even if the client doesn't consent to it this information usually pertains to safety for example if the client is threatening self harm or even harm of others well then the hcp is required to share and the HIPPA laws don't apply additionally if the client discloses that they're being abused well then nurses are mandatory rep reps which we'll cover in detail at the very end of this video so an ATI example the nurse would be justified in Breaking confidentiality if an older adult client discloses that their caregiver hits them yes this is mandatory reporting you are required to report this now records and billing may be different a child may have the right to privacy with their records but if the parents are paying the insurance they may see the line items on the bill like birth control or something else as mentioned in the example before and lastly invert sharing of data is not a violation of HIPPA we just consider did the nurse use reasonable measures to protect the client's information for example conversations that are overheard like through a client curtain are not really considered Hippa violations as long as the nurse used reasonable measures to protect the client's data okay now moving on to ethic iCal key terms first is autonomy think always in control this is the client's right to make their own Healthcare decisions for example respecting a client's right to refuse any treatment the next key term is advocacy just think Advocate to protect the client's rights health and safety a great example of this is reporting critical changes in the client's condition and advocating for further treatment and more analysis now some topics for advocacy include end of life issues Access to Health Care protecting client privacy standards of practice questioning orders and even informed consent next up is beneficence so just think benefit benefit the client with beneficence it basically means doing and promoting good so let the name help you there a great example is calling the family of a client to tell them their loved one is critically ill and we are caring for their needs be sure to write those down huge enlex tip over 60% of students got this wrong by reassuring family members that their loved one is getting the best care available is promoting good so don't let the enclex trick you here you don't have to give too many details over the phone like his heart has stopped but we're doing CPR this is actually bad and will cause Panic until they come to the hospital and never just give the responsibility to the healthcare provider and have them talk to the Family Guys you can practice beneficent and promote good too so just do it you are the nurse the next term is Fidelity so just think faithful with Fidelity this means to stay loyal as well as follow through so think of the trip FS Fidelity is faithful and you are following through a great example is to follow through with your responsibilities as a nurse so an ATI question the client reports a out of 10 pain the nurse states she will return with pain meds and follow through with the act the correct answer is Fidelity next is Justice to treat fairly and equally a great example is provide care equally regardless of race gender religion or culture so ATI key terms ensuring that time and resources are distributed equitably to clients and now for the last two terms non-maleficence or just just think non Mal intent so Mal is Latin for bad so just think no Mal or basically no bad the definition is to avoid causing harm a great example is double-checking a drug dosage with another nurse to avoid a medication error and the last key term is verocity just think very honest with verocity the definition is to tell the truth an example is a med error with no adverse effects but still reporting it this is very honest and was a direct question from ATI now Switching gears to ethical principles let's talk about torts which are wrongful acts or violations of rights that can lead to Legal liability a big key point to know is that the burden of proof lies with the accuser and not the accused so first up is unintentional torts this is unintended or accidents that cause harm be it injury property damage or even Financial loss an example is negligence which is the failure to provide adequate care be sure to write that down failure to provide adequate care in which another reasonable or prudent coworker would do similar in that same situation the key terms here are co-workers or other staff Personnel in the same role so ATI mentions these key terms practice that is below standard of care would be negligent and a nurse that did not not wash their hands prior to inserting a fully catheter again negligent and the nurse identifies the absence of peripheral pulse in a client's cast extremity in the early morning the nurse reports it to the hcp in the early afternoon wow that is way later definitely negligent and over to aundre's question if informed consent is withheld from a client healthcare providers could be found guilty of negligence this question was actually about withholding a diagnosis of cancer because the client's child said I don't think my parent can handle the cancer diagnosis but guys it doesn't matter the client has the right to know and withholding info you can be guilty of negligence the next key term is malpractice defined as illegal improper or negligent actions by a licensed professional for example doctors RNs LPNs or really anyone with a license and it results with provable damage to the patient this is malpractice a great example is the RN failed to check the dosage on a medication vial which harmed the client the big key term there is it harmed the client and lastly abandonment this is desertion of a client by anyone who has assumed the responsibility of care so for example if you get report from another nurse and you assume care you can't just leave the floor or go home you must always give report to another nurse to assume that care if you guys leave without giving report you're going to face legal consequences of Abandonment now moving on to intentional torts these are willful acts that violate a client's rights so the memory trick here for assult and Battery think of the A's and the B's a for assault is a threat before B for battery which is actual harm so let's go into assault remember assault is the threat of harm so think of assault you are being assaulted with your words so any threat made toward a client that threatens harm a great example is I'm going to restrain you to the bed if you keep on getting up or another example is threatening to place an NG tube in a client who refuses to eat now as far as battery this is the act of harm so think battery is like a baseball bat beating up the client and causing harm the definition is a physical act that causes harm or unconsenting contact that causes harm for example performing a procedure without consent or giving a medication that the client refuses unless they're altered of course and can't make decisions for themselves now for an assault and battery example is chemically restraining a patient who is competent and able to make their own decisions this is a great great example we can't just drug up a patient and put them under a chemical sedation without their consent now the next key term is false imprisonment for example using physical restraints seclusion and even a chemical restraint to keep someone against their will now a little side note this does not include clients on the psychiatric or a suicide hold for example using restraints on a competent client to prevent them from leaving the healthcare facility guys if the client is competent and not on a suicide hold they can leave Ama or against medical advice now the next term for intentional torts is invasion of privacy as mentioned before this is violating confidentiality rights all right that wraps it up thank you so much for watching don't forget to take your quiz and download the study guides and also feel free to share the love share with the classmate and even your instructor see you guys in the next videos