HIPPA violation or not? Need opinions

vendredi 6 novembre 2015

Hi guys. This situation is basically about a grey-area HIPPA violation I supposedly committed at my recent acute care rotation. The situation got me into some hot water, so I am petitioning some of the details about my performance to a committee soon. I want to know if this situation can be classified as HIPPA violation.

I was having a lot of trouble working up patient cases by hand at the hospital the first few days because i write pretty slow and my notes are very unorganized. I type much faster than I write and organize faster and more efficiently, making follow up visits and workups a lot easier. One afternoon I decided to type up my patient reports on my laptop for the first time. I was planning on putting the file on a flash drive to use to print the patient case on paper with the hospitals printer after finishing the initial case workup. Afterwards, I would destroy the patients file off my laptop, flash drive and the hospital computer to avoid exposing HIPPA. And of course, I was going to leave the hardcopy printed at the hospital, with no PHI, to use when I did workups the next day, but with pencil from then on because the follow up information needed in each daily review requires much less information (no complete baseline vitals, labs, meds, disease states, DDR, HX, etc.) I included PHI originally in the laptop document to help identify which patients went with which documents, with the intention to remove the PHI before transferring to the other computer to print. My preceptor came in one afternoon and saw me working up the patient and saw the PHI on the file and immediately scolded me for breaching HIPPA law and that i was never to have any patient medical record information saved on my computer, and to start again on paper. She didnt give me a chance to explain what my intentions were after finishing each workup that day. Her statement in my post rotation report basically states that she walked in and saw me typing a patient workup on my laptop with PHI involved, an obvious HIPPA violation.

So in the petition I want to know if my intentions stated above about my laptop workup process actually violated any HIPPA laws. I believe she assumed I was typing ALL of my workups on my laptop, with the PHI that wasn't going to be removed, including daily follow up notes; and that I was saving the information and taking it home with me (which I am aware IS a HIPPA violation, and of course not what I was doing).

Am I at fault?
Is it her word versus mine?

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HIPPA violation or not? Need opinions

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