In article <[log in to unmask]>, Katie Law <katie@utu-
mno.demon.co.uk> writes
>
>One of my patients complained about the dietitian seeing her notes.
Thanks - nice bit of ammo there :-)
>If I write a referral note I explain the reasons for referral clearly.
>The dietitian states she needs access to the latest cholesterols etc.
>I would rather she asked me for those.
>And anyway, are they *really* needed if it is agreed that any
>cholesterol is too high for a patient at risk?
Absolutely.
>As far as I am aware the dietitian still accesses the notes :-(
Why - do your partners not agree with you?
>
>>Firstly I dont think it should change what they do v much.
>I could be devils advocate and suggest the notes don't change what *we*
>do very much!
Yes and no ;-)
>
>>Secondly - this is a small community and everyone knows everyone else
>
>Even in an Aldershot-like area everyone should be assumed to know
>everyone when you talk of confidentiality.
Yep
>
>>I have just asked the MPS for a view
>
>did they give you one?
Not yet - come on - I only pay em a couple of grand a year - surely I
cant expect a same day response for that? ;-)
>
>So who *should* have access to a patients notes?
Dr, Dr and Dr if you ask me. I so not think that pts consent to another
health worker seeing all their notes when they agree to a referral to
them.
Access is on a need (and I mean *need*) to know basis.
Admin staff have to have access cos docs cant do all the clerical stuff
themselves.
Here is a good point - our clinical system will allow authorities to be
set for individual note entries (I think most can do this - is it part
oF RFA?) - so I can control what other users can see. So I can hide the
dieticians wifes TOP from him as 'Administration Details' - we really
need the EPR people. Then I would be happier to allow access to others.
Cheers :)
Any other views?
--
Jelly Bean
'When you get fed up surfing....
.....go find some waves'
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