[Download Now] Legal Risks in Nursing Documentation – Use Extreme Caution When Skimming the Facts – Rosale Lobo

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The nurse was busy. She didn’t have time to eat.

It was the day shift and there was a lot of orders coming in. It was difficult to keep up. She doesn’t remember all the details, but she remembers how scared she was when the family came in complaining, questioning every medication and treatment she was administering, and fishing through the trash can for discarded evidence. They wanted to speak with patient relations. She wasn’t called into a lawyer’s office to discuss the care she provided for two years.

There is an intimate connection between what we chart, how we care for patients, and patient outcomes. What is that connection? What you chart about a patient becomes the facts in a nursing malpractice case. Sometimes mistakes and near misses happen. In a shift, there is only so much you can do. Rosale Lobo PhD, RN, LNCC will give you expert tips on how to decrease legal risks for nurses.

1. Recognize why skimming the facts can damage your license.
2. Dissect the connection between your charted words and the truth.
3. Examine the lawyers view on your documentation.
4. Transform your understanding of “trust but verify”.
5. Analyze legal cases to become an expert at charting.
6. Compare your previous charting with your future charting.

The nursing school never taught the truth about documentation.

• The care plan: Facts vs. fiction
• Clinical application and critical thinking: What the attorneys don’t want you to know
• Learning to think defensively

There are 10 facts about being a nurse.

• The emotional turmoil associated with litigation
• The scenario that lasts a professional lifetime
• There is such a thing as being prepared for questioning

Increasing safe and effective healthcare delivery has a role for nursing.

• The increasing demand for accountability
• The regulations that effect their bottom line – and our sanity
• Using the correct “tone” to communicate your message

The review was titled Legal Risks in Nursing Documentation – Use Extreme Caution When Skimming the Facts. Legal risks in nursing documentation can be used with extreme caution. There is a discount on the book Legal Risks in Nursing Documentation – Use Extreme Caution When Skimming the Facts.