Scenario #1: HIPPA Violation You are about halfway through your first shift as a charge nurse. Unfortunately, it is the night shift, and you are short-staffed so you had to take an assignment, but yo

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Scenario #1: HIPPA Violation

You are about halfway through your first shift as a charge nurse.  Unfortunately, it is the night shift, and you are short-staffed so you had to take an assignment, but you slept well and are up for the challenge.  After working for two years as a PCT and now one year as a nurse on this trauma floor you are feeling pretty confident.  Just as you are giving the last of your nighttime medications you get a call from patient placement – another patient is coming.  This patient is a VIP and will be taking your last private room.  After getting report from the ER you learn that it is the new up-and-coming pop artist Kanaya Minja!  She hasn’t been on the scene long, but you have a few of her CD’s.  She apparently fell off the stage at her concert tonight and broke her leg.  The diagnosis is not too concerning but she is also 14 weeks pregnant and is being admitted for observation until she can have surgery to fix her fracture.  When you look at the assignment sheet you suddenly realize that you are the charge nurse and can give her to any nurse.  It only makes sense that the VIP patient would be cared for by the charge nurse, right??  This is one admission you are happy to take!

Kanaya arrives on the floor just before 0200.  You get her settled in and comfortable.  You talk about how excited she is to have a baby and she mentions that she has been craving chocolate milk but has been too busy touring to have a steady supply. You look in the pantry but don’t find any.  As you sit down to start charting you realize that the cafeteria is about to close.  You hop up and head downstairs for some lunch and to see if they have any chocolate milk for your new friend.  When you return to the floor you drop off the sweet dairy goodness to Kanaya and then head to the nurse’s station to finish charting.  When you sit down you realize that you are still logged into the computer.  You roll your eyes as you forgot to log out.  Again.  Oh well, it just gets you to your assessment faster.  The rest of your shift is uneventful.  You say goodbye to Kanaya before you leave and think to yourself that you might pick up an extra shift tonight if you can have your assignment back and spend more time with Kanaya.  Maybe she would even sign your CD’s!

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When you wake up that afternoon you call your manager and ask if you can work extra tonight.  She says no and asks if you can come in the next morning.  You let her know that you can not work a day shift so soon after working a night shift.  She starts to get a little evasive and then says that she wants you to come in for a meeting with her, your director, and an HR representative.  You are not sure what is going on, but you figure you better say yes.  Later that evening you call your bestie who is at work and ask if she knows what is going on.  She informs you that there was a HIPPA violation on the floor and they are talking to everyone that worked last night and accessed Kanaya’s chart.  Kanaya was upset and requested to be transferred to another hospital.  Your heart drops as you realize that you left your computer unattended for thirty minutes and it hadn’t automatically logged you out like it is supposed to after 5 minutes of inactivity.  Surely, someone wasn’t accessing Kanaya’s chart while you were in the cafeteria; or were they?

The next morning, after a fitful sleep, you get dressed and head in to work.  You are beyond stressed so you decide to listen to your favorite radio station for some distracting music.  However, instead of music, you hear the “breaking news” that Kanaya Manji fell off the stage during her concert last night and that her toxicology report showed several illegal substances as well as alcohol in her bloodstream.  Additionally, they mention that her pregnancy test was positive and that she has a history of two short-term psychiatric admissions at your hospital about a decade ago.  Now your stomach drops as well as your heart.

When you arrive to work you take a peek at your phone to check what is trending.  There are screenshots of Kanaya’s test results, address, and medical history.  Whoever took the pictures was kind enough to block out your name, but you can see the date and time in the lower right-hand corner of the computer and you recognize the bits of nurse’s station you see as the place where you charted last night.  By the time you get to human resources, you are ready to vomit.

A HIPPA violation has occurred and a patient’s data was exposed to the media.  Your fear is correct – someone accessed Kanaya’s chart with your login and committed a major violation. You have no idea who would have done this, and the evidence points to you!  The meeting was surreal.  The HR representative informed you that Kanaya’s lawyers are aware of the breach of her personal information and that you may be facing a civil suit.  They also mention that she had not informed her significant other or family that she was pregnant.  One of the hospital lawyers was present and talked about the multiple consequences you could be facing at the hospital and with your nursing license in general.  How did you get here?  Yesterday evening you were a charge nurse and today you may be losing your nursing license!

