Week 5: Privacy & Confidentiality

Question 1

Privacy

Answer 1

About person

Question 2

Confidentiality

Answer 2

Confidentiality is about duty to protect information.

Question 3

Confidential Information

Answer 3

Any identifying information about clients that is in verbal, written, or electronic form

Question 4

Privacy Legislation

Answer 4

Personal Information Protection and Electronic Documents Act (PIPEDA)

Personal Health Information Protection Act (PHIPA)

Question 5

Examples of Hard Situations - Confidentiality

Answer 5

violence 
elderly/caregiver
driving concerns
personal harm 
illicit drug use 
police

Question 6

importance of proper documentation

Answer 6

Communication about client‘s health status and needs to all members of the health care team

Communication of a client centred plan of care to other nurses

Communication of changes in a client’s condition or situation

Communication of a client’s educational/information needs

Question 7

expectations of documentation

Answer 7

Factual

Accurate

Concise

Relevant

Complete

Organized

Proper grammar

Spelling

Punctuation

Professional language/terminology

Question 8

legal guidelines documentation

Answer 8

Do not erase or use white out

Record pertinent facts

Do not leave blank spaces in the note

Write legibly & in ink

Chart only for yourself – except?

Avoid using generalized phrases

Begin each entry with date, time.

End each entry with signature & designation (WCTF-1 )

Be considerate of language used

Question 9

SOAP

Answer 9

S – from the patient, subjective, symptoms

O – from the nurse, signs, objective

A – problem r/t cause, nursing diagnosis

P – plan, now what?