{"id":547505,"date":"2022-04-11T09:06:25","date_gmt":"2022-04-11T07:06:25","guid":{"rendered":"https:\/\/slf.se\/jonkopings-lans-lakarforening\/?p=547505"},"modified":"2022-04-11T09:25:12","modified_gmt":"2022-04-11T07:25:12","slug":"egenslagning-i-journalsystem-vad-galler","status":"publish","type":"post","link":"https:\/\/slf.se\/jonkopings-lans-lakarforening\/nyheter\/egenslagning-i-journalsystem-vad-galler\/","title":{"rendered":"Egenslagning i journalsystem &#8211; vad g\u00e4ller?"},"content":{"rendered":"\n\n\n<p>Grundregeln \u00e4r att inte g\u00e5 in egen journal. S\u00e5 kallad \u201degenslagningar\u201d. Mycket stor f\u00f6rsiktighet g\u00e4ller.<\/p>\n\n\n\n<p>Vid eventuell \u00f6vertr\u00e4delse av egenslagningar kommer utredning att g\u00f6ras och risk kan f\u00f6religga f\u00f6r efterf\u00f6ljande arbetsr\u00e4ttsliga \u00e5tg\u00e4rder. HR-chef blir d\u00e5 tillsammans med ber\u00f6rd verksamhetschef inkopplad av Central loggfunktion . Verksamhetschef genomf\u00f6r vid uppm\u00e4rksammad egenslagning enskilt samtal med ber\u00f6rd medarbetare. Verksamhetschef s\u00e4nder uppr\u00e4ttat dokument fr\u00e5n samtalet med medarbetaren per post till HR-chef.<\/p>\n\n\n\n<p>HR-chef g\u00f6r d\u00e4refter en kortare utredning kring sakl\u00e4get och \u00f6verv\u00e4ger om grund f\u00f6religger f\u00f6r disciplin\u00e4r \u00e5tg\u00e4rd. Facklig part rekommenderas att delta i processen allt efter allvarlighetsgrad.<\/p>\n\n\n\n<p>I grunden r\u00e5der f\u00f6rbud f\u00f6r egenslagningar utifr\u00e5n Patientdatalagen och relevant f\u00f6rarbetsuttalande.<br><a href=\"https:\/\/www.regeringen.se\/49bbb9\/contentassets\/909ca5e5ee2a48609b25824e228d6486\/ratt-information-pa-ratt-plats-i-ratt-tid-sou-201423-bilaga-4\" target=\"_blank\" rel=\"noreferrer noopener\">(SOU 2014:23 bilaga 4 s.53).<\/a><\/p>\n\n\n\n<p>D\u00e5 regionen inte har n\u00e5gra riktlinjer f\u00f6r att v\u00e5rda och behandla sig sj\u00e4lv, g\u00e4ller f\u00f6ljande:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>Den som arbetar hos en v\u00e5rdgivare f\u00e5r ta del av dokumenterade uppgifter om en patient endast om han eller hon deltar i v\u00e5rden av patienten eller av annat sk\u00e4l beh\u00f6ver uppgifterna f\u00f6r sitt arbete inom h\u00e4lso- och sjukv\u00e5rden (4 kap. 1 \u00a7 patientdatalagen). Det inneb\u00e4r att det \u00e4r arbetet inom h\u00e4lso- och sjukv\u00e5rden som \u00e4r avg\u00f6rande f\u00f6r vilka uppgifter en anst\u00e4lld f\u00e5r ta del av.<\/em><br>&nbsp;<\/li><li><em>Det faktum att den som arbetar i h\u00e4lso- och sjukv\u00e5rden kan ha tekniska m\u00f6jligheter att ta del av uppgifter om sig sj\u00e4lv har ingen betydelse i sammanhanget. Eftersom den som arbetar i v\u00e5rden sannolikt inte har n\u00e5got uppdrag att delta i v\u00e5rden av sig sj\u00e4lv eller av andra sk\u00e4l ta del av uppgifter om sig sj\u00e4lv, f\u00e5r denne inte logga in i journalsystemet och ta del av dessa uppgifter.<\/em><br>&nbsp;<\/li><li><em>Motsvarande resonemang g\u00e4ller f\u00f6r \u00e5tkomst till v\u00e4nners, sl\u00e4ktingars och familjemedlemmarnas journaler. Den som arbetar i v\u00e5rden f\u00e5r endast ta del av v\u00e4nners, sl\u00e4ktingars eller familjemedlemmars uppgifter om han eller hon i enlighet med sina arbetsuppgifter deltar i v\u00e5rden av dessa eller av annat sk\u00e4l beh\u00f6ver uppgifterna f\u00f6r sitt arbete i h\u00e4lso- och sjukv\u00e5rden.