Appropriate disclosure of information in health care settings

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For each of the following, state whether you think the disclosure of information was appropriate. Defend your position!

1. A young woman, who states she has just been raped, comes into the emergency room requesting a pelvic examination and a morning-after pill, but she insists that the staff not call the police. The staff reports the incident.

2.A young woman brings her child into the emergency room for an arm injury. The family has brought the child in several times as of late for similar injuries with the excuse that the child is somewhat clumsy and is having difficulty learning to ride her bike. The child shows no fear of the parent, and upon questioning, she confirms the parent’s version of the events. The staff reports the injury as a possible child abuse case.

3.You are a medical records technician and are in the department when two men come in and flash badges indicating that they are from the FBI and need to see the Hiram Jones record as a matter of national security. You cooperate and allow them access to the files.

Please Cite your sources!
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Solution Preview

Hello,

You have asked for a professional opinion on the appropriateness of information disclosure in the following examples.

1. A young woman, who states she has just been raped, comes into the emergency room requesting a pelvic examination and a morning-after pill, but she insists that the staff not call the police. The staff reports the incident.

This action was inappropriate. Yes a crime has been committed (as stated by the woman), but her right to privacy supercedes the staff’s obligation to report the crime. The woman came in seeking medical attention, not police intervention. Perhaps the woman was too distraught to consider her course of action beyond seeking medical attention needed at that moment. Rather than reporting the incident as rape to the police, the staff should have called in the hospital social worker or chaplain to engage the woman in some post traumatic stress counseling. After some suitably empathic counseling, the woman might have decided on her own to report the …