Confidentiality. Is our report really confidential? Think about it. A patient is a victim of a crime. In your exam you ask before I give you any meds I need to know all drugs legal or other you have taken recently. You also ask about alchol use. Patient has already been through the ringer. Multiple trauma, besides the mental stress. Patient asks is this just between us. The answer is yes but no. You let them know that you have to let hospital know. Also you should let them know that in court the attacker's lawyer will request all documents. So really no it's not just between you and me. By telling the patient all this they may choose to lie to you and risk harm from our meds. Or if they admit use of drugs or alchol, they are then going to be victimized a second time in court, defense lawyer spinning it to sound like they were out of their mind and caused the event. Shouldn't some info actually be confidential?
Recently involved in situation where when exited the patient compartment a person representing the attacker approached and demanded the lab results and what the victim said. Of course told him no and that I could not discuss any patient info, he then said it's alright I'll get it when I file for it at the court. This victim told us a bunch, now all that info will be used against them, with what we were told it will be easy to twist things and victimize patient again. Patients actions did not justify the attack, but a good defense lawyer will make it look like attacker is an angel when in reality attacker needs to be......use your imagination. This just sucks. There is no confidentiality. Shouldn't some info truly be just between care giver and patient? Sorry to rant. Your input, advice, additional complaining, welcomed.
Thank You. Rant off for a little while.