A registered nurse in the United States sees a coworker taking a photograph of a patient's wound with a personal mobile phone. The coworker says the photograph is needed for teaching. What should the nurse do first?
Correct answer: B. Report the concern through the facility's privacy process
- A. Ask the coworker to delete the photograph immediately
- B. Report the concern through the facility's privacy process
- C. Ignore the action because teaching is a clinical purpose
- D. Post the photograph in the staff education group
Explanation
A patient image is protected health information and must be handled through approved systems and permissions. The nurse should promptly report the possible HIPAA and facility privacy violation, while avoiding further unauthorized disclosure.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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