title: Don't tip the scales! Care for patients involved in a police investigation.
abstract: Occasionally perioperative nurses are involved in the complex role of caring for medical-legal evidence while also advocating for the patient's right for privacy. Appropriate management of evidence may be the deciding factor in the outcome of a criminal investigation. Understanding the importance of evidence is the first step in learning how to prevent its unintentional destruction during the surgical procedure. Our first consideration with every patient is to provide safe and efficient care. In the OR, cooperation with the police is balanced with the patient's right to privacy and confidentiality of their health care information. This is not always an easy task. Perioperative nurses have a responsibility to their patients as well as to investigators to do what is appropriate, since our actions can have direct effects on the outcomes of criminal investigations. Understanding the importance of evidence is the first step in learning how to keep evidence from being destroyed. Hospital documentation is often accepted in a court of law without challenge.
authors.affiliation: General Hospital OR Department, Health Sciences Centre, Winnipeg, MB.
authors.forename: Joan
authors.initials: J
authors.lastname: Porteous
mesh_terms: D003219:Confidentiality; D003625:Data Collection / Q000379:methods; D005554:Forensic Medicine / Q000379:methods*; D006801:Humans; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods; D009871:Operating Room Nursing / Q000379:methods*; D010344:Patient Advocacy; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D016495:Police; D011300:Preoperative Care / Q000379:methods / Q000451:nursing; D018570:Risk Assessment; D013048:Specimen Handling / Q000379:methods; D013727:Terminal Care / Q000379:methods