Nurses may at times be custodians of health information (also known as “trustees” in some provinces)1 by application of the law, whether or not they have previously agreed to undertake these responsibilities. Why do you need to know if you are a custodian of personal health information? All provinces and territories have now adopted legislation governing…
Read MoreQuestion 1: Can I access my own personal health information through my employer’s electronic health records system? Answer: Every Canadian province and territory imposes a legal obligation on health-care custodians to protect personal health information (“PHI”). Typically, institutions or health authorities are considered the health information “custodians” or “trustees” of PHI. As custodians, institutions and…
Read MoreQuestion: I am a nurse working in a community healthcare clinic. I am providing services to a patient who regularly fails to attend appointments, refuses to take prescribed medications as recommended, and has dismissed my proposed plan of care. I am concerned about their well-being and their compliance with clinic expectations regarding practitioner-patient communications. The…
Read MoreQuestion: I am an ER nurse in a large Calgary hospital. A young man recently came into the ER with stab wounds to his left arm. He alleges that he has no knowledge of who the assailant was and does not want me to call the police. The nature of the wounds and his behaviour…
Read MorePrivacy is an aspect of personal information that is legislated at a federal and provincial level. At its core, personal information implies any data that can identify an individual, such as medical history.1 Patients have a right to control their own information based on what the law permits or requires. Maintaining confidentiality is an aspect of privacy and consists…
Read MoreMobile devices, such as smartphones and tablets are powerful tools. When used in appropriate ways, these devices may generally help nurses communicate with colleagues and patients, as well as keep notes, research medications, monitor patient’s medical devices and aid in virtual care. While there are significant benefits that come with the integration of smartphones and…
Read MoreOccupational health nurses (OHNs) deliver a variety of healthcare services in their workplace. Some areas of concern specific to occupational health nursing (OH nursing) are: Legislation Provincial, territorial, and federal legislation affecting OH nursing includes law governing occupational health and safety, workers’ compensation, employment and labour relations, and privacy. The employer must ensure compliance with…
Read MoreTechnological advancement in the healthcare field, as well as the increase in virtual care or telepractice, has helped patients access safer, faster and more specialized care than ever before. However, these developments have also given rise to a multitude of new privacy issues, concerning loss of and unauthorized access to, use, and disclosure of a…
Read MoreElectronic medical records (EMR) are now common to most nursing practices. To protect the privacy of patients’ personal health information, nurses should be aware of the unique privacy issues related to the use of EMR. Privacy Risks Access An increasing number of privacy breach cases involve unauthorized and inappropriate access by employees into their employer’s…
Read MoreDuring legal proceedings nurses may be protected from giving evidence in certain circumstances. In this infoLAW, the Canadian Nurses Protective Society (CNPS) reviews one legal exception to the requirement to provide evidence. This exception is called privilege. What is privilege? Privilege is a special legal rule arising from rules of evidence, the common law and…
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