{"id":32359,"date":"2013-07-17T09:15:53","date_gmt":"2013-07-17T13:15:53","guid":{"rendered":"http:\/\/www.shilohwalker.com\/website\/?p=32359"},"modified":"2013-07-17T09:15:07","modified_gmt":"2013-07-17T13:15:07","slug":"writing-a-more-believable-medical-heroheroine-day-2-confidentiality","status":"publish","type":"post","link":"https:\/\/www.shilohwalker.com\/website\/2013\/07\/writing-a-more-believable-medical-heroheroine-day-2-confidentiality\/","title":{"rendered":"Writing a more believable medical hero\/heroine&#8230;day 2, confidentiality"},"content":{"rendered":"<p><a href=\"https:\/\/i0.wp.com\/www.shilohwalker.com\/website\/wp-content\/uploads\/2013\/07\/Medical-image.jpg\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-32349\" alt=\"Medical image\" src=\"https:\/\/i0.wp.com\/www.shilohwalker.com\/website\/wp-content\/uploads\/2013\/07\/Medical-image-300x300.jpg?resize=300%2C300\" width=\"300\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/www.shilohwalker.com\/website\/wp-content\/uploads\/2013\/07\/Medical-image.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.shilohwalker.com\/website\/wp-content\/uploads\/2013\/07\/Medical-image.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/www.shilohwalker.com\/website\/wp-content\/uploads\/2013\/07\/Medical-image.jpg?resize=1024%2C1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.shilohwalker.com\/website\/wp-content\/uploads\/2013\/07\/Medical-image.jpg?w=2048&amp;ssl=1 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><em>Image \u00a9\u00a0<a href=\"http:\/\/www.dreamstime.com\/photographer1773_info\">Shannon Matteson<\/a>\u00a0|\u00a0<a href=\"http:\/\/www.dreamstime.com\/\">Dreamstime Stock Photos<\/a><\/em><\/p>\n<p>Ever heard of HIPAA?<\/p>\n<p>If you&#8217;re writing a medical hero or heroine, you should have heard of it.<\/p>\n<p>Also, if you&#8217;ve been to the doctor&#8217;s office in the past umpteen years, you have heard it. \u00a0You just might not realize that is what it is.<\/p>\n<p>In 1996, <a href=\"http:\/\/whatishipaa.org\/\" target=\"_blank\"><em><strong>HIPAA<\/strong><\/em><\/a>, also known as the\u00a0Health Insurance Portability and Accountability Act, was endorsed by Congress.<\/p>\n<p>Why does this matter when writing a doctor or nurse? Because your doctor or nurse should have a basic understanding of it. You don&#8217;t need to go throwing that term\u00a0<em>in<\/em>\u00a0there, because your readers might not understand it.<\/p>\n<p>But your\u00a0<em>medical<\/em> readers, and there are a lot of us, will laugh or roll our eyes or get downright irritated when you trample all over confidentiality&#8230; because that is what this is about.<\/p>\n<p>Confidentiality.<\/p>\n<p>Confidentiality has always mattered to an ethical nurse or doctor, but after HIPAA came into being, it got more important. Talking about a patient in the cafeteria, where\u00a0<em>other<\/em> people can hear you can lead to serious trouble. \u00a0<a href=\"http:\/\/abclocal.go.com\/ktrk\/story?section=news\/local&amp;id=7137559\" target=\"_blank\">Looking through records<\/a> you have no business accessing can get you fired. (<a href=\"http:\/\/abclocal.go.com\/ktrk\/story?section=news\/local&amp;id=7137559\" target=\"_blank\">Link<\/a>)<\/p>\n<p>Facebooking about a patient can lead to big trouble. \u00a0Nurses get <a href=\"http:\/\/www.healthcarebusinesstech.com\/nurse-fired-for-hipaa-violation-after-discussing-cop-killer-patient\/\" target=\"_blank\"><em><strong>fired<\/strong><\/em><\/a> over this. (<a href=\"http:\/\/www.healthcarebusinesstech.com\/nurse-fired-for-hipaa-violation-after-discussing-cop-killer-patient\/\" target=\"_blank\">Link<\/a>)<\/p>\n<p>And while this case <a href=\"http:\/\/www.wisn.com\/Nurses-Fired-Over-Cell-Phone-Photos-Of-Patient\/-\/9374034\/8076340\/-\/1466umb\/-\/index.html\" target=\"_blank\">here<\/a> &#8211; the woman took\u00a0<em>photos<\/em> for pete&#8217;s sake &#8211; look at what is under the header&#8230;<em>referred to the FBI.(<\/em><a href=\"http:\/\/www.wisn.com\/Nurses-Fired-Over-Cell-Phone-Photos-Of-Patient\/-\/9374034\/8076340\/-\/1466umb\/-\/index.html\" target=\"_blank\">Link<\/a>) That FBI thing should clue you in&#8230;\u00a0<em>confidentiality is no joking matter<\/em>.