Document Zo4O8MgE49gMgx1EB1JQBGyJ

DISCUSSIONALi - PROCEDURES ASP POLICIES Mrs. Steele presiding} Mrs. Steele told the nurse that this vas to he an lnFor"*! discussions! of procedures and policies* She I suggested that questions be asked as they cane up rather I than waiting until the end of tide session* I : The discussion was started by reviewing the section in the Nurses' Manual on "Records." Each of the following forms | was discussed. Authorization Rormt When an employee, his doctor or the clinic request his x-rays for review, an authorization form mus.t be signed by the employee. The authorization is then sent to the Medical Department and the x-rays will be forwarded to the doctor or clinic. The same procedure is to followed when ever any medical information is requested by an employee for his doctor. Dr. Hamlin stated that the nurse is not to turn over an esployee'e record to his doctor or clinic. She should ' Bend the signed authorization to the Medical Department j with a letter of explanation. Some of the information in i the nurse's files may have no bearing on the enroloyee'" physical condition, and therefore turning over the complete file is neither necessary nor desirable, nr. Hamlin will review the records and submit the pertinent information to the doctor. Such a procedure is of the utmost import, ance in cases of alleged occupational disease. ' The only time this procedure is not necessary is when | records are needed in a workmen's condensation case, j UMer such' circumstances, an employee's physical reoords l may be made available to our insurance carrier. The | confidential relationship is waived when a claim for ! condensation is filed. 'Dr. Hamlin suggested that the nurse keep a record of any imedical file that is out. It should include the date and jto whom it was given. A record should also be made when iah employee is transferred to another plant and his record sent to the new location. A copy of the letter of Jtransmittal is sufficient. iMrs. gestersont What Bhould we do when an attorney requests | the medical files on esdloyeea who are to appear as wit nesses in condensation oases? Dr, Hamlin stated that the nurse's answer should be that 'she cannot give him the files and the request would have jto be forwarded to the Medical Department. No logical jreaeon for wanting a witness's record was apparent. The joonfidentlal relationship expected of our nurses would :be violated by ceding to such a request. I i i 10 SPNY 000140