In the UK, a patient tells a nurse that a staff member has been accessing their electronic record without any care-related reason. The patient wants this stopped. What should the nurse do?
Correct answer: B. Report the suspected inappropriate access through the proper process
- A. Ignore it because record access is an information governance issue
- B. Report the suspected inappropriate access through the proper process
- C. Ask the staff member to delete any information they viewed
- D. Discuss the patient’s records with other patients to confirm access
Explanation
Unauthorised access to confidential records is a potential information governance breach and may also indicate abuse of position. The nurse should preserve confidentiality, document the concern, and report it through the organisation’s information governance or safeguarding route.
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About Safeguarding and Duty of Candour
Safeguarding covers recognising signs of abuse, neglect, exploitation and domestic violence in children and adults, responding to disclosure, recording facts, sharing information lawfully and escalating to the safeguarding lead or relevant authority. Duty of candour requires openness, apology, explanation and reporting after qualifying harm, and is distinct from investigating blame or proving negligence.
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