Hipaa Violation

Course Project Rough Draft MGH HIPAA infringement case Jennifer Brummage Medical Law and Ethics In the medicinal services business, there are sure guidelines and laws that have been set up to ensure our patients and their own wellbeing data. At the point when a human services office neglects to secure their patient’s private data, the US Government may get included and offices might be compelled to pay colossal totals of cash in fines, and hazard harming their notoriety. The Health Insurance Portability and Accountability Act (HIPAA) was set up in 1996. This Act was instituted so as to improve the proficiency and adequacy of the human services framework. The HIPAA law incorporates a Privacy rule and a Security Rule. Clinics, Doctors, and representatives in the clinical field are required to embrace the national principles and plan to keep understanding data secret. At the point when a clinic or clinical worker neglects to fulfill the guidelines set, claims can result and they can be fined enormous wholes of cash identifying with the occurrence. The Privacy Rule sets up national norms to secure individual’s clinical records and other individual wellbeing data and applies to wellbeing plans, human services clearinghouses, and those medicinal services suppliers that lead certain social insurance exchanges electronically. The Privacy rule requires proper shields to secure individual wellbeing data. The standard additionally gives patients’ rights over their wellbeing data, including rights to analyze and get a duplicate of their wellbeing records. The Security ensures individual’s electronic individual wellbeing data that is made, gotten, utilized or kept up by a secured element. The Security rule requires suitable regulatory, physical and specialized shields to guarantee the classification, trustworthiness, and security of electronic ensured wellbeing data. The Office for Civil rights (OCR) is liable for authorizing the HIPAA measures. At the point when a protest is documented, it is the activity of the OCR to research. OCR may likewise lead consistence surveys to decide whether the wellbeing association is in consistence with the HIPAA laws. At the point when the OCR acknowledges a protest from an individual, they will inform the individual and the canvassed substance named in it. At that point the two gatherings will submit data about the episode. The OCR will survey the data to decide if an infringement has happened. At the point when infringement have happened and have been demonstrated, the US Government will force a fine that they see fitting. At the point when Health associations such a private clinical practices, emergency clinics, and facilities neglect to satisfy the guidelines portrayed in the HIPAA demonstration, examinations, terrible press, and fines are without a doubt to follow. There have been various cases in the previous scarcely any years that have been explored for HIPAA infringement. One of the later and profoundly advanced cases was that of Massachusetts General Hospital (MGH). On March 6, 2009 is was accounted for that a worker of MGH had expelled from the medical clinics premises an organizer of records that incorporated the private human services data (PHI) of roughly one hundred and ninety two patients. The representative had expelled the organizer from the hospital’s clinical records room, so she could carry her work home with her so as to finish some administrative work. The data that was remembered for these records were reports that had charging experience frames that contained the names of the patients, their date of birth, government managed savings numbers, addresses, telephone numbers, clinical record number, the patients analyze and proposed course of treatment, their supplier and the suppliers address and telephone numbers. The organizer likewise contained reports that incorporated the practices every day office plan for three days and the clinical record number for 192 patients. The representative knew that she was not allowed to expel this secret data from the medical clinic premises. In doing as such, she damaged the HIPAA law. On March 9, 2009, the representative who expelled the reports from the emergency clinic was driving to take a shot at a tram train. As indicated by the objection that was recorded, the worker had evacuated the envelope containing the archives from her sack and put them in the seat alongside her. The records were not in an envelope and they were bound uniquely by an elastic band. After leaving the train, the MGH worker left the records on the metro train. The archives were rarely recuperated. This episode was later answered to the Office of Civil rights (OCR) by a patient who was educated by the emergency clinic that his clinical records had been lost by a worker and left them on a tram train. The One hundred and ninety two patients included had been patients of the medical clinics Infectious Disease outpatient practice, which incorporates HIV/AIDS patients. The way that the patients associated with this case were possibly AIDS