<\/em><\/li><\/ul>\n\n\n\n<p><strong>F\u00f6rtydligande<\/strong><br>En medicinsk r\u00e5dgivare f\u00e5r ta del av journal f\u00f6r att kunna utf\u00f6ra sin roll som medicinskt ansvarig p\u00e5 uppdrag av verksamhetschef.<\/p>\n\n\n\n<p><strong>Riktlinje v\u00e5rd vid egen v\u00e5rdcentral (medarbetare), vid sjukdom<\/strong><br>F\u00f6r medarbetare inom V\u00e5rdcentralerna Bra Liv har f\u00f6ljande riktlinjer utarbetats som rekommendation f\u00f6r n\u00e4r eget v\u00e5rdbehov uppst\u00e5r och val av v\u00e5rdgivare beh\u00f6ver tillgodoses:<br><a href=\"http:\/\/intra.rjl.se\/infopage.jsf?childId=145920&amp;nodeId=96279\">V\u00e5rd vid egen v\u00e5rdcentral (medarbetare), vid sjukdom<\/a>.<\/p>\n\n\n\n<p><strong>Obligatorisk information och&nbsp;utbildning &#8211; \u201dN\u00e4r f\u00e5r du g\u00e5 in i en journal?\u201d<\/strong><br>All personal, som hanterar journaler, ska genomg\u00e5 den obligatoriska onlineutbildningen i L\u00e4rande- och Kompetensportal (LoK) \u2013 \u201dN\u00e4r f\u00e5r du g\u00e5 in i en journal?\u201d f\u00f6r medvetandeg\u00f6rande och kunskapsinh\u00e4mtning. Utbildningen tar max 10 minuter. Information ska ges vid introduktion av nya medarbetare kring journalhantering. Detta inkluderar egenslagningar. Vid APT ska fortl\u00f6pande information kring journalhantering och egenslagningar lyftas upp.<\/p>\n\n\n\n<p><strong>Fritidsf\u00f6rskrivning<\/strong><br>Man f\u00e5r anv\u00e4nda Cosmic <strong>restriktivt <\/strong>f\u00f6r fritidsf\u00f6rskrivning&nbsp;endast f\u00f6r uthopp till receptf\u00f6rskrivningsdelen \u2013 man f\u00e5r <strong>inte<\/strong> g\u00e5 in journaldelen.&nbsp;<br><a href=\"https:\/\/folkhalsaochsjukvard.rjl.se\/Dokument\/Evo\/5010189b-29ab-47c2-98b9-2437c276df3f\">Fritidsf\u00f6rskrivning av l\u00e4kemedel inom Region J\u00f6nk\u00f6pings l\u00e4n<\/a><\/p>\n\n\n\n<p><strong>Egenremiss<\/strong><br>Egenslagningar inte att f\u00f6rv\u00e4xla med \u201d<a href=\"https:\/\/www.1177.se\/Jonkopings-lan\/sa-fungerar-varden\/att-valja-vardmottagning\/remiss\/\">egenremiss<\/a>\u201d som alla kan formulera.<\/p>\n\n\n\n<p>Text h\u00e4mtad fr\u00e5n regionens intran\u00e4t. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Grundregeln \u00e4r att inte g\u00e5 in egen journal. S\u00e5 kallad \u201degenslagningar\u201d. Mycket stor f\u00f6rsiktighet g\u00e4ller. Vid eventuell \u00f6vertr\u00e4delse av egenslagningar kommer utredning att g\u00f6ras och risk kan f\u00f6religga f\u00f6r efterf\u00f6ljande arbetsr\u00e4ttsliga \u00e5tg\u00e4rder. HR-chef blir d\u00e5 tillsammans med ber\u00f6rd verksamhetschef inkopplad av Central loggfunktion . Verksamhetschef genomf\u00f6r vid uppm\u00e4rksammad egenslagning enskilt samtal med ber\u00f6rd medarbetare. Verksamhetschef &hellip; <a href=\"https:\/\/slf.se\/jonkopings-lans-lakarforening\/nyheter\/egenslagning-i-journalsystem-vad-galler\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":70,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"class_list":["post-547505","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>J\u00f6nk\u00f6pings l\u00e4ns l\u00e4karf\u00f6rening<\/title>\n<meta name=\"description\" content=\"F\u00f6r att f\u00f6rtydliga vad som g\u00e4ller har vi l\u00e5nat en rutinbeskrivning fr\u00e5n Bra Liv.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/jonkopings-lans-lakarforening\/nyheter\/egenslagning-i-journalsystem-vad-galler\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Egenslagning i journalsystem - vad g\u00e4ller? 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