NCLEX-PN® ExaminationCoordinated CareHard
A newly licensed LPN is documenting in a client's electronic health record (EHR). The LPN needs to access a client's past medical history but notices that the computer system is slow and occasionally freezes. To save time, the LPN considers using a colleague's login credentials, which are openly displayed on a sticky note near the workstation. What is the most appropriate action for the LPN to take?
- AUse the colleague's login to quickly access the necessary information.
- BWait patiently for the system to respond using their own login.
- CReport the slow system and the exposed login credentials to the charge nurse.
- DDocument the client's history on paper and transcribe it later.
Show answer & explanationAnswer & explanation
Correct answer: C. Report the slow system and the exposed login credentials to the charge nurse.
Using another's login is a serious breach of confidentiality and information security, violating HIPAA and facility policy. The LPN's most appropriate action is to report both the system issue and the security breach (exposed credentials) to the charge nurse. This addresses both the immediate workflow problem and the critical security vulnerability.
Why the other options are wrong
- A. This is a serious breach of confidentiality, information security, and ethical conduct, and could result in disciplinary action.
- B. While waiting is preferable to using another's login, it does not address the underlying system issue or the critical breach of information security posed by the exposed credentials.
- D. Documenting on paper might seem like a temporary solution for the slow system, but it creates potential for errors, delays in charting, and does not address the critical security breach of the exposed login.
Information Security (HIPAA) & System Issues
LPNs must uphold HIPAA by never sharing or using others' login credentials. System access issues and security breaches (like exposed passwords) must be reported immediately to maintain information security.
- Sharing login credentials is a serious HIPAA violation.
- System performance issues should be reported for resolution.
- Protecting client information is a continuous responsibility.
Memory trick: Slow systems and exposed logins demand quick, correct reporting.