patients, made the infringement significantly more genuine. Specialists needed to consider that these individuals had their clinical records lost, and in those records were their telephone numbers and addresses and perhaps their work environment. In the event that these reports fell into an inappropriate hands, the potential for devastating the patients’ lives was high. Had an individual with malignant goal got tightly to their data, they could have irritated the patient and conceivably spread their own data around, which could have had destroying results. The Office of Civil Rights started their examination of Massachusetts General after the March 2009 Complaint. In light of the potential infringement that MGH confronted, they consented to pay the United State Government $1,000,000 to settle potential fines. MGH is one of the nation’s biggest and most seasoned clinics. The Hospital is profoundly respected and regarded, and numerous clinics paid heed when the examination concerning conceivable HIPAA security law infringement started. Notwithstanding consenting to pay the United States Government one million dollars, the clinic and the General Hospital Corporation consented to consent to a Resolution Arrangement with the United States Department of Health and Human Services (HHS). The understanding necessitated that the emergency clinic create and execute an exhaustive arrangement of strategies and systems to shield the security of its patients. In consenting to this goals arrangement, it was the HHS trust that different emergency clinics and centers all through the country would perceive that the OCR is intense about examination each guarantee that is documented with them. The OCR needs different emergency clinics to see that if an infringement has happened and a patient’s protection has been disregarded, there will be results. The OCR needed to create an object lesson with Massachusetts General Hospital. Notwithstanding the fines and the consenting to of the goals arrangement, OCR and HHS asked MGH to go into a Corrective Action Plan. The HHR needed the emergency clinic and its representatives to not exclusively be considered mindful and created an object lesson with, they likewise needed the medical clinic to raise the consciousness of its workers. The Corrective Action Plan (CAP) was intended to create and execute a complete arrangement of strategies and methods that guarantee the patient’s private wellbeing data is ensured when Expelled from the medical clinics premises. It was to guarantee that the representatives were prepared and educated regarding the new arrangements and methodology with the goal that future errors could be forestalled. The emergency clinic was likewise required to have the Director of Internal Audit Services of Partners HealthCare System Inc. to fill in as an inside screen who will lead appraisals of MGH’s consistence with the CAP and render semi-yearly reports to the HHS for a multi year time span. It was the misstep of one individual that caused such a large number of changes in MGH’s framework. It was an expensive misstep, at the end of the day is has helped the United States Government make emergency clinics mindful that in the event that the principles set are not followed, at that point there will be results. The HIPAA laws that are set up are intended to ensure patients. Indeed, even the US Government and the representatives of MGH are someone’s patients, and they would likewise need their protection regarded. Medical clinics the country over, private practices, specialists and human services offices should pay heed, they have to ensure their workers are prepared and educated regarding the approaches and systems in regards to patient’s protection and security. Each medical clinic in the country should increase their own expectations with the goal that they are over the ones set for them. Patients will pay heed and be thankful and all the more believing when accepting consideration. All in all, this HIPAA infringement could have been forestalled had MGH actualized the Action Plan initially. The emergency clinic ought to have had a program that necessary all representatives to take before beginning work with the medical clinic. Had the representative that left the records on the tram experienced a class on HIPAA laws and the right method of taking care of PHI, possibly the occurrence could never have happened. Medical clinics should hold a class as a feature of the recruiting procedure to altogether prepare their representatives on this issue. It could be utilized as a preventive measure and spare the medical clinic from enormous fines later on. References * FierceHealthcare. com, HIPAA infringement. Feb 25 2011 (54198) * HHS. gov. News Release MGH HIPAA infringement. Feb 24 2011 * US Department of Health and Human Services. HIPAA Law, July 19, 2011 * Zigmond J, Modern Healthcare, ISSN: 0160-7480, 2011 Feb 28; Vol. 41 (9), pp. 13 * http://www. hhs. gov/ocr/protection/hipaa/getting/record. html

Employment Relations Essay

