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No, the RN works in a completely different unit, however, the accident occurred at work triggering a rapid response to the ER. No, he never consented to have anyone look into his personal file.
Ben,I am likely seeing this as no violation based on this argument. Here is why.Your friend had an episode and became incoherent. When someone becomes incoherent, the nursing unit and the doctors are permitted to apply care and to make whatever life-saving decisions they deem necessary to ensure that your friend's life and health is stabilized. That would permit the on-call parties to look up his medical records, and potentially contact the CNO (who, being the supervisor, can be asked to evaluate or take part in care for in-house patients). Since the CNO is then acting in the scope of her duty and employment, that would permit her to look up medical records and assist with care, or provide the nurses with additional otherwise confidential information pertaining to how stabilize an assist your friend.I agree that simply going into his file may be a violation of HIPAA since only supervisors have a right to know about medical conditions disclosed to the employer, but in an emergency situation, under the guise of saving a life or stabilizing his status, the nursing unit could review medical information if it was deemed pertinent or useful for his care. At least that is how I see the hospital legitimately justifying their decision.Good luck.
The issue is that he was put back on stable last thursday when the episode happened. The CNO did not make her response apparent until today, so I don't see how it would be in her scope since he was brought to a stable condition almost immediately after the episode happened.
Ben,I appreciate your 'poor service' rating. It appears that this rating was given because my professional opinion disagreed with yours. It is fairly tough for me to provide you with an honest response if you end up essentially punishing me for being truthful with you. In addition, the CNO is in charge of both nurses on staff--that gives her the right to look into his medical file, or rather his employment file if it has a medical affidavit and review such information. This wasn't a subordinate or a co-worker, this was a boss who could most definitely review such information if it was provided to the employer before the episode. This is therefore not a violation.Good luck.
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