Required Uniform Assignment: We Can, but Dare We?
PURPOSE
The purpose of this assignment is to investigate smartphone and social media use in healthcare and to apply professional, ethical, and legal principles to their appropriate use in healthcare technology.
Course Outcomes
This assignment enables the student to meet the following course outcomes.
• Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers.
• Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client's right to privacy.
• Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care.
Preparing for the Assignment
BACKGROUND
Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs, but we must also consider the impact of such technology on privacy and patient care. This technology includes the use of social media applications, such as Facebook, Instagram, MySpace, Twitter, and LinkedIn on smartphones.
In healthcare today, smartphones are widely used for communication, efficiency, and care. Obviously, a variety of issues (ethical, professional, and legal) from both the personal and hospital perspectives must be considered. SCENARIO
You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has been filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive pulmonary disease (COPD) exacerbations, falls, fractures, and the routine, regular congestive heart failure (CHF) patients. Your best friend is texting you from the concert that you had to miss tonight because you were scheduled to work, and you respond to her between care of patients, jealous that she is there and you are not. "What a jerk to torture me like this!" you think to yourself.
It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident victim, ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much-needed cup of coffee, and prepare a room for your next patient. The medics roll in and begin to fill you in. The patient is a 28-year-old male, a passenger on a bus that was involved in a crash, leaving the vehicle overturned after rolling over an embankment. There were several fatalities among the bus passengers, and "this victim has remained unconscious, though his vitals are currently" . . . and as you start to focus on the patient, you take a second look. Can it be? It is! The lead singer, Jerod, from the band "Blue
Lizards," who you have adored since you first heard his voice! The band had just left the concert that you had missed last evening when the accident occurred. You quickly text your best friend . . . "Can you believe?" and she responds with "Yeah, right. PROVE IT." So you quickly snap a picture with your smartphone, when alone with the patient, and send it to her. Can't hurt, right? Celebrities are "public property," and that's a part of their life, right? Just for good measure, you snap a few more pictures of the unconscious singer in various stages of undress and then a shot of his home address, phone number, and demographic information from his electronic health record. You sit your phone down on the bedside table for a minute as you continue your assessment of the patient.
At 7:00 a.m., you drag your tired body home and straight to bed after a long but eventful night.
What happens next? Choose an ending to the scenario, and construct your paper based on those reflections:
1. You are the following nurse on the day shift and discover the night nurse's phone on the bedside table. While trying to figure out to whom it belongs, you open the phone and see the photographs taken the night before. Holy moly! What a find, and nobody could trace you to the photos.
2. You receive a call from the gossip paper the Gossip Gazette, offering you $20,000 for the photos you have taken (courtesy of your best friend). Your identity would never be revealed, and you desperately need a new car and are behind on some bills.
3. You go on Facebook, on your day off, and talk about the night you had at work and how you didn't really feel as bad having to miss the concert, because you actually got to meet Jerod in person and even "Got his number!" You then post a picture of Jerod on Facebook and Instagram, figuring that most of your contacts would never recognize him anyway. It's your day off and your personal time, so no harm, no foul, right?
4. You receive a message the next morning from a peer at work that there is a big investigation being conducted at work due to a HIPAA violation and that it involved a celebrity who had been admitted to the hospital. The word is that legal action is being taken against the hospital due to some photos that were sold to the Gossip Gazette. Knowing that the photo you sent is safe with your best friend, you reach for your smartphone, but it is nowhere to be found.
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.