Rosale Lobo – Certificate in Legal Nursing Documentation

Available for Pre-Order. The product will be delivered within a few business days.

 Rosale Lobo – Certificate in Legal Nursing Documentation

“If you don’t write that, you could lose your license,” Or “If you write that, you could lose your license.” This is something I heard throughout my nursing career, but I didn’t really understand what it meant. I was the nurse called in to the office to clarify a comment or explain an entry. “fix” Something that was already noted. My thought was: “if you just tell me what I’m supposed to chart, I’ll do it.”

There are also expectations for supervisors and facility managers. in Place for electronic charting by Center for Medicare & Medicaid Services (CMS). Healthcare is highly regulated, and often has reimbursement problems that are related to the documentation. What’s a nurse to do…? Rosale LoboDoctor of Philosophy (c), MSN. RN. CNS. LNCC.

Learn what it means to be non-Fiction-teller nurses are trusted because they tell the truth. Because we are trained to care for patients with compassion, ethics, and integrity, it is not difficult to chart in accordance to our individual beliefs. Discover the truth behind documentation standards.

Charting for innocence and guilt – It is not hard to see how charting could lead to a trip in court. What is the best way to make this path something nurses fear? This is 3-Day Boot Camp will show you how to navigate the legal system and explain why certain actions can hurt your chances of being found innocent.

What was your deviation from the standard? What happens if no one is there to see it? Who decides if a nurse has departed from the standard? Three days of intensive learning about nursing litigation and nursing documentation will change the way that you think about your nursing practice, and how you document the care you provide.

This class is essential for nurses. It’s long overdue. You will return to work more confident to lower your professional risk. Don’t delay… register today before this class hits capacity and the opportunity to earn your certificate in The end of nursing documentation

OUTLINE

Healthcare Litigation

• Evolution of medicine, nursing, and healthcare
• The essence of litigation
• The burden of proof
• The deal is sealed by the expert witness

The components of Documentation

• Guidelines
• Interpretation
• Making mistakes
• Education
• Social networking
• Indirect care

Electronic Nursing Documentation

• American Recovery and Reinvestment Act
• Meaningful Use
• Use of electronic documentation in a risky manner
• Dangers of texting, social networking, email and SMS

Electronic Medical Record Strategies

• Time management
• Liability
• Software knowledge/Informatics

Reimbursement Documentation

• Medicare and Medicaid Changes
• Participation incentives
• Hospital acquired conditions

Elements of a Lawsuit

• Plaintiff complaints
• Review of medical records
• Chronology Timeline
• Do you have evidence?

Documentation When things go wrong

• Compliance
• Regulations
• Incident reporting
• Adverse events
• Risk factors

Ethical Questions

• Truth tells it all
• Standards that meet standards
• Deviations, whether real or perceived
• Errors by omission
• Errors in commissions
• Clarity in communication

Avoiding Risky Documentation

• Evidence that is credible
• Avoiding ambiguity
• Objectively recording events
• Late entries
• Correcting errors

What if the worst ever happens?

• Duty/Breach Of Duty
• Nurse Practice Act
• State Board of Nursing
• Deposition

Would you like to be contacted?  Rosale Lobo – Certificate in Legal Nursing Documentation ?

OBJECTIVES

1. Examine the ways in which nursing standards can be examined.
2. Evaluate authoritative sources.
3. The care planning process and the separate care plan.
4. Consider a strategic system for nursing documentation.
5. Discuss how the documentation is used to determine whether you are guilty or innocent in a lawsuit.
6. Learn how to avoid risky behavior while using social media and other forms electronic communication.
7. Inform about the best practices and standards of care when documenting adverse events and incident reports.
8. Analyze the Center for Medicare/Medicaid regulatory language on nursing documentation.
9. For your standard of practice, create a strategic tool.
10. Evaluate deposition proceedings.
11. Analyze the chronologies of time.
12. Be clear about defense and plaintiff claims
13. To reduce your litigation exposure, make sure you incorporate the right practices in your documentation.
14. Learn how to correct and avoid common mistakes in documentation.
15. Assess the facility’s policies and procedures to determine if there is any risk.
16. The litigation timeline can be graphed.
17. Ask deposition questions of the plaintiff or defense team.
18. Practice litigation language during mock depositions.