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Leadership and Community Health Pre-Assignment Questions

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Leadership and Community Health Pre-Assignment Questions 1.What are the components of the HIPAA privacy rule that nurses should uphold? •Clients have the right to privacy and confidentiality in relation to their health care information and medical recommendations. •Nurses who disclose client information to an unauthorized person can be liable for invasion of privacy, defamation, or slander. •The security and privacy rules of the Health Insurance Portability and Accountability Act (HIPAA) were enacted to protect the confidentiality of health care information and to give the client the right to control the release of information. Specific rights provided by the legislation include the following: oThe rights of clients to obtain a copy of their medical record and to submit requests to amend erroneous or incomplete information oA requirement for health care and insurance providers to provide written information about how medical information is used and how it is shared with other entities (permission must be obtained before information is shared) oThe rights of clients to privacy and confidentiality NURSING ROLE IN CONFIDENTIALITY It is essential for nurses to be aware of the rights of clients in regard to privacy and confidentiality. Facility policies and procedures are established in order to ensure compliance with HIPAA regulations. It is essential that nurses know and adhere to the policies and procedures. HIPAA regulations also provide for penalties in the event of noncompliance with the regulations 2.A nurse has received an inappropriate client assignment. What actions should the nurse take? •Bring the inappropriate assignment to the attention of the scheduling/charge nurse and negotiate a new assignment. •If no resolution is arrived at, take the concern up the chain of command. •If a satisfactory resolution is still not arrived at, an unsafe staffing complaint in the form of an Assignment Despite Objection (ADO) or Document of Practice Situation (DOPS) should be filed with the appropriate administrator. •Failure to accept the assignment without following the proper channels may be considered abandonment. 3.List tasks that can be delegated to LPNs/LVNs and tasks that can be delegated to unlicensed assistive personnel. What are some common barriers to delegation? LPNs?LVNs •Monitor client findings (as input to the RN’s ongoing assessment of the client) •Reinforcement of client teaching from a standard care plan •Tracheostomy care •Suctioning •Checking nasogastric tube patency •Administration of enteral feedings •Insertion of a urinary catheter •Medication administration (excluding intravenous mediations in several states)

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