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 Crazy Doggy Mommy
Posts: 1419
 
Location: Where Governor's make the liscense plates | ..
Edited by FirstFirewater 2014-01-20 4:50 PM
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The Advice Guru
Posts: 6419
| This is an open forum and you have given specific details about a client, you could loose your licence if you are a nurse as you have breached confidentiality. |
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Crazy Doggy Mommy
Posts: 1419
Location: Where Governor's make the liscense plates | This is not a breach of HIPAA If I used the patients name it certainly would be. I only posted this for others on the board who are in the healthcare profession |
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Fire Ant Peddler
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| cheryl makofka - 2014-01-20 4:39 PM
This is an open forum and you have given specific details about a client, you could loose your licence if you are a nurse as you have breached confidentiality.
That is what I thought. |
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Crazy Doggy Mommy
Posts: 1419
Location: Where Governor's make the liscense plates | Well I tried to delete it but it keeps saying a mod has to delete it. hmmm |
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The Advice Guru
Posts: 6419
| FirstFirewater - 2014-01-20 4:43 PM
This is not a breach of HIPAA If I used the patients name it certainly would be. I only posted this for others on the board who are in the healthcare profession
If you give specifics information that another health care worker or the client himself can say hey that is my or client smiths information it is a breach of confidentiality.
To reword it so it is not a breach of confidentiality is.
I cared for a client and reviewing their history I noticed the individual is not complying with the per scripted treatment the physician had laid out for this individual. It frustrates me as this individual has all these comorbidities directly related to the initial disease and this individual is not concerned about their current health. |
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 Veteran
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| Im not sure what was posted hear, but in order for something to breach HIPAA it must contain specific pt information that could be used to identify the pt ex..(name, address, ss#,insurance info) telling stories or talking about a pt does not breach the pt's confidentiality unless the pt is identified in those conversations.
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Crazy Doggy Mommy
Posts: 1419
Location: Where Governor's make the liscense plates | rbarnes90 - 2014-01-20 5:18 PM Im not sure what was posted hear, but in order for something to breach HIPAA it must contain specific pt information that could be used to identify the pt ex..(name, address, ss#,insurance info) telling stories or talking about a pt does not breach the pt's confidentiality unless the pt is identified in those conversations.
I agree with this statement, but since others didnt think so I just deleted what I posted to avoid confrontation. I specified pt's illnesses such as diabetes and revealed his a1c being 12 |
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  Warmblood with Wings
Posts: 27846
Location: Florida.. | personally I didnt see it either but I dont think any medical person should discuse their patients issues . not pointing at you or anyone just a thing that I think should be kept at the office.its not breaching it but its not morally right .. imho.. Please dont take this as a jab at you. this is just in general anywhere at anytime. |
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I Am a Snake Killer
Posts: 1927
Location: Golden Gulf Coast of Texas | As long as u didn't specify name or any personal info you did nothing wrong! I have seen Doctors come on here and discuss general info about their patients and no one said anything about that! |
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 Elite Veteran
Posts: 1118
Location: The South | Well I didn't see the original post, but if this makes you feel any better...I had a rotation with a juvenile diabetes clinic and a mother was thrilled when her child's A1C was 12! When I said well, that's not where we'd like it to be, she said it had come down some so they must be doing something right. Oi vey. Poor kid had an average BG of >300 but "they must be doing something right". The kid was overweight and type 2. |
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Crazy Doggy Mommy
Posts: 1419
Location: Where Governor's make the liscense plates | mreklaw - 2014-01-20 6:23 PM As long as u didn't specify name or any personal info you did nothing wrong! I have seen Doctors come on here and discuss general info about their patients and no one said anything about that!
Well I suppose since I'm not a doctor they didnt like it- although they weren't rude or anything it just kind of made me question it so I deleted it. Granted the information described a mans age and illnesses and results of latest A1c - but I assumed people would jump in and say what! since his level was unbelievably high - he is basically a non complient pt. who was referred to us for oral surgery and cant be touched until he has medical clearance. Except its been over a year since hes seen his endocrinologist and 2 years since hes seen his PCP. Which pt denies this and cant understand why they say they havent seen him? |
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 I Prefer a Beard
Posts: 1944
|  I'm an RN and work in home health. Just wanted to say I know how frustrating it is when your patients don't listen to you when you are teaching them about properly caring for themselves. Diabetics can be some of the hardest to inspire to take care of themselves. I always remember what a friend of mine told me. You can't care more about your patients condition than they do. As nurses all we can do is educate but it's ultimately up to each patient to take care of themselves. Hugs |
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Crazy Doggy Mommy
Posts: 1419
Location: Where Governor's make the liscense plates | LindsayJordan84 - 2014-01-20 6:27 PM Well I didn't see the original post, but if this makes you feel any better...I had a rotation with a juvenile diabetes clinic and a mother was thrilled when her child's A1C was 12! When I said well, that's not where we'd like it to be, she said it had come down some so they must be doing something right. Oi vey. Poor kid had an average BG of >300 but "they must be doing something right". The kid was overweight and type 2.
