Why privacy is a clinical standard (not a vibe)
UHNWI care adds exposure risk: unfamiliar environments, more observers, and intense schedules. Safety remains hospital-grade when your communication chain, documentation, and medication custody are as disciplined as in a private hospital theatre.
The single communication chain (copy/paste)
One clinical voice: updates flow via the medical lead only.
Household roles: PA/security manage access and logistics—never clinical decisions.
Neutral language: use non-identifying phrasing in corridors, lobbies, docks and lifts.
No personal apps for clinical content: use the facility’s approved channel.
Consent, documentation & identifiers
Confirm identity discreetly; obtain consent for each encounter.
Document SBAR with numeric escalation lines (e.g., Escalate if SpO₂ <92% for 5 min; MAP <65).
Store records in the facility EMR or approved encrypted solution; no photos unless policy-approved and clinically essential (then log justification).
Medication custody in domiciliary settings
High-risk groups (insulin, anticoagulants, opioids, concentrated electrolytes) require independent double-check.
Keep source, dose, expiry and handoff logs; no bedside compounding unless privileged and safe.
Lockable case for controlled drugs; reconcile after each visit.
Household interface (calm choreography)
Fix room readiness before arrival: lighting, table height, clean field, power.
Attendance list minimal; chaperone offered when appropriate.
All requests for records/results funnel through the medical lead.
Transfer plan (decide before you start)
Named receiving hospital and accepting service; route and ETA rehearsed.
“Red line” thresholds pre-agreed (vitals, neuro, bleeding) to trigger immediate transfer.
Transport provider briefed; kit packed for a seamless handover.
Yacht-specific notes
Secure sharps, waste and equipment; test power stability.
Consider motion sickness mitigation and spill kits.
Evacuation options: marina/helipad and destination hospital confirmed.
Red flags—and calm responses
Household offers unlabelled meds → decline; use only documented sources.
Crowded room → reduce to essential personnel; add a chaperone where needed.
Pressure for messaging results on WhatsApp → redirect to approved clinical channel and file the update.
Ready checklists
Pre-visit pack
Licence/privileges cover home/hotel/yacht; insurance rider active
Clean field kit; PPE; sharps; ABHR; device IFUs
Care plan with numeric escalation; consent forms printed
Transfer plan: hospital, route, accepting service
On-site sequence
Room ready → identity/consent → baseline vitals
Therapy/procedure to IFU → two-person checks for high-risk meds
SBAR note written before exit; follow-up time booked
Post-visit micro-audit (5 items)
Numeric escalation lines documented
High-risk meds double-checked and logged
Waste/sharps reconciled
Transfer plan still valid
Any near-miss? ≤72-hour huddle with one change adopted