Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Patient Confidentiality
Guidelines:
- Perioperative RNs are accountable to advocate for patient safety, patient’s right to information, privacy, and confidentiality
- Challenges related to patient confidentiality
- Physical surroundings and time pressure in the clinical setting
- Rounding
- Multi-patient rooms
- Communication challenges
- Where and with whom
- Relatives
- Language problems
- Minor translating for parent
- Uncomfortable with interpreter
- Navigation of the clinical setting to ensure privacy
- Speaking with parents or colleagues on the phone where others can hear
- Maintaining patient confidentiality for something the patient told in confidence
- Offering split consultations for parents/young adult patients
- Physical surroundings and time pressure in the clinical setting
Considerations:
- Caring for Transgender Patients:
- An estimated 1.6 million people aged 13 years or older in the United States identify as transgender
- Politely ask patient how they would like to be addressed
- Questions about pronouns and names should occur in private, when possible
- Do not assume pronouns
- Medical record name may be different thal information as dictated by state laws and policies
- Only ask questions required to provide care
- Sensitively obtain the needed information
- Be cautious when talking to or around patients’ family members and friends
Nurse’s role:
- Follow professional standards of care
- State board of nursing practice act
- Facility policies/procedures
- Advocate for patient safety, privacy, dignity, and confidentiality in all phases of perioperative care
- Pull curtains
- Ensure conversations are private
- Enforce patient privacy and confidentiality
- Follow facility policies/procedures
- Patient rights
- Adolescent privacy
- Custodial/non-custodial parent
- Interpreters
- Provide information about the patient according to HIPAA guidelines
- Status
- Updates
Pitfalls:
- Consequences of breaches of confidentiality:
- Patients withholding information
- Patients being embarrassed when they hear things about others
- Patients losing trust
- Especially important to consider when talking about hospitalized children and young people
Examples:
- N/A
Linchpins (Key Points):
- The perioperative RN is the patient advocate
- The perioperative RN maintains patient privacy and confidentiality
- The perioperative RN follows professional standards of care
- The perioperative RN follows facility and regulatory guidelines
Transcript
References
- (2020). AORN Position Statement on the Role of the Health Care Industry Representative in Perioperative Settings. AORN Journal, 111(6), 681-686. https://doi.org/10.1002/aorn.13065
- Croke, L. (2023). Key considerations when caring for transgender patients. AORN Journal, 117(1), P4-P7. https://doi.org/10.1002/aorn.13858
Eg, M. & Jensen, C.S. (2023). The challenges of maintaining patient confidentiality in pediatric settings. Journal of Pediatric Nursing, 69, 18-23. https://doi.org/10.1016/j.pedn.2022.12.022
NCLEX
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- Circulatory System
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- Cardiac Disorders
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- Shock
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- Newborn Complications
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- Nervous System
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- Basics of NCLEX
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- Pregnancy Risks
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- Fundamentals of Emergency Nursing
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