"My grandmother always taught me that when you are silent about questionable things, in a way you are agreeing with them, or people might think that you are. I feel strongly about protecting patient rights, and I would be very uncomfortable in that situation. I think that I would feel compelled to address it right on the spot and very pleasantly say that I don't feel comfortable with the conversation. If they were talking details and gossip, I would address it and definitely report it to supervisors. If it were a casual slip and vague in content, I would definitely report it to the supervisor if anyone else was on the elevator but if not, I would just address them directly."

"I encountered almost this same scenario, except it was two doctors that I recognized by sight but didn't know by name. I would handle this scenario in the same way I handled that situation. In that situation, I calmly said, 'Doctor, please don't discuss patient information in front of a person without a need to know this information.' The doctor nodded and said, 'Thank you,' and the conversation stopped. I think calmly and firmly reminding staff or physicians of a patient's right to privacy is the way to go, most of the time. If for some reason I saw a breach of confidentiality in front of a patient or visitor, I would report it to the unit manager in addition to my reminder to the staff."