Price
$26.95
Item #
N1687
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!
Release Date: December 31, 2015
Expiration Date: December 31, 2018
Nursing documentation is a critical component of nursing practice. In the instance when a nurse finds him/herself either named or called as a witness during a lawsuit, a well-documented patient medical record may help a nurse remember the patient and the situation in question. Chapter 1 of this course addresses documenting practices to decrease liability risk, the best ways to keep a nurse out of court, recommendations for creating a comprehensive and defensive medical record, and the nurse’s role in understanding documentation standards.
It is also important for nurses to obtain knowledge to protect themselves in the defense of a suit. Chapter 2 discusses professional liability insurance; how to prepare for a lawsuit; the essentials of a successful malpractice case; how to prepare with an attorney; and conduct at a deposition or trial.
Chapter 3 focuses on accurate, complete, and timely documentation to provide clear communication and prevent potential lawsuits. Areas addressed include supervision of unlicensed patient care assistants, delegation, downsizing, short staffing, floating, missing records, correction of documentation errors, late entries, and other concerns. Techniques to decrease risks and avoid bad outcomes are integrated into each section.
Informed consent and incident reports are the final chapters of this course. Chapter 4 discusses the nurse’s professional responsibility with regard to consent forms, documentation requirements, advance directives, and the Patient Care Partnership (formerly the Patient’s Bill of Rights) and Chapter 5 addresses the purpose and use of incident reports, situations that require incident reports, documentation in the medical record, and the proper routing and location of an incident report.
This course is an extraction of, and should not be taken in conjunction with, N1634 Documentation for Nurses, 2nd Edition (15 contact hours).
CCMs - This program has been pre-approved by the Commission for Case Manager Certification to provide continuing education credit (6 hours) to Certified Case Managers (CCMs)