Why VIP privacy is a clinical standard, not a courtesy
In private settings, reputation risk travels faster than lab results. Precision around who speaks, what is documented, and how information moves is as important as medication safety. Treat privacy rules as part of your clinical bundle, not an add-on.
Boundary architecture (who does what)
Medical lead (one voice): owns diagnosis, plan, updates and consent.
Clinical team (doctors/nurses/physios): execute plan, document, escalate via SBAR.
Household PA/security:logistics only (scheduling, transport, access). No clinical decisions or records.
Vendors/concierge staff: service coordination only; never present during examinations or handovers.
Communication choreography (copy/paste policy)
Use neutral language in semi-public spaces; never say names in corridors, lifts, lobbies, docks or marinas.
Updates flow to the medical lead first; family briefings happen in a private room, time-boxed.
No clinical content on personal apps (no WhatsApp/iMessage). Use approved channels only.
For home/hotel/yacht, confirm who may be present before any discussion or exam.
Documentation & data handling
Chart facts, not celebrity. Avoid identifiers that are not clinically required.
Photographs only if clinically indicated and permitted by policy; store in the EMR, never on personal devices.
Keep a domiciliary note for off-site visits with time, assessment, actions, and a numeric escalation threshold.
Environment controls (clinic, executive suite, home/hotel/yacht)
Room control: doors closed, devices angled away from third parties; screens lock automatically.
Access list: pre-approved names; sign-in/out.
Noise discipline: handovers in a quiet room; runner handles interruptions.
Chaperone offered for intimate exams; role explained.
Medication custody & high-risk moments
Locked storage; temperature logs for cold-chain items.
Two-person check for insulin, anticoagulants, concentrated electrolytes, opioids.
At discharge/transfer, provide a concise MAR and clear STOP/ESCALATE lines.
Home/hotel/yacht specifics
Add domiciliary settings to both privileges and insurance (home/hotel/yacht).
Carry a micro-kit (ABHR, PPE, sharps, wipes, printed SBAR).
Pre-plan transfer routes (receiving hospital named; marina/helipad options tested).
Household staff coordinate transport only—no medication handling.
Micro-audits (5 items, weekly)
Private update given by medical lead only.
No names spoken in semi-public spaces (spot-check).
Domiciliary notes include a numeric escalation threshold.
High-risk meds show a recorded two-person check.
Access list current; visitors signed in/out.
Red flags—and calm fixes
Household asks for full records → provide a doctor’s summary, not raw EMR printouts; follow policy.
PA tries to sit in clinical exam → clarify boundary; offer a timed briefing afterward.
Media interest/noise → route all external queries to the facility communications lead; document the deferral.
Unapproved messaging apps → stop; move to approved clinical channel immediately.
Ready checklists
VIP consult start
Consent boundary confirmed
Chaperone offered if appropriate
Devices/screens positioned; door control set
Handovers
SBAR with one numeric escalation line
Family briefing (if any) after medical-lead review
Logistics assigned to PA/security, not clinical team
Off-site visit
Privileges + insurance cover domiciliary setting
Micro-kit packed; transfer plan visible
SBAR sent to medical lead on exit
Short FAQs
Can family request real-time updates by WhatsApp?
No. Use approved clinical channels and private briefings.
Should VIPs bypass standard observation times?
No. Premium care is quiet and consistent, not shorter or riskier.
Do we document titles/celebrity status?
Only where required for identity. Keep records clinical, neutral and complete.
Discreet contact
Please, talk to David on whatsapp: https://wa.me/34692100254