Transcript for:
"Advance Directives and HIPAA Compliance"

Hi. I'm Meris, and in this video we're  going to be talking about advance   directives and HIPAA. I will be following  along with our Fundamentals of Nursing   flashcards which are available on LevelUpRN.com. If you are following along with me, I am starting   on card number seven, so let's get started. Alright. Let's talk about advance directives.   One of the things that you're going to notice on  this card is that we talk first about the Patient   Self Determination Act, and this is the legal act  that is actually the thing that guarantees that a   patient has the right to make their own decisions  about their healthcare. Very important to   understand that that's what this document sets up. This is how we are able to have the ethical   principle of autonomy. Now let's talk about some   different types of advance directives. And  they are what they sound like. It is a patient   being allowed to direct their care in advance.  So this means that if I am incapacitated   or brain-dead or something similar, I have  already legally expressed my wishes somehow,   and we're going to talk about the different  ways. This is very important for patients who   have specific wishes they wish to be followed. So the first one we're going to talk about is a   living will. And a living will is the document  a patient draws up which indicates the types   of interventions they do and do not want to  have if they were incapacitated and unable to   provide consent for themselves. So this is very  specific. The patient can say, I don't wish to be   intubated. I do wish to have tube feedings.  I don't want this kind of intervention.   That is the document, a living will. Now a Do Not Resuscitate order is a specific type   of advance directives that says, "in the event of  cardiac death, I do not want for you to perform   CPR." No resuscitative actions, and depending  on your state, there may be variations of this,   so definitely make yourself familiar with all of  the different DNR options available in your state.  But if your patient is a DNR and they have a  cardiac arrest, we would not begin CPR. So the   thing that's important to understand though  is that we do require physician's orders   for life-sustaining treatment [(POLST)]  to be in place. And this means that the   physician needs to actually put orders  into the system saying something like,   "do not resuscitate," or "comfort care only,"  or whatever the patient's advance directives   are. The physician does need to put orders in  so that we can as nurses carry out those orders.  Now durable power of attorney is something you're  going to hear a lot about in nursing school, and   this is a legal document that designates another  person as being able to make medical decisions for   the patient. So for instance, if I had a durable  power of attorney, I could say in the event I'm   unable to give consent myself, my husband, my  mother, whoever I wish to designate, they have   the legal ability to give consent for medical  treatment only, medical treatment in my stead.  There are other forms of power of attorney that  allow you to give consent for other things,   but not this. Medical care only. The other thing  is they don't have to be related to the person.  So for instance, I could say "Cathy Parkes,  you are my durable power of attorney.   We are not related, but will you be the one  to make healthcare decisions if I could not?"  So those are very important advance  directives to understand, because you will   certainly see these come up on your nursing exams. Okay, next we're going to be talking about HIPAA,   which is the Health Insurance Portability and  Accountability Act. This is very important for   you to understand. It's highly testable because  it's so important, because this is the law that   sets forth the principles protecting a patient's  privacy when it comes to their medical records.   So very important to understand. So we  have a lot of things to go over here. I   would recommend reviewing this card in depth,  because this is very testable information.  So some things that you need  to keep in mind about HIPAA.  You are absolutely allowed to discuss a  patient's care with other members of the   healthcare team who are providing direct  patient care, such as their physician   or the respiratory therapist. That's okay. What isn't allowable by HIPAA though would   be something like speaking to a nurse on a  different unit about the patient who isn't   providing care to that patient. Furthermore, if your patient's   spouse wanted information on their lab  work or their medicines, that's okay   only if the patient has signed a release of  information indicating that you are allowed to   share that information with that person. So don't  give away any of the protected health information   of your patients unless you have that written  signature saying it's okay to talk to this person.  Now when you do have conversations with other  members of the healthcare team, make sure that   these are in secure locations such as the break  room or the nurses' station. That's all okay,   but don't have these conversations in  public areas such as the cafeteria or   in the elevator. That would not be appropriate. Now when it comes to the electronic health record,   EHR, there's some things to keep in mind there  too as to how to protect their information when   you're working on the computer. One of the most important things   is going to be your password. You need to use a  strong and unique password, change it frequently,   and never share that password with anyone,  including your own manager. That's very important.  When you step away from the computer, you  need to log off entirely. It's not enough   to just turn off your screen or turn the  screen away. That's not allowable by HIPAA.  Some other things to keep in mind, you can  only access patient charts for the patients   that you are directly caring for, so you  can't look up charts for a friend of yours   or a celebrity that's in the hospital. That's  not an okay use of a patient's health record.  So that is essentially the best  practices around HIPAA. Keep in   mind that accidents happen and people do break  confidentiality intentionally or otherwise.   When that happens though, you need to hold  yourself accountable and hold others accountable   and report that breach to your direct supervisor.  It's uncomfortable but it's very important.  Okay, so that's it for advance directives and  HIPAA. I hope you found that review helpful.   If you did, please be sure to give us  a like. You can drop a comment below to   let me know what you liked about that video,  and it's awesome if you want to subscribe so   that you don't miss any of the videos that we  put out on lots of different nursing content.  Next, I hope you join me. We're going to talk  about something that is really important but very   tricky. We're going to talk about intentional and  unintentional torts. Really important concepts.   And we're also going to go over mandatory  reporting. Thanks so much and happy studying!