Oh gosh a child with that level is crazy! My pt is taking short and long acting insulin and is still having glucose reads of 230! When I told him it was high he completely disagreed and said he normally runs 300-400. I was always under the impression above 300 you run the risk of diabetic coma? Its not everyday I see such disasters so I'm just in complete shock- he also hasnt had an INR done since april |
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Crazy Doggy Mommy
Posts: 1419
Location: Where Governor's make the liscense plates | caspersabelpip - 2014-01-20 6:34 PM I'm an RN and work in home health. Just wanted to say I know how frustrating it is when your patients don't listen to you when you are teaching them about properly caring for themselves. Diabetics can be some of the hardest to inspire to take care of themselves. I always remember what a friend of mine told me. You can't care more about your patients condition than they do. As nurses all we can do is educate but it's ultimately up to each patient to take care of themselves. Hugs
That is so very sweet of you thank you so much! I think what bothers me the most is he doesnt seem to care or understand how dangerous it is? Unfortunately he's lied to us about seeing doctors or he has no concept of time  |
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Expert
Posts: 1314
Location: North Central Iowa Land of white frozen grass | And the health industry wonders why patients don't follow their advice. When most of your own employees don't follow it either. |
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I Prefer a Beard
Posts: 1944
| FirstFirewater - 2014-01-20 5:40 PM
caspersabelpip - 2014-01-20 6:34 PM I'm an RN and work in home health. Just wanted to say I know how frustrating it is when your patients don't listen to you when you are teaching them about properly caring for themselves. Diabetics can be some of the hardest to inspire to take care of themselves. I always remember what a friend of mine told me. You can't care more about your patients condition than they do. As nurses all we can do is educate but it's ultimately up to each patient to take care of themselves. Hugs
I know exactly how you feel. I've done home care for 13 years and I've had diabetics who we've brought on when first diagnosed to educate them. Then as time goes on we get them back periodically for wound care on their feet and more teaching. I can think of a few that had toes then half their foot amputated and finally lost their lower leg. If these patients had just took their diabetes seriously from the start they never would have lost limbs. Unfortunately a lot of people think it will never be me. |
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Expert
Posts: 3147
| Names or no names, I hope you never have anything to do with my health care or anyone I know. BHW, nor any other gossip forum, is the place to vent about patients. |
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 Elite Veteran
Posts: 685
Location: Arkansas | Granted, I don't think this is the place to talk about patients, but I understand the frustration that you have! I am in school to be a Rad Tech and we see stuff like this often. It is heartbreaking to have a patient who knowingly has a condition that they can easily correct or improve, and they choose not to do a thing about it. Healthcare is, in my eyes, the hardest feild to work in. You witness so many things that others can't even imagine. So keep your head up, its people that are caring like you that keep the healing going!! Just try not to post patient info on a public site! |
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 Money Eating Baggage Owner
Posts: 9586
Location: Phoenix | BMW - 2014-01-20 8:57 PM Names or no names, I hope you never have anything to do with my health care or anyone I know. BHW, nor any other gossip forum, is the place to vent about patients.
Vent aside.....You wouldn't want someone to genuinely care about your health? To see you so close to improving but you still not take action?
im sure we all have done something a bit unprofessional at some point, knowingly or unknowingly. Cut her some slack.
to the OP....I used to work with this VERY obese guy when I worked fast food. He was a cool guy, but so large, and so unhealthy. He hadn't been to the doctor in 10 years at least and I know that if he did go, they would probably tell him that he would die if he carried on the way he was. He was pushing 500, maybe more. I offered to make him healthy food options, but he always declined. It was very friustrating because I had a lot of healthy options and solutions and he just went for they fried foods everytime......I kinda know how you feel. |
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