At the most key level, business relationship includes fiscal trade where there is contract between a business and representative to get the yield of employee’s capacity to work. (Balnave et al. 2007) This relationship can regularly result in either contest or joint effort inside an association. Usually, the various parts of the idea of work relationship keep an eye on likely produce clashes between the businesses and representatives. The emphasis would be on modern clash, which every once in a while happens among chiefs and laborers, the grouping of contentions and what are a portion of the speculations which portrays the circumstance of mechanical clashes in Singapore. As characterized by Komhauser et al., mechanical clash is ‘the complete scope of practices and perspectives that express restriction and disparate directions between modern proprietors and chiefs, from one perspective, and working individuals and their associations on the other hand’ (1954,13). Singapore is commonly noted as a quiet nation with insignificant modern clashes. This predominantly credited to the nearness of severe guidelines against clear clashes as expressed in the necessities of ‘restrictions on strikes and lock-outs’ (Attorney General Chambers 2009). The nearness of intercession or pacification direct likewise aided the goals of concerning issues. Clashes are believed to be confused and in Singapore, a few causes or framework that are represented by speculations of Industrialisation, Institutionalization, Political, Economic and Social elements. A greater amount of these would be investigated further in this article. Unmistakable and Covert Conflicts Restricting practices and perspectives can be arranged into 2 classifications, specifically clear clash and incognito clash. As per Petzall et al. (2007), obvious clashes are clashes which are arranged and joint by at least two people, along these lines detectable by the general population. Instances of such clashes incorporate strikes, lockouts, work to manage where representatives perform just obligations which are shown in their agreements, political exhibits and some more. Petzall et al. (2007) additionally referenced that undercover clashes are clashes which are impromptu, concerns individual and thus less noticeable by the general population. Models would incorporate non-appearance, work damage, work bouncing where individuals change occupations to show signs of improvement pay or seek after their own enthusiasm just as low work productivity. Incognito clash apparently prevails over unmistakable clash as far as the budgetary misfortunes of a business. In Singapore’s setting, it would be viewed as unlawful to have obvious clashes because of the current exacting criminal law expressed in Attorney General Chambers (2009) Despite the way that there were severe laws to cling to, there are a few channels, for example, Industrial Arbitration Court (IAC), Case Trust, Ministry of Manpower (MOM), National Trade Union Congress (NTUC) and that's only the tip of the iceberg, where people could way to deal with settle certain contentions they encountered. For instance, Sharon (2011) provided details regarding an instance of contradiction among SIA and SilkAir pilots and their organization over their flight installment. The issue was alluded to Industrial Arbitration Court (IAC) where the appointed authority suggested that the organization could have steady perception of the flight calendar to ensure there is reasonable payouts dissemination. In this situation, IAC had gone about as a conciliator. The decrease of contention in Singapore is additionally because of tripartism, wage change and work enactment. In tripartism, there is contribution of administrators, workers and ‘other frameworks, for example, political, social, monetary, innovative, social and lawful systems’ (Tan 2007, p.27). These gatherings would resolve matters in a political way. The foundation of National Wage Council (NWC) realizes tripartism where workers’ compensation are assessed and wage change, where there is adaptability in the pay payouts, was presented. Tan (2004) referenced that the advantages were contemplated and it was discovered that having adaptability empowers associations to make quick changes to their cost calculation during monetary varieties to be cost serious. Associations likewise could decrease compensation during troublesome time and give motivator in better occasions which helped with permitting laborers to remain in their activity. The presentation of Employment Act likewise assumed a significant job in giving guidelines on the states of work. The utilization of edges of reference is an important and fundamental device to all the more likely recognize a person’s view and activities on work relations. Fox perceived three edges of reference, to be specific the unitarist, pluralist and radical edges. (McCourt W.;Eldridge D.,2003) Unitarist The fundamental hypothesis of this viewpoint is that ‘employment relationship depends on common collaboration and an amicability of enthusiasm among bosses and employees’ (Balnave et al. 2007, p.10) In this conditions, the objectives