A nurse is coming back from the break and enters the elevator. Looking down, he sees that there is a patient history and physical on the elevator floor. The most appropriate action would be to:
  1. Leave it on the floor, the person looking for it will retrace their steps and be very anxious if they cannot find it.
  2. Pick it up and shred it immediately when he returns to the unit.
  3. Call the manager of the medical records department and report what he has found.
  4. Remove all identifiable patient information and throw it away in a shredder container.
Explanation
Answer: C - While coming back from a break and entering an elevator a nurse sees a patient history and physical on the elevator floor; the most appropriate action would be to report the finding to the medical record office. Per HIPPA law, all breaches of privacy and patient identification need to be reported to the state. By reporting to the medical records department, the nurse reflects an understanding of the process that needs to be followed when a breach of privacy occurs. The medical records department is responsible to report findings to the state.
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