The partner of a patient comes into the office demanding to know what the patient was seen for and why they were charged for the visit. Which of the following the best way for the medical assistant to handle this situation when no medical records release authorization form is on file?
Advise them that privacy regulations prevent releasing patient information regardless of their relationship to the patient.
Verbally share the patient information with them since they are the subscriber on the patient's medical insurance.
Reassure them that they have nothing to worry about since their partner's visit was only a follow-up to a minor surgery.
Instruct them to provide proof of identity prior to providing the requested information.
The Correct Answer is A
A. Advise them that privacy regulations prevent releasing patient information regardless of their relationship to the patient: Privacy regulations, such as those outlined in HIPAA, restrict the release of patient information without proper authorization, regardless of the inquirer’s relationship to the patient.
B. Verbally share the patient information with them since they are the subscriber on the patient's medical insurance: Even if the partner is the insurance subscriber, patient information cannot be disclosed without the patient’s explicit authorization.
C. Reassure them that they have nothing to worry about since their partner's visit was only a follow-up to a minor surgery: Providing details about the visit without authorization violates patient privacy and confidentiality.
D. Instruct them to provide proof of identity prior to providing the requested information: Proof of identity is not sufficient without a medical records release authorization form to disclose patient information.
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Correct Answer is C
Explanation
A. Colonoscopy: A colonoscopy is an invasive procedure that requires written informed consent due to the associated risks and the need for detailed patient understanding.
B. Dilation and curettage: Dilation and curettage (D&C) is an invasive procedure requiring written informed consent, including an explanation of risks, benefits, and alternatives.
C. Venipuncture: For venipuncture, verbal consent is generally sufficient, as it is a minor procedure with minimal risk.
D. Cardiac stress test: A cardiac stress test, while less invasive, typically requires written informed consent due to potential risks and the need for patient understanding.
Correct Answer is A
Explanation
A. Irrigate the wound with sterile normal saline. Irrigating the wound with sterile normal saline is the appropriate action for cleaning a contaminated wound, as it helps to remove debris and reduce the risk of infection.
B. Insert liquid bandage into the wound. A liquid bandage is not appropriate for a contaminated wound, especially if the wound is jagged, as it could trap contaminants inside.
C. Wash the wound with soap and warm water. While soap and water are good for general wound cleaning, sterile normal saline is preferred for contaminated wounds in a clinical setting to minimize irritation and infection.
D. Apply microporous tape to the wound. Microporous tape is used for securing dressings, not for cleaning wounds.