and targets of the association are all inclusive. The board is seen as the main position and chiefs see their capacity to settle on autonomous choices of their business without being impeded by government, laborers or associations. Worker's guilds are not held onto and are considered as impedance to the amicability of the association. The nearness of modern clash is viewed as having poor administration or inability to lead viably. Because of this observation, the different interests between the administration and work were not perceived. Pluralist In this methodology, clashes are viewed as unavoidable. It perceives that associations are comprised of group of people with their own objectives, interests and course. (Balnave et al. 2007, p.11) To forestall harm of assorted intrigue, measures and guidelines must be set up and use, prompting the ‘institutionalisation of conflict’. This guarantees there is equivalent circulation of intensity among partners. Worker's guilds are welcome as it grants representatives to have a state in what concerns them in their association. Singapore can be believed to have to a greater degree a pluralist come nearer from the development of NTUC which comprises of delegate of workers. These agents are allowed the chance to voice and haggle over the terms and state of their work and their conclusions are likewise thought about in the management’s choices. NTUC branch agents additionally include themselves in aggregate bartering where input could successfully be assembled on concerning issues. Then again, another worker's organization known as Singapore National Employers Federation (SNEF) was additionally set up to speak to the employers’ intrigue. Radical/Marxist It comprises of a more extensive degree when contrasted with unitarist and pluralist perspective. This observation includes society being fragmented into various status where there is uncalled for portion of intensity between the individuals who has money related abilities and the individuals who can just offer their work. The status contrast caused the incongruence among managers and representatives. (Balnave et al. 2007, p.11) Singapore Industrial Relations System Anantaraman (1990) recommended that Singapore’s economy is comprised of modern relations framework and creation framework. The two frameworks are in dependent of each other as the outcomes of the mechanical relations framework would bring about the commitment of the creation framework. Industrialisation Industrialisation has regularly been related with mechanical clash. Ross and Hartman (1960) referenced that the kind of strikes of a specific nation is associated with the country’s mechanical connection framework. This hypothesis maps out four examples, to be specific North European (type 1), North European (type 2), Mediterranean/Asian and North American. Singapore could most likely be ordered under North European (type 1) where the legislature has been effectively captivating its enthusiasm for the economy of Singapore. There have been ceaseless endeavors by the legislature to pull in increasingly more outside ability. Ramesh (2011) cited what previous Minister Mentor Lee Kuan Yew said that, ‘Singapore would not have the option to punch over its own weight if it somehow happened to rely upon ability from its own population’. As innovation advances, the pressure set on laborers for significant scale and constant creations improves the probability of mechanical clash. (Woodward 1958) This again could be because of Marxist point of view where laborers with lower status could just give their work yield as they don't have any capital and the individuals who has the capital would boost these labour’s yield for high benefits. Standardization Wright Mills (1948) perceived that there are four stages where standardization is identified with the example of contention. The main stage is the place worker's guilds are against the exchange right of organizations and the emphasis is on people. It is impromptu and can be forceful. The subsequent stage includes organizations rebuilding themselves into relationship to contradict the rising authority of worker's guilds. Accordingly, the bartering diagram turned out to be progressively national and industry based, changing over clashes into an increasingly composed way. Third stage proceeded to turn into a powerful intervening stage while the exchange unions’ perspectives are overruled carefully in the fourth stage. At the last stage, worker's guilds formed strategies to progress into organizations, including the laborers to be a piece of the economy. They additionally draw in themselves in compromise and work contracts. For the instance of Singapore, NTUC has been reinforcing ties with different organizations and associations, for example, National Taxi Association, Cathay Cineplexes Food and Drinks Allied Workers’ Union and Housing and Development Board Staff Union. NTUC has likewise been taking part excitedly in aggregate bartering get together. Ciegg (1976) additionally referenced that the more exhaustive the distinction of opin

