A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Choice A Reason:
"Clients who participate in research studies forfeit their HIPAA right to privacy. "This statement is incorrect. While research studies may involve the use of personal health information, participants still retain their HIPAA rights to privacy. Research institutions are required to follow strict guidelines for protecting participants' privacy and confidentiality.
Choice B Reason:
"HIPAA prohibits the uploading of photographs of client's providers to social media sites. "This statement is true. HIPAA prohibits the unauthorized disclosure of protected health information (PHI), which includes photographs, on social media or any other public platform without the patient's explicit consent.
Choice C Reason:
"HIPAA allows facility-specific coding of client health care information to ensure privacy." This statement is ambiguous and could be interpreted in different ways. HIPAA requires covered entities to implement safeguards to protect the privacy of health information, which may include coding or encryption of data. However, facility-specific coding alone may not be sufficient to ensure privacy compliance without proper implementation of HIPAA privacy and security standards.
Choice D Reason:
"HIPAA allows clients to request a review of their own medical records. “This statement is correct. HIPAA grants individuals the right to access and review their own medical records held by covered entities, such as healthcare providers and health plans. This access allows patients to verify the accuracy of their medical information and understand how their health information is being used and disclosed.

Choice A Reason:
Shredding extra copies of a client's records is essential to maintaining confidentiality and protecting the client's privacy. This ensures that sensitive information is properly disposed of and cannot be accessed by unauthorized individuals.

Choice B Reason:
While confirming the fax number before sending the client's information is essential, doing so after sending the information is not useful and can potentially lead to privacy breaches if the information was sent to the wrong number. The correct action would be to verify the fax number before sending the information.

Choice C Reason:
Avoid using a fax cover sheet in order to reduce paper waste is inappropriate. While reducing paper waste is important for environmental sustainability, using a fax cover sheet is typically necessary for providing necessary information and ensuring that the fax is properly directed to the intended recipient. Omitting a fax cover sheet may lead to confusion or misdirection of the faxed information.

Choice D Reason:
Sending the facility, a copy of the client's complete medical record is inappropriate. While it may be necessary to send relevant portions of the client's medical record to the rehabilitative facility, sending the entire medical record may be excessive and could potentially violate the client's privacy rights. It's important to send only the information that is pertinent to the client's transfer and rehabilitation needs.