Nursing Documentation Legally-Proven Strategies to Keep You Out of the Courtroom by Rachel Cartwright-Vanzant
Duration:6 Hours 14 Minutes | Format:Audio and Video
DESCRIPTION
Explanation:
Course description:
If you need to advocate for the care you provide to a patient and testify in court, are your documents sufficient to protect you from liability? If the care provided is scrutinized months or years after it occurs, can the document accurately describe the standard care provided to the patient? If you don’t know, don’t miss this program!
In this in-depth, interactive seminar, you will have the opportunity to review real court cases and learn from the actual testimony provided by the nurse’s affidavit. Rachel Cartwright-Vanzant is an independent legal nurse consultant with over 28 years of clinical, management, and consulting experience, to ensure that handwritten or electronic documents depict the level of care they meet. Provide the necessary information. Applicable standard.
Learn how to identify and avoid risky documents and integrate practices to prevent license damage. What you have learned will immediately apply to your practice and may take you away from court.
Purpose:
After completing this self-study package, you will be able to:
Describe the application of nurse practice laws/laws to the documentation of patient care.
List 10 ways to keep document notes and diagrams out of court.
It summarizes common documentation mistakes and how to avoid or fix them.
Incorporate good practices into your documentation notes to avoid compromising your license.
List at least three ways to protect electronic documents.
Compare and contrast different forms of nursing documents and how they are used in court.
Use real medical malpractice cases to learn how to improve your documentation.
Demonstrate how to accurately and completely document situations when they are sensitive or stressful.
Overview:
Stage settings
Many people read medical records during a lawsuit
Medical records are as important as testimony
Legal and ethical consequences of documents
Purpose of medical records in court
“Understand correctly from the beginning”
Document standards
How to recognize deviations from standard care
Risk management and documentation
Incident Report
Acceptable Nursing Document Formats
Common documentation mistakes
Doctor order
Evaluation
Plan of care
medicine
intervention
Difficult, stressful, or delicate situations
Patient education and response
Other formats for documents
Nursing chart system
story
Soap
PIE graph
Focus chart
Graph by exception
Considerations when using flowsheets
Handling of computerized medical records
Avoid legally dangerous documents
Reliable proof
Objectively record an event
Maintaining facts and thoroughness
Avoid ambiguity
Avoid prejudice
Abbreviations to avoid
Late entry
Personal note
Error correction
Document and bioethics dilemma
Code of Ethics
Tell the truth
Universal principles of biomedical ethics
ANA code for nurses
End of support issues
Informed consent and therapeutic privileges
Errors and documentation
Lack of information
Tampering, Tampering, Concealment
Tampering result
Role of Forensic Document Reviewers in Record Review
Analyze actual case scenarios
Take Nursing Documentation by Rachel Cartwright-Vanzant at Whatstudy.com
Course Features
- Lectures 0
- Quizzes 0
- Duration Lifetime access
- Skill level All levels
- Language English
- Students 150
- Assessments Yes
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