Find Out Whos Discussing Civil Disobedience Essay Topics and Why You Should Be Worried

Find Out Who's Discussing Civil Disobedience Essay Topics and Why You Should Be Worried Civil disobedience is a sort of resistance within a current order. While the association between lawbreaking'' and civil disobedience'' can be challenging to establish, there are lots of important characteristics of each concept that make it less difficult to achieve that. The criminal justice system provides a chance to raise public and political consciousness of the climate and animal emergency. Communities and individuals may participate in civil disobedience for a selection of explanations. There are those on earth that are interested in finding an excuse to riot and loot. It is not easy to feel all the injustice, and not know just how to channel it into something which is going to work and productive. To begin with, it seems young. It's good that there's still aspire to kindle within this darkness, but it's an incredibly deep and heavy hope. Additional the fact which their ideals transcend centuries prove some type of everlasting truth in their writing. It exists by consent of the governed to make sure the individual freedom that enables the pursuit of deep living and higher thinking. The obligation that's then created is comparable to that of a child to their parents. So this example indicates an obligation can't be a universal obligation for all people. Thoreau believe this sort of protest will inevitably be the appropriate and suitable actions instead of waiting for the outcomes of reforms from inside the government. Luther is not merely defining what civil disobedience is but he's also showing that he was prepared to commit to all the next. Behind his words, Emerson means he should follow his conscience no matter what side it's on. 1 problem with Thoreau's doctrine is it is not always simple to find out whether a law is just or unjust. Live that Thoreau uses civil disobedience to demonstrate the point he is making. He underscores the power of the individual to effect reform. He turns to the issue of effecting change through democratic means. Henry Thoreau refers to civil disobedience for a way to disobey laws that maynot be regarded as just. Recreational cannabis is going to be normalized as it grows more ubiquitous, and that generally means as it gets more legal. For instance, laws pertaining to traffic regulation should nevertheless be obeyed. There's a close relationship between the wealthy and the government which their taxes support. In fact, it oversteps its authority when it becomes involved in moral issues. A government is one method to do so, should you need to construct a road, or keep people safe. Not hurting different people. How to Choose Civil Disobedience Essay Topics Human rights play a major role for civil disobedience. If people in britain and other countries want to find out what's happening, the most active is the Extinction Rebellion Facebook page. A lot of people forget that America's present constitution isn't our nation's first. Arrests are only one part of how the movement works. Some say it was the start of the conclusion of Margaret Thatcher. But speed this up and help us assist you. 1 prominent example were the Jim Crow Laws at the start of the 20th century in the States. Totally free Civil Disobedience essay samples can be found FreeEssayHelp with no payment or registration. The essay isn't the simplest task to master. To get started writing your assignment you would want to encounter an interesting and promising topic. There are a lot of essay topics that you can select from. The majority of their on-line engagement is sharing the typical right-wing news that appears to rattle around a great deal of these spaces, often with additional commentary about liberals. Additionally, you would like to opt for an essay topic that's going to make it possible for you to demonstrate your skills to the best of your ability. Make certain you take some opportunity to explore out website and see the ideas which are out there. Your presentation does not need to be an official lecture, and you are able to use slides or Internet resources or stay technology-free. What to Do About Civil Disobedience Essay Topics Before It Is Too Late Individuals are motivated by that sort of social responses. It is based on the circumstance. Nevertheless, the true situation doesn't leave much to look forward. So having a circumstance where a variety of individuals are ready to get arrested at the exact time does send quite a potent message, particularly to my family and friends. The Civil Disobedience Essay Topics Cover Up While all actions involve some type of danger, Animal Rebellion will never encourage you to be arrested in case you haven't made the conscious choice to achieve that. Deportation is an unjust practice, especially if there is a scarcity of due procedure. Criminal cases demand a high level of legal experience and a lawyer who's well trained in presenting evidence. Providentially, the livestream continued recording!

