Case A -An allergy and asthma office

Case A -An allergy and asthma office practice is having an especially busy day. The waiting room is crowded, and numerous people are waiting for allergy immunizations. Still others have appointments with the physician or nurse practitioner. A 10-year-old patient has a slight reaction to her immunization injection. The child and her mother are sitting in the waiting room. The nurse approaches them and asks if the child has been taking her prescribed allergy and asthma medication. The mother responds, “I don’t know. That’s her responsibility. I don’t have time to worry about a 10-year-old when I have three more kids at home all younger than she is.” The nurses leaves and comes back with pamphlets and the phone number for a family counseling service. The nurse proceeds to give detailed educational information to both the mother and child about the importance of taking the medication as prescribed and strategies to help remember to adhere to medication regimens. This is all done in the crowded waiting room. The NP happens to pass through the waiting room and asks the RN, the mother, and child to come with her to an office area where they can speak privately. Later, the NP tells the RN that she has violated the privacy rule. The RN argues that she was to busy to take them out of the waiting room.The RN says she hasn’t because she never called the patient by name and the instructions were general in nature. She also felt the mother was speaking to the child inappropriately. List five concerns regarding this scenario, and how you would have responded differently Example: Did she violate HIPPA?

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