Arizona Board of Nursing Edition 30 : Page 13

and spoke to the director of nursing. The BON indicated that if the physician wanted to use cell phones to text orders, he or the facility would need to provide a dedicated cell phone to staff. The cell phone could remain in a secured, private area at the nursing home or with the nurse during her shift. The BON issued a warning to the nurse. In addition, the case information was passed along to the health board and medical board to follow up with the facility and physician. This scenario illustrates the need for nurses to question practices that may result in violations of confidentiality and privacy. Nurse managers should be aware of these situations and take steps to minimize such risks. SCENARIO 7 Jamie has been a nurse for 12 years, working in hospice for the last six years. One of Jamie’s current patients, Maria, maintained a hospital-sponsored communication page to keep friends and family updated on her battle with cancer. Jamie periodically read Maria’s postings, but had never left any online comments. One day, Maria posted about her depression and difficulty finding an effective combination of medications to relieve her pain without unbearable side effects. Jamie knew Maria had been struggling and wanted to provide support, so she wrote a comment in response to the post, stating, “I know the last week has been difficult. Hopefully the new happy pill will help, along with the increased dose of morphine. I will see you on Wednesday.” The site automatically listed the user’s name with each comment. The next day, Jamie was shopping at the local grocery store when a friend stopped her and said, “I didn’t know you were taking care of Maria. I saw your message to her on the communication page. I can tell you really care about her and I am glad she has you. She’s an old family friend, you know. We’ve been praying for her but it doesn’t look like a miracle is going to happen. How long do you think she has left?” Jamie was instantly horrified to realize her expression of concern on the webpage had been an inappropriate disclosure. She thanked her friend for being concerned, but said she couldn’t discuss Maria’s condition. She immediately went home and attempted to remove her comments, but that wasn’t possible. Further, others could have copied and pasted the comments elsewhere. At her next visit with Maria, Jamie explained what had happened and apologized for her actions. Maria accepted the apology, but asked Jamie not to post any further comments. Jamie self-reported to the BON and is awaiting the BON’s decision. This scenario emphasizes the importance for nurses to carefully consider the implications of posting any information about patients on any continued >>> Bring your Lilyan, PCH Patient to work. When children need more than a helping hand, Phoenix Children’s Hospital is there to deliver hope and healing. Whether we’re extending a reassuring touch or maintaining a thorough grasp of the latest advances in pediatric medicine, our hands never stop caring. r /BUJPOBMSBOLJOHJOGPVSQFEJBUSJDTQFDJBMUJFTCZ6&#0f;4&#0f;/FXTBOE8PSME3FQPSU r 4JYIJHIMZSFTQFDUFE$FOUFSTPG&YDFMMFODF r 0OMZGSFFTUBOEJOHDIJMESFOTIPTQJUBMJOUIFTUBUFPG"SJ[POB +PJOVTJOBTVQQPSUJWFUFBNFOWJSPONFOUEJTUJOHVJTIFECZCFBVUJGVM surroundings, career advancement opportunities, excellent salaries, and HSFBUCFOFàUTCFHJOOJOHUIFàSTUPGUIFNPOUIBGUFSZPVSTUBSUEBUF&#0f; For immediate consideration, please call 1-800-772-2394 or apply online at: EOE *SFOF&#0d;1$)&NQMPZFF&#0d;1*$6 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13

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