1. the judge wouldn't be in bumble fuck, TN or anywhere else other than in a civil rights case brought by the department of health and human services in DC. You'd be charged in federal court.
2. disclosing information that relates to the "a) treatment, b) payment, or c) operations" (not medical procedures, that's under "treatment" - this is things like quality assurance and training) need to have a client authorization for disclosure.

Strictly speaking, this nurse confirmed the identity of a specific individual that received a _specific treatment_ at a specific facility (her employer) to a public forum, all without the authorization of the client. Any compliance office would hang the nurse out to dry, even as a proactive measure, to mitigate a potential unauthorized disclosure claim.