Can you disclose that a patient is in the ER to a person claiming to be their spouse?

Disclosing that a patient is in the emergency room to a person claiming to be their spouse can be appropriate under certain conditions. The correct approach is to prioritize the patient's privacy and rights while also considering the need for care.

When a person identifies themselves as a spouse or next of kin, healthcare professionals may disclose the patient’s presence in the ER to facilitate care and ensure that family members can be involved in decision-making and treatment options. This is particularly pertinent in situations where the spouse’s involvement could contribute positively to the patient’s care plan, and if the disclosure aligns with the patient's best interests and wishes.

It's important, however, to verify the identity of the person making the claim as well as to consider whether the patient has previously expressed any wishes regarding their confidentiality. If the patient has not expressed any desire for privacy, sharing basic information about their location can be justified.

In this scenario, it is not about simply using best judgement or assuming relationships without any verification, but rather ensuring that the patient's rights are respected and their care can proceed smoothly with familial support when appropriate.