Privacy/Confidentiality Policy
SCHOOL OF NURSING
PRIVACY/CONFIDENTIALITY
All persons are entitled to privacy and confidential health care. Nursing students must make a
commitment to and are ethically bound to preserve all clients’ rights to privacy/confidentiality by
prudently protecting private information. The School of Nursing requires nursing students to make this
commitment by signing a confidentiality form that will be placed in the student’s file. As a Lake Superior
State University nursing student it is your responsibility to know the contents of the ANA Nurses Code of
Ethics.
Lake Superior State University
School of Nursing
PRIVACY/CONFIDENTIALITY STATEMENT
Privacy and confidentiality are the basis of all nurse-client relationships. Any breach of privacy,
confidentiality, or dignity and rights of a person will result in immediate justification for clinical
failure, at any point during the semester, resulting in a failing course grade.
My signature indicates I have read the information listed and understand the above statement
regarding disciplinary action that will be taken in the event of breach of confidentiality or
violation of the person’s right to privacy.
Student Name
Student Signature
________________________ (print name)
Date:___________________
Revised 10-14-09
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