Legal & EthicalQuestion 173 of 200

A CNA posts a TikTok video taken in the nursing facility hallway. Two residents appear in the background, identifiable by face. This is:

a.Allowed, as long as the CNA's manager approves the post afterward
b.A HIPAA violation that may result in termination, civil penalties up to $50,000 per violation, and possibly criminal charges; the CNA should remove the post immediately and self-report
c.Allowed, as long as the CNA blurs the residents' faces after posting
d.Allowed, because the residents are not the main subject of the video

Explanation

Any image or video that allows identification of a patient in a healthcare setting is PHI under HIPAA (45 CFR §160.103); posting without explicit written authorization violates 45 CFR §164.502. Civil penalties (42 USC §1320d-5) tier from $100 to over $50,000 per violation up to ~$1.9M per year per identical violation. Criminal penalties (42 USC §1320d-6) can reach $250,000 and 10 years imprisonment for wrongful disclosure with malicious intent. The CNA must delete, self-report, and cooperate with the privacy officer. Background appearance, post-hoc blurring, or manager approval do not cure the violation.

Law Reference: 42 USC §1320d-5, §1320d-6

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