QLexNursing

♦ Nursing licensure is typically state-based, and telehealth practice is considered to occur where the client is located, not the nurse.

♦ Providing telehealth care to a client in a state where the nurse is not licensed is a violation of licensure laws and regulations.

♦ This can lead to legal consequences, including disciplinary action by boards of nursing or restrictions on practice.

♦ Home telehealth still requires compliance with scope of practice and state-specific rules, just like in-person care.

♦ Therefore, this action places the nurse at significant risk of regulatory noncompliance and is unsafe practice.

Documenting telehealth visits in a secure EHR system.

♦ Documenting telehealth visits in a secure EHR is considered best practice, not a regulatory violation.

♦ It ensures that telehealth encounters are part of the permanent medical record, supporting continuity of care and legal documentation.

♦ Using a secure, HIPAA-compliant system aligns with both privacy laws and professional standards.

♦ This practice allows providers to access accurate history, diagnoses, interventions, and outcomes across settings.

♦ Because it supports safety, communication, and compliance, this action does not put the nurse at regulatory risk.

Referring clients to in-person care when necessary.

♦ Referring clients to in-person care is appropriate when telehealth cannot safely address the client’s condition or needs.

♦ It reflects sound clinical judgment and prioritizes client safety and quality of care.

♦ This action respects the limitations of telehealth and ensures that clients receive timely hands-on evaluation when indicated.

♦ Regulatory expectations support telehealth providers in recognizing when in-person follow-up is required.

♦ Thus, this option represents good practice, not a violation.

Using telehealth to educate clients about their health conditions.

♦ Client education is a common and appropriate use of telehealth platforms, such as video visits or secure messaging.

♦ Providing education via telehealth can improve access, understanding, and self-management, especially for clients with chronic conditions.

♦ As long as platforms are secure and privacy-compliant, education through telehealth is generally supported by regulation.

♦ This use of telehealth aligns with nursing roles in teaching, counseling, and health promotion.

♦ Therefore, this action does not place the nurse at risk of violating telehealth regulations.