Notice of Privacy Practices

Introduction

About This Notice

NXT 24 Nurse Monitoring ("NXT 24," "we," "our") is committed to protecting the privacy of your health information. This Notice of Privacy Practices describes how we may use and disclose your Protected Health Information (PHI) and how you can get access to that information.

We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and applicable state law to maintain the privacy of your health information, to provide you with this notice of our legal duties and privacy practices, and to follow the terms described in this notice.

Section 1

What Information We Collect

In the course of providing post-surgical nursing monitoring services, NXT 24 may collect and maintain the following categories of Protected Health Information:

Clinical Information

• Surgical procedure type and date
• Name of treating surgeon and surgical facility
• Anesthesia type and duration
• Vital sign readings recorded during monitoring (blood pressure, heart rate, oxygen saturation, temperature)
• Pain scores and pain management interventions
• Wound and drain assessment notes
• Medications administered or verified during care
• Any adverse events or complications observed

Personal Information

• Full legal name, date of birth, and contact information
• Emergency contact name and phone number
• Home address or hotel address where monitoring takes place
• Insurance information (if applicable to billing)
• Allergies and current medication list

Section 2

How We Use Your Information

We use your Protected Health Information for the following primary purposes:

• Treatment. To provide nursing monitoring services, document clinical observations, and coordinate care with your surgical team or emergency services.
• Payment. To process invoices, verify insurance coverage where applicable, and handle billing disputes.
• Operations. For quality improvement, nurse training, and internal audits of care quality — always in a de-identified or aggregate form where possible.
• Legal requirements. To comply with applicable law, including mandatory reporting requirements for certain injuries or public health situations.

Section 3

When We May Share Your Information

We do not sell your health information. We do not share it for marketing purposes. Your PHI may only be disclosed in the following circumstances:

With Your Authorization

• With your surgeon or surgical facility, as coordinated during your care
• With family members or emergency contacts you have designated
• For any other purpose you authorize in writing

Without Your Authorization (as required or permitted by law)

• Emergency situations requiring immediate medical intervention (EMS dispatch, ER transfer)
• Reporting as required by public health authorities for communicable disease or injury reporting
• In response to a valid court order, subpoena, or law enforcement request
• To our Business Associates who assist in providing services (e.g., secure electronic health record systems), under written Business Associate Agreements that require them to protect your PHI
• To avert a serious threat to your health or safety or the safety of others

Section 4

Your Rights

You have the following rights with respect to your Protected Health Information held by NXT 24:

Right to Access

You have the right to inspect and obtain a copy of your health information maintained by NXT 24, including monitoring records, vital sign logs, and care notes. Requests must be made in writing. We will respond within 30 days.

Right to Amend

If you believe your health information is incorrect or incomplete, you may request an amendment. We will respond within 60 days and notify you of our decision. We may deny amendments in limited circumstances.

Right to an Accounting of Disclosures

You may request a list of the disclosures we have made of your PHI (excluding treatment, payment, and operations) for the six years prior to your request. The first accounting in any 12-month period is provided at no charge.

Right to Restrict Use or Disclosure

You may request that we restrict certain uses or disclosures of your PHI. We are not always required to agree, but we will consider every request. If you pay out-of-pocket in full for a service, we must honor your request to not disclose that information to your health plan.

Right to Confidential Communications

You may request that we communicate with you in a specific way or at a specific address. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You may request a paper copy of this Notice at any time, even if you received it electronically. Contact us using the information in Section 6.

Section 5

Our Duties

• We are required by law to maintain the privacy of your Protected Health Information.
• We are required to provide you with this notice and to follow the terms of this notice currently in effect.
• We must notify you in writing if there is a breach of your unsecured PHI.
• We may not retaliate against you for exercising any of your rights described in this notice.

Section 6

Contact & Complaints

If you have questions about this notice, wish to exercise any of your rights, or have concerns about how your information has been handled, please contact our Privacy Officer:

If you believe your privacy rights have been violated, you also have the right to file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights (OCR) at hhs.gov/ocr/privacy or by calling 1-800-368-1019. We will not retaliate against you for filing a complaint.

Section 7

Changes to This Notice

We reserve the right to change this notice at any time. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future.

We will post the updated notice on our website. If we make a material change to our privacy practices, we will notify existing clients by email where we have contact information on file.

The current effective date is shown at the top of this notice.