Patient Confidentiality in the Emergency Department Essay

Confidentiality and privacy argon words used interchangeably in the medical world when they have very different meanings. Confidentiality is in line with security measure of affected role information from unauthorized users and privacy is in line with protection of the tolerants physical body from unauthorized users. In the emergency part (ED) this is a lofty and constant task that requires vigilance from staff, in completely departments, involved with the patient. This student go forth report on the break throughs with confidentiality in the ED.Describe the issue and the population it affects most. There are many issues with confidentiality in the ED but this student believes that the overcrowding and the growth in the subspecialty of Hallway Medicine (Freeman, 2003, p. 1) is an enormous problem go about emergency departments (EDs). Hallway medicine happens when an ED has full live and the hallway gets employed as a waiting or stage area for the overflow patients. Emergen cy room visits by patients are not just for emergencies anymore. The ED is becoming more like an urgent care setting.As more patients send wordnot pay for the medical care, they need a higher utilization of the ED is happening because the ED cannot refuse to treat a patient. This is causing an influx of patient volume. Because most EDs have not had the opportunity to rebuild or redesign the patient rooms to single person rooms the use of curtains separating patients is shut up widely used. Some precautions have been instituted by widening the space between beds and using portable dividers there is still an issue with maintaining patients confidentiality.Poor division between patients and overcrowding of EDs can create a sense of no privacy for the needed communication between patient and provider to happen. Patients will use the ED for a variety of ailments. If the patient feels that they whitethorn be overheard by someone former(a) than his or her provider, he or she most likely will withhold medical history or information that the provider would need to help diagnose and treat the current problem. Supporting factsAccording to Moskop, Marco, Larkin, Geiderman, and Derse (2005), Of the 104 patients in the latter study reported that their expectations for privacy in the ED were met, 4 patients (all in curtained preaching areas) reported withholding part of their medical history, refusing part of their examination, or both because of privacy concerns (Moskop et al 2005, p. 1). When patients believe that someone who is not providing care directly to them can hear the intimate details of his or her medical issue he or she will most likely not share the entirety of the details.If the patient is a celebrity, he or she will not want to share too much information for fear that the ED visit information will be sold or leaked to the press or paparazzi. Possibly, there is a family member with the patient. This person does not need to know the full extent of the pati ents medical issues. These are valid confidentiality concerns that hamper the ability of the ED physician to treat the patient. Ethical and Legal Issues The good issues are never-ending when traffic with patients confidentiality while in the ED.The emergency department has some slightly different issues to deal with in emergent or trauma situations the need to maintain the patients confidentiality are still prevalent. ED physicians have to be wary of several possibilities that can affect the course of an ED visit. The safety of patients and staff is always a summit priority. Depending on mental status, the severity of the injury or illness, placing the patient in a single person room or closer to the nurses station may be necessary to maintain safety.Law enforcement officers may need to have access to the patient to get the details of an accident or retrieve evidence. The officers have, in some instances, the ability to access the patients because the transportation to the ED by law enforcement. Protecting the medical eternalize is of high importance. No matter who has access to the patient the medical insert must be kept confidential and not laying around for anyone to see. Legal issues around confidentiality can be just as important. Patients can record the actions of the staff in the ED.Smart phones have increased the patients or family members ability to document what is utter and the actions made by the providers. This may help a legal case if the patient has a valid complaint. The facility also has to elucidate the medical record safe and confidential. If the medical record is on paper, then there needs to be restricted access to the area where the records are. If the medical record is electronic, safeguards in the calculating machine programming need to shut down and lock the screen after a short period on inactivity.Managerial responsibilities related to administrative ethical issues In the article, there was no relation to managerial responsib ilities. This student believes that education to the staff as regularly as possible is the best way to make sure all staff understand the high level of confidentiality to be maintained in the ED. There should be no compromise when accessing the patients medical record. repair training for the staff will be a big step in the right direction.Reaching out to ancillary departments and outside resource, law enforcement officers, to machinate the teaching of confidentiality within patient access would also create a unity between the different people who may have access to the patient. Solutions Proposed solutions for maintaining confidentiality in the ED begin with making the patient feel that the space he or she are in during his or her ED visit is an audibly secure. This becomes a challenge for established older ED where curtains are still used to create a privacy barrier. One solution would be to use all individual rooms first, before using the curtained rooms.This removes any confide ntiality issues at the beginning of the visit. If only curtained rooms are available space the patients in every other curtained room until it is necessary to start using the rooms in between. Another solution may be to have portable walls that roll into place to give an added layer of sound barrier. In an area where multiple patient-staff communications routinely occur, use of cubicles, dividers, shields, curtains, or similar barriers may micturate a reasonable safeguard (Using barriers, 2002, p. 6). ConclusionIn the emergency department, a patients visit can be very feverish and have different people discussing the patients care and care needs to be taken to ensure the patients confidentiality. The patient needs to feel pleasant to share his or her health history so that the physician can make the best informed decision for the patients treatment. The patients medical record needs to be kept secure whether in a restricted area or with software that shuts down after not used for a short period. Creating an audibly secure area for the patient will help create a better ED visit for the patient.