“Among American adolescent girls who have ever had...

â€Å"Among American adolescent girls who have ever had intercourse, approximately one in six becomes pregnant† (Ventura et al., 2008). Teen pregnancy is an ongoing dilemma that concerns the baby, parents, and other family members. Anyone under the age of eighteen years old is considered to be a child and every year approximately 750,000 women aged fifteen to eighteen become pregnant (Guttmacher Institute, 2006). Also, teen pregnancy represents eleven percent of all births in the United States (Guttmacher Institute, 2006). The underlying cause of teen pregnancy is mainly the lack of education on sexual and reproductive health and not enough being taught about how to use contraceptives. To help educate this knowledge it is dependent on not only†¦show more content†¦Both parents are less likely to finish high school, even less likely to go to college and get a degree, will depend on welfare and other assistance programs, are more likely to be poor in the future, more l ikely to face drug and alcohol abuse problems, and the chances of separation are very high. Teens experimenting with sex are the leading cause in unplanned pregnancies and have to face this lifetime list of hardships. Also, in high school teenagers face many peer pressures such as alcohol, drugs, and sex. When drinking and the use of drugs are involved it leads to a major decline in judgment. This can sometimes lead to one night stands and hook-ups, which sometimes end with an â€Å"oopsie baby†. Experimenting can cause many consequences on the teen and the relationships at hand, including the relationships with the baby’s mom or dad and also the parents of the teens. 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The Mythology of Crime and Criminal Justice Contributing...

The Mythology of Crime and Criminal Justice: Contributing Factors Of Crime Crime is defined as: commission of an act or act of omission that violates the law and is punishable by the state. Crimes are considered injurious to society and the community. As defined by law, a crime includes both the act, or actus rea, and the intent to commit the act, or mens rea. Criminal intent involves an intellectual apprehension of factual elements of the act or acts commanded or enjoined by the law. It is usually inferred from the apparently voluntary commission of an overt act. Criminal liability is relieved in the case of insanity. Legal minors are also relieved of criminal liability, as are persons subjected to coercion or duress to such a†¦show more content†¦Chapter 2 also makes reference to race and crime. There has been wide speculation that most crimes as committed by minorities against whites in the United States. However, the Bureau of Justice Statistics has documented several crimes that make this assumption void. For example, seventy-five percent of white crime victims are victimized by whites, and eighty-five percent of black victims are victimized by blacks. This is contrary to the popular coverage that most media gives Americans. The authors note that most crime covered by Americans tabloids show such crimes as young African American men shooting white tourists at rest stops, gang attacks on innocent civilians in the cities, and attacks against minority youth appeal. All in all, the victims are the same race as the offenders in 80% of all violent crimes. The last topic discussed in The Mythology of Crime and Criminal Justice is crime and perception. When most people are asked to imagine a crime, they tend to think of violent crime (i.e., murder, arson, robbery). One must realize that shoplifting, slander, even jaywalking is considered a crime in theShow MoreRelatedGlobalization Sample Questions7882 Words   |  32 Pageslooking at four dimensions of globalization. Which of the following is not one of these four? a. Economic b. Cultural c. Educational d. Political 2. Which of the following is geographically part of the south, but in economic and globalization terms is usually considered to be part of the global ‘North’? a. Singapore b. South Africa c. Brazil d. The Philippines 3. In this class what is being referred to in the following a definition: â€Å"a relatively new termRead MoreRastafarian79520 Words   |  319 Pagesat the table of acceptability; and how, starting out as denigrated outcasts, they have over the last forty years of the twentieth century become the dominant force in the evolution of popular culture in Jamaica. In this book, I will analyze the factors responsible for the entrenchment of Rastafari in Jamaican society. My use of entrenchment3 is synonymous with routinization,4 a term used by Max Weber to signify the process by which an emergent charismatic movement institutionalizes itself and