Scenario #1: HIPPA Violation You are about halfway through your first shift as a charge nurse. Unfortunately, it is the night shift, and you are short-staffed so you had to take an assignment, but yo
NR360 Information Systems in Healthcare RUA: We Can, But Dare We? Guidelines Purpose The purpose of this assignment is to investigate informatics in healthcare and to apply professional, ethical, and legal principles to its appropriate use in healthcare technology. Course outcomes: This assignment enables the student to meet the following course outcomes: CO 4: Investigate safeguards and decision‐making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4) CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6) CO 8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care. (PO 8) Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment. Total points possible: 240 points Requirements: Research, compose, and type a scholarly paper based on the scenario provided by your faculty, and choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons learned in this class about technology, privacy concerns, and legal and ethical issues and address each of these concepts in the paper. Consider the consequences of such a scenario. Do not limit your review of the literature to the nursing discipline only because other health professionals are using the technology, and you may need to apply critical thinking skills to its applications in this scenario. Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the American Psychological Association, as well as the resources in Doc Sharing if you have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take advantage of the writing service SmartThinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home area. The length of the paper should be four to five pages, excluding the title page and the reference page. Limit the references to a few key sources (minimum of three required). The paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment criteria). In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations. Choose and identify one of the possible endings provided for the scenario, and construct your paper based on its implications to the scenario. Make recommendations about what should have been done and what could be done to correct or mitigate the problems caused by the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations. Present the advantages and disadvantages of informatics relating to your scenario and describe professional and ethical principles appropriate to your chosen ending. Use facts from supporting sources of evidence, which must be included as in‐text citations. The paper’s conclusion should summarize what you learned and make reflections about them to your practice. Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing and ensure that all components are complete. Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in your own words). Papers will automatically be submitted to TurnItIn when submitted to the Dropbox. Submit the completed paper to the “We Can But Dare We?” Dropbox by the end of Week 3. Please refer to the Syllabus for due dates for this assignment. For online students, please post questions about this assignment to the weekly Q & A Forums so that the entire class may view the answers. Preparing the assignment Background Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs, but we must also consider the impact of such technology on privacy and patient care. Your faculty member will provide a scenario for you to address in your paper. Choose an ending to the scenario, and construct your paper based on those reflections. Choose one of the following outcomes: A HIPAA violation occurs, and client data is exposed to the media. A medication error has harmed a client. A technology downtime that impacts patient care occurs, and an error is made. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data. Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. Include the following sections: Introduction – 40 points/17% Catches attention of the reader States purpose of the paper Provides a narrative outline of the paper (i.e., the assignment criteria) HIPAA, Legal, and Regulatory Discussion – 40 points/17% Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to: Patient privacy and HIPAA standards Healthcare regulations Legal guidelines on appropriate use of technology Scenario Ending and Recommendations – 50 points/21% Selects and presents one scenario ending as the focus of the assignment. Evaluates the actions taken by healthcare providers as the situation evolved. Recommends actions that could have been taken to mitigate the circumstances presented in the selected scenario ending. Supports recommendations with evidence from recent scholarly publications. Advantages and Disadvantages – 50 points/21% Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to: The advantages of appropriately using technology in healthcare Risks of technology use in healthcare Describes professional and ethical principles guiding the appropriate use of technology in healthcare. Conclusion and Reflections – 30 points/12% Summarizes what new information was learned by completing this assignment. Reflects on how this new knowledge will impact future behavior as a healthcare professional. Scholarly Writing and APA Format – 30 points/12% Paper submitted as a Microsoft Word document. Adheres to current APA formatting guidelines including proper use of: Title page Page numbers Length is 4-5 pages, excluding title and reference pages. Includes at least three (3) references that are: From recent (within the last 5 years) scholarly sources Cited in text appropriately Included on an APA formatted reference page Scholarly writing reflects: Accurate spelling Correct use of professional grammar Logical organization of thoughts (mechanics) For writing assistance, visit the Writing Center. Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module. Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment. Assignment Section and Required Criteria (Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper Introduction (40 points/17%) 40 points 36 points 32 points 15 points 0 points Required criteria Catches attention of the reader. States purpose of the paper. Provides a narrative outline of the paper (i.e., the assignment criteria). Meets all requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. Present, yet includes no required criteria. No requirements for this section presented. HIPAA, Legal, and Regulatory Discussion (40 points/17%) 40 points 36 points 32 points 15 points 0 points Required criteria Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to: Patient privacy and HIPAA standards Healthcare regulations Legal guidelines on appropriate use of technology Meets all requirements for section. Includes no fewer than 2 requirements for section. Includes no fewer than 1 requirement for section. Present, yet includes no required criteria. No requirements for this section presented. Scenario Ending and Recommendations (50 points/21%) 50 points 46 points 42 points 19 points 0 points Required criteria Selects and presents one scenario ending as the focus of the assignment. Evaluates the actions taken by healthcare providers as the situation evolved. Recommends actions that could have been taken to mitigate the circumstances presented in the selected scenario ending. Supports recommendations with evidence from recent scholarly publications. Meets all requirements for section. Includes no fewer than 3 requirements for section. Includes 1-2 requirements for section. Section present yet includes no required criteria. No requirements for this section presented. Assignment Section and Required Criteria (Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper Supports recommendations with evidence from recent scholarly publications. Advantages and Disadvantages (50 points/21%) 50 points 46 points 42 points 19 points 0 points Required criteria Presents evidence from recent scholarly publications to address the impact of technology on nursing care. Evidence includes the advantages of appropriately using technology in healthcare. Evidence includes risks of inappropriately using technology in healthcare. Describes professional and ethical principles guiding the appropriate use of technology in healthcare. Meets all requirements for section. Includes no fewer than 3 requirements for section. Includes 1-2 requirements for section. Section present yet includes no required criteria No requirements for this section presented. Conclusion and Reflections (30 points/12%) 30 points 15 points 0 points Required criteria Summarizes new information learned by completing this assignment. Reflects on how this new knowledge will impact future behavior as a healthcare professional. Meets all requirements for section. Includes 1 requirement for section. No requirements for this section presented. Scholarly Writing and APA Format (30 points/12%) 30 points 26 points 22 points 12 points 0 points Required criteria Paper submitted as a Microsoft Word document. Adheres to current APA formatting guidelines including proper use of: Meets all requirements for section. Includes no fewer than 4 fully met requirements for section. Includes no fewer than 3 fully met requirements for section. Includes 1-2 requirements fully met requirements for section. No requirements for this section presented. Assignment Section and Required Criteria (Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper Title page Page numbers Length is 4-5 pages, excluding title and reference pages. Includes at least three (3) references that are: From recent (within the last 5 years) scholarly sources Cited in text appropriately Included on an APA formatted reference page Scholarly writing reflects: Accurate spelling Correct use of professional grammar Logical organization of thoughts (mechanics) Total Points Possible = 240 points © 2022 Chamberlain University. All Rights Reserved. NR360_RUA_We_Can_But_Dare_We_Guidelines_JULY22 2

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