A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A. "HIPAA is a federal law, not a state law": This statement is correct. HIPAA, the Health Insurance Portability and Accountability Act, is a federal law enacted in 1996 to protect the privacy and security of individually identifiable health information. It applies nationwide and sets national standards for the protection of health information.
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form": This statement is accurate. HIPAA regulations govern the privacy and security of protected health information (PHI) in various forms, including verbal, electronic, and written formats. The regulations apply to covered entities such as healthcare providers, health plans, and healthcare clearinghouses.
C. "Information about a client can be disclosed to family members at any time": This statement is incorrect. HIPAA regulations restrict the disclosure of protected health information (PHI) to third parties, including family members, without the patient's authorization, except in certain circumstances outlined in the law. While there are provisions for sharing PHI with family members involved in the patient's care, such disclosures typically require the patient's consent or may be permitted under specific exceptions, such as in emergency situations or when the patient is incapacitated.
D. "A client's address would be an example of personally identifiable information": This statement is accurate. Personally identifiable information (PII) under HIPAA includes any information that can be used to identify an individual, directly or indirectly, including names, addresses, dates of birth, social security numbers, and other demographic data. Therefore, a client's address would indeed be considered personally identifiable information under HIPAA.

A. At the beginning: Examining the tympanic membrane at the beginning of the physical examination may not be ideal because it disrupts the flow of the assessment. It's more logical to start with general observations and proceed to more specific areas of assessment.
B. Before auscultating the chest and abdomen: While examining the tympanic membrane before auscultating the chest and abdomen may seem reasonable, it's not the optimal sequence. The nurse should focus on assessing major body systems before proceeding to more specific areas, such as the ears.
C. At the end: This is the correct approach. After completing the assessment of major body systems, such as the cardiovascular, respiratory, and abdominal systems, the nurse can then proceed to examine the ears, including the tympanic membrane. This sequence ensures a systematic and organized assessment.
D. Before examining the head and neck: While examining the tympanic membrane before the head and neck may seem logical due to proximity, it's more practical to conduct a comprehensive head-to-toe assessment first before focusing on specific areas like the ears.