A communication arrangement including a room having at least one communication device therein, the at least one communication device receiving in-room images, in-room video and/or in-room audio within the room. The communication arrangement also includes a communication system for transmitting the in-room images, in-room video and/or in-room audio from within the room to a location remote from the room. The communication system has a privacy setting that, when activated, prevents viewing of the in-room images or in-room video and/or hearing of the in-room audio from within the room at the location remote from the room and communicates to the location remote from the room that the privacy setting is activated.