David Wilmot and the Wilmot Proviso Essay Example For Students

David Wilmot and the Wilmot Proviso Essay David WilmotDavid Wilmot was born in Bethany, Pennsylvania, on January 20, 1814. Wilmot received his academic education in Bethany and in Aurora, New York. He was later admitted to the bar at Wilkesbarre, Pennsylvania, in 1834. He soon began practice at Towanda, where he afterward resided. He was first brought into public notice from his support of Martin Van Buren in the presidential race of 1836. He helped to found the Republican Party and was a Republican Senator from 1861 to 1863, filling out the unexpired term of Simon Cameron. He then became a judge of the U.S. Court of Claims in 1863. David Wilmot was an avid abolitionist. He became a part of the Free-Soil Party, which was made chiefly because of rising opposition to the extension of slavery into any of the territories newly acquired from Mexico. Not only was he opposed to the extension of slavery into Texas, he created the Wilmot Proviso. The Wilmot Proviso, which is obviously named after its creator, was an amendment to a bi ll put before the U.S. House of Representatives during the Mexican War; it provided an appropriation of $2 million to enable President Polk to negotiate a territorial settlement with Mexico. David Wilmot created this in response to the bill stipulating that none of the territory acquired in the Mexican War should be open to slavery. The amended bill was passed in the House, but the Senate adjourned without voting on it. In the next session of Congress (1847), a new bill providing for a $3-million appropriation was introduced, and Wilmot again proposed an antislavery amendment to it. The amended bill passed the House, but the Senate drew up its own bill, which excluded the proviso. The Wilmot Proviso created great bitterness between North and South and helped take shape the conflict over the extension of slavery. In the election of 1848, the terms of the Wilmot Proviso, a definite challenge to proslavery groups, were ignored by the Whig and Democratic parties but were adopted by the Free-Soil party. Later, the Republican Party also favored excluding slavery from new territories. Because of this information on David Wilmot, it is obvious to say that he was against the decision of the Dred Scott Case, which was that Congress had no power to prohibit slavery in the territories. David was a passionate abolitionist. He played an important role in the separation of the north and south with the issue of the Mexican territories, especially with the Wilmot Proviso. He was also an influential creator of the Free-Soil Party.

Oliver Twist Essays (332 words) - English-language Films

Oliver Twist Nancy a beautiful portrayal of a mother life figure, stands up for a poor innocent boy. She takes care of Oliver, a poor orphan. Nancy also has a conflict with in herself having to choose between good or evil. Nancy was often beaten. Thinking it was to late for her to search for a better life, she stayed in the company of the thieves. Even with the violent attitude, Bill one of the thief's in the gang, had towards her Nancy challenged him to insure the protection of Oliver. Nancy took blame for occurrences that could have caused Oliver to become harmed. When Oliver is caught, delivering books for Mr. Brownlow, Nancy and Bill Sikes take him to the hideouts that the thieves live in. There he is striped of his cloths, money and books. Nancy fights for Oliver's safety among the men in the room. "Keep back the dog, Bill!" cried Nancy, springing before the door and closing it, as the Jew and his two pupils darted out in pursuit. "Keep back the dog: he'll tear the boy to pieces." "Serve him right!" cried Sikes, struggling to disengage himself from the girl's grasp. "Stand off from me, or I'll split your head against the wall." "I don't care for that Bill, I don't care for that," screamed the girl, struggling violently with the man: "the child shan't be torn down by the dog, unless you kill me first."(150) With the capture of Oliver Fagin the leader of the gang and Bill were upset that Oliver had run away. Bill's dog being in the room nearly tears Oliver the shreds but Nancy saves him. Having this dirty, ugly world of crime pulled over her eyes, Nancy is bothered by how Oliver is treated and tries to shield him from the evil world. Nancy being beat by Sikes is victim violence therefore doesn't think she has any other life to turn to. She has a hard time with good and evil deciding where she stands. But she is determined to take care of Oliver so he can have a better life.