Urine noted to be bloody without clots.No doubt patient identification or their room number, was sent to identify the patient (I'm not sure which). I suppose a record of the physician covering the trauma service that night is discoverable.
Text message sent to 2290 (trauma pager) about hematuria.
Patient denies any pain at this time.
But I wonder, in the world of cyberspace with electronic communication carrying such an important role in health care delivery lately, is HIPAA really enforceable or will it just be used to extract huge fines from care providers now that the new HITECH policy expands HIPAA's reach.
Since text pages are neither encoded nor retained as an official audit trail of care delivered, it seems to me care providers are vulnerable, even when they are doing the right thing for the patient.