P
Pattylt
Guest
Even hospital workers are restricted by “need to know”. When HIPPA was first defined and being implemented, our lab techs had to really put up a fight to be able to know patient statuses and diagnosis. Our critical values are often determined by knowing what medications a patient was on. The normal ranges for clotting greatly depend on knowing if they are on clot thinners, for example.
Eventually our Pathologists got involved and solved the problem. One that took the longest was knowing the HIV status of patients for performing phlebotomy. Yes, we are always to assume they may be positive and use safe measures at all times but we also need to know for double gloving and extra measures. Eventually, it all got sorted but new situations still crop up. Who needs to know if a female is really female? The doctor obviously does but who else has a true “need to know”? The lab does! Medical privacy is messy.
Eventually our Pathologists got involved and solved the problem. One that took the longest was knowing the HIV status of patients for performing phlebotomy. Yes, we are always to assume they may be positive and use safe measures at all times but we also need to know for double gloving and extra measures. Eventually, it all got sorted but new situations still crop up. Who needs to know if a female is really female? The doctor obviously does but who else has a true “need to know”? The lab does! Medical privacy is messy.