<\/p>\n<p>I cannot\u00a0<em>tell<\/em> you how many books I&#8217;ve read where the hero or heroine is somehow connected to the medical field&#8230;a doctor, nurse, EMT, etc and will be in the cafeteria, talking about Ms. Shaw and her hip, in the elevator, talking about cranky old Mr. Roberts and his dialysis, etc, etc.<\/p>\n<p>Yes, the staff will\u00a0<em>talk<\/em><em>.\u00a0<\/em>But&#8230;the smart ones, who value their jobs, aren&#8217;t going to do it in public where anybody <em>but<\/em> staff can hear.<\/p>\n<p>And it shouldn&#8217;t be gossipy. \u00a0Say a nurse in ICU hears you&#8217;ve got a hunky cop on the med-surg floor. \u00a0She comes up and wants details&#8230; yes, this is totally believable, right?<\/p>\n<p>Do you know that if you are overheard <em>discussing\u00a0<\/em>those details, you can get fired?<\/p>\n<p>Basically, you share\u00a0<em>only<\/em> the necessary information with the\u00a0<em>necessary<\/em> people.<\/p>\n<p>So if you&#8217;re overheard discussing patients at yoga&#8230;in the supermarket&#8230;with your BFF&#8230;that&#8217;s a no.<\/p>\n<p>You might think this is too restrictive to your story, but if you want to make your medical character more believable, then you can find a way to work it.<\/p>\n<p>Basically:<\/p>\n<ul>\n<li><span style=\"line-height: 16px;\">No gossiping, especially not in public spaces<\/span><\/li>\n<li>You can&#8217;t have the hero\/heroine pull the doctor or nurse aside for info on a patient. \u00a0Unless that patient has\u00a0<em>given<\/em> permission, and the staff should check, that doctor\/nurse is risking his license, his money, possibly his freedom by giving out those details so easily.<\/li>\n<li>The same goes goes if a character out of the blue asks the doctor\/nurse for info&#8230;unless that doctor\/nurse knows the patient has\u00a0<em>okay&#8217;d\u00a0<\/em>that release of information, they aren&#8217;t going to give it. \u00a0They like having their license, the money from the job&#8230;and yeah, not being investigated, thrown in jail, etc, etc.<\/li>\n<li>If your nurse\/doctor goes digging for personal data, s\/he&#8217;s doing it at the risk of losing his\/her job, possibly her license. Since many records have gone digital, this can be tracked&#8230;and it often is.<\/li>\n<li>Only the\u00a0<em>minimum<\/em> amount of information needed for patient care is accessed. \u00a0Again, say I&#8217;m working a med-surg (medical-surgical) floor and there&#8217;s a patient in ICU, I can&#8217;t go flipping through their file. \u00a0I have no business doing it. Again, that information\u00a0<em>can<\/em> be tracked.<\/li>\n<li>Violations can and do lead to fines and\/or jail time, so this is serious shit. Nurses\/doctors\/CNAs\/Aides they all understand this&#8230;we don&#8217;t take it lightly, neither should your characters.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Image \u00a9\u00a0Shannon Matteson\u00a0|\u00a0Dreamstime Stock Photos Ever heard of HIPAA? If you&#8217;re writing a medical hero or heroine, you should have heard of it. Also, if<a href=\"https:\/\/www.shilohwalker.com\/website\/2013\/07\/writing-a-more-believable-medical-heroheroine-day-2-confidentiality\/\" class=\"more-link\"><span class=\"screen-reader-text\"> &#8220;Writing a more believable medical hero\/heroine&#8230;day 2, confidentiality&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":32349,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":{"facebook_10161045129738658_54762468447":""},"rop_publish_now_history":[],"rop_publish_now_status":"pending","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_bluesky_dont_syndicate":"","_bluesky_syndication_accounts":"","_bluesky_syndication_text":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[59],"tags":[],"class_list":["post-32359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-workshops"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Writing a more believable medical hero\/heroine...day 2, confidentiality - Shiloh Walker<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.shilohwalker.com\/website\/2013\/07\/writing-a-more-believable-medical-heroheroine-day-2-confidentiality\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Writing a more believable medical hero\/heroine...day 2, confidentiality - Shiloh Walker\" \/>\n<meta property=\"og:description\" content=\"Image \u00a9\u00a0Shannon Matteson\u00a0|\u00a0Dreamstime Stock Photos Ever heard of HIPAA? 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