There are many levels of care which may involve psychiatrist nurse

There are many levels of care which may involve

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hospital as nurse, I worked in a psychiatric outpatient clinic. There are many levels of care, which may involve, psychiatrist, nurse practitioners, case managers, social workers, license therapists to office clerks. I was shocked to see how many therapist would violate patient's privacy and discussed personal and private patient sessions with employees that were not involved in their care. It definitely made me think about ever sharing my information in a therapeutic setting. Morrison argues "only those who have a legitimate need to know the information should have access to the patient's medical record" (p.32, 2011). However, who needs the medical record if you have such a lack of care by providers. Another element to consider in this day in age is the Internet. Anyone can look up your information. It is scary think that a disgruntle patient can look me up on face book or even find my address. Morrison, E. E. (2011). Ethics in health care administration: A practical approach for decision makers (2nd ed.). Sudbury, MA: Jones and Bartlett Publishers. Withholding information from a patient is not ethically justifiable and is a violation of the doctor's role as a fiduciary and is never justified. As a fiduciary, the doctor owes the patient trust and confidence that everything done is in his best interest. Lying to and deceiving patients breaches the autonomy of individuals trust and interferes with the doctrine of informed consent making the physician vulnerable to potential lawsuits. A doctor may argue that it is withholding information on the grounds of therapeutic privilege which is beneficial to the patient due to emotional distress or illness, but lying or bending the truth will only cause further harm. Withholding information from patients impairs their decision making capacity and does not allow them to plan or make good judgments. A doctor who withholds information from a patient is violating the ethical principles of autonomy which allows for a patient to self govern his illness and make his own choices. It denies beneficence because the
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doctor is not looking after the patient's best interest and non maleficence because not informing may actually be considered harming Ms. Kiley; class, It is difficult to always know what to do. In the above case, I had went to my charge nurse and she had went to the patient and told her the same thing, as that was our policy at that facility. When I worked in urgent care, there were times when the doctors would have us call the patients and give them their test results. I think it depends on the facility's particular policy. I would hope a facility had researched the state and local guidelines before implementing a policy. I just tried to look up the laws on this for my state and I cannot find anything clearly stating whether or not nurses are allowed to give test results. I did find information on one website that does post the specific states where lab tests results can be given to patient, either by provider or other. It looks like Virginia is one of the
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  • Fall '14
  • HCS 545, Health care provider, attorney, Health Information Technology for Economic and Clinical Health

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