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| nursing documentation and legal implications: Nursing Documentation Sue Meiner, 1999-05-06 Focusing on the legal implications in the US, this book is designed to meet the needs of professional and student nurses in determining how they should be recording their practice. |
| nursing documentation and legal implications: Code of Ethics for Nurses with Interpretive Statements American Nurses Association, 2001 Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making. |
| nursing documentation and legal implications: Nurse's Legal Handbook , 2004 The newly revised Fifth Edition of this handbook is an up-to-the-minute, authoritative guide to the legal and ethical issues faced daily by nurses. Replete with real-life examples and information from hundreds of court cases, the book covers the full range of contemporary concerns, including computer documentation, cloning, stem cell research, pain management, euthanasia, prescribing, privacy, and confidentiality as well as the nursing shortage. New topics include workplace violence and harassment, needlesticks, telephone triage, and quality assurance. A new Legal Tip logo highlights proactive, protective actions nurses can take, and an entire chapter explains step-by-step what to expect in a malpractice lawsuit. |
| nursing documentation and legal implications: Patient Safety and Quality: section 1, Patient safety and quality ; section 2, Evidence-based practice ; section 3, Patient-centered care Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| nursing documentation and legal implications: Nursing Care Plans & Documentation Lynda Juall Carpenito-Moyet, 2009 The Fifth Edition of Nursing Care Plans and Documentation provides nurses with a comprehensive guide to creating care plans and effectively documenting care. This user-friendly resource presents the most likely diagnoses and collaborative problems with step-by-step guidance on nursing action, and rationales for interventions. New chapters cover moral distress in nursing, improving hospitalized patient outcomes, and nursing diagnosis risk for compromised human dignity. The book includes over 70 care plans that translate theory into clinical practice.Online Tutoring powered by Smarthinking--Free online tutoring, powered by Smarthinking, gives students access to expert nursing and allied health science educators whose mission, like yours, is to achieve success. Students can access live tutoring support, critiques of written work, and other valuable tools. |
| nursing documentation and legal implications: Legal Issues in School Health Services Nadine Schwab, 2005-07 Legal Issues in School Health Services offers a legal resource never before available for education and health professionals, and their legal advisors. All professionals involved in the development, implementation, and evaluation of school health services will find this an exceptional tool. This book addresses the spirit and letter of the laws, the related standards, the conflict between them, and how they affect the delivery of school health services in regular and special education. Special attention is given to pertinent issues for school administrators, school attorneys, and school nurses, in order to foster school practices that are safe and effective. Designed as a guide and reference work, this book is written by 15 highly-credentialed nurses, attorneys, and educators and offers detailed discussions of the legal challenges that exist in the 21st century. KEY FEATURES School nursing practice, standards, and performance issues Risk management strategies for school administrators, school boards, and attorneys Multi-disciplinary approaches in ethico-legal problem solving Collaborative approaches in promoting student learning and success Financial, special education, record confidentiality, and future genetic challenges In-depth legal references, citations, and research, plus a comprehensive glossary and table of federal statutes and regulations |
| nursing documentation and legal implications: Nursing Documentation Handbook T. M. Marrelli, 2000 |
| nursing documentation and legal implications: Complete Guide to Documentation Lippincott Williams & Wilkins, 2008 Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses. |
| nursing documentation and legal implications: Nurse's Legal Handbook Kathy Ferrell, 2015-08-31 An authoritative guide to the legal and ethical issues faced daily by nurses, this handbook includes real-life examples and information from hundreds of court cases. It covers the full range of contemporary concerns, including computer documentation, workplace violence and harassment, needlesticks, telephone triage, pain management, prescribing, privacy, and confidentiality. An entire chapter explains step-by-step what to expect in a malpractice lawsuit. |
| nursing documentation and legal implications: A Nurse's Guide to Legal Pitfalls and Ethical Dilemmas Pasquale De Marco, 2025-04-17 In the dynamic and ever-evolving landscape of healthcare, nurses stand as the guardians of patient well-being, navigating a complex web of legal and ethical challenges. A Nurse's Guide to Legal Pitfalls and Ethical Dilemmas serves as an indispensable resource, empowering nurses to deliver exceptional care while safeguarding their own professional interests. This comprehensive guidebook delves into the intricate legal framework that governs nursing practice, providing nurses with the knowledge and tools to identify and mitigate potential legal risks. Through real-world scenarios and practical advice, nurses will learn how to: * Ensure informed consent and protect patient autonomy * Handle medication management and controlled substances with utmost care * Maintain accurate and comprehensive patient records * Establish therapeutic nurse-patient relationships and manage difficult patients * Address ethical dilemmas in critical care, pediatric, geriatric, home health, and mental health nursing * Understand nurse practice acts and state regulations * Testify in court as a nursing expert * Navigate the legal aspects of telehealth, artificial intelligence, and healthcare reform Beyond legal considerations, this book also serves as a guide to ethical decision-making in nursing. Nurses will gain insights into ethical principles, conflict resolution, and the importance of patient advocacy. By integrating ethical considerations into their daily practice, nurses can promote patient well-being, uphold their professional values, and contribute to a just and equitable healthcare system. A Nurse's Guide to Legal Pitfalls and Ethical Dilemmas is more than just a legal manual; it is a testament to the pivotal role nurses play in ensuring patient safety, upholding ethical standards, and advocating for quality healthcare. With this guidebook in hand, nurses can navigate the complexities of the healthcare system with confidence, ensuring the highest standards of care and safeguarding their own professional integrity. If you like this book, write a review on google books! |
| nursing documentation and legal implications: Nursing Documentation Made Incredibly Easy Kate Stout, 2018-06-05 Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation requirements, working with electronic medical records systems, complying with legal requirements, following care planning guidelines, and more. Whether you are a nursing student or a new or experienced nurse, this on-the-spot study and clinical guide is your ticket to ensuring your charting is timely, accurate, and watertight. Let the experts walk you through up-to-date best practices for nursing documentation, with: NEW and updated, fully illustrated content in quick-read, bulleted format NEWdiscussion of the necessary documentation process outside of charting—informed consent, advanced directives, medication reconciliation Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices Easy-to-read, easy-to-remember content that provides helpful charting examples demonstrating what to document in different patient situations, while addressing the different styles of charting Outlines the Do's and Don’ts of charting – a common sense approach that addresses a wide range of topics, including: Documentation and the nursing process—assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation Documenting the patient’s health history and physical examination The Joint Commission standards for assessment Patient rights and safety Care plan guidelines Enhancing documentation Avoiding legal problems Documenting procedures Documentation practices in a variety of settings—acute care, home healthcare, and long-term care Documenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior Special features include: Just the facts – a quick summary of each chapter’s content Advice from the experts – seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans “Nurse Joy” and “Jake” – expert insights on the nursing process and problem-solving That’s a wrap! – a review of the topics covered in that chapter About the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina. |
| nursing documentation and legal implications: Legal Aspects of Documenting Patient Care for Rehabilitation Professionals Ronald W. Scott, 2006 Because communication among health care professionals can mean the difference between patient life and death, clear and effective patient care documentation is as important as the delivery of care itself. The rehabilitation professional faces formidable documentation responsibilities. Patient care documentation created by the rehabilitation professional must be accurate, comprehensive, concise, objective, and timely. In an interdisciplinary health care environment, documentation must also be expeditiously communicated to other professionals on the health care team. |
| nursing documentation and legal implications: Legal and Ethical Issues Susan Westrick Killion, Susan J. Westrick, 2006 |
| nursing documentation and legal implications: Medical Legal Aspects of Medical Records Patricia W Iyer, Barbara J Levin, Mary Ann Shea, 2009-05-01 |
| nursing documentation and legal implications: Managing Documentation Risk Patricia A. Duclos-Miller, 2004 Nurses are now commonly cited or implicated in medical malpractice cases. |
| nursing documentation and legal implications: Nursing Documentation Ellen Thomas Eggland, Denise Skelly Heinemann, 1994 Focuses on the communicatiion skills that are the key to good documentation. |
| nursing documentation and legal implications: Law For Nurse Leaders Paula DiMeo Grant, 2011-04-06 Print+CourseSmart |
| nursing documentation and legal implications: Nursing Interventions Classification (NIC) - E-Book Gloria M. Bulechek, Howard K. Butcher, Joanne M. Dochterman, Cheryl M. Wagner, 2012-11-01 Covering the full range of nursing interventions, Nursing Interventions Classification (NIC), 6th Edition provides a research-based clinical tool to help in selecting appropriate interventions. It standardizes and defines the knowledge base for nursing practice while effectively communicating the nature of nursing. More than 550 nursing interventions are provided — including 23 NEW labels. As the only comprehensive taxonomy of nursing-sensitive interventions available, this book is ideal for practicing nurses, nursing students, nursing administrators, and faculty seeking to enhance nursing curricula and improve nursing care. More than 550 research-based nursing intervention labels with nearly 13,000 specific activities Definition, list of activities, publication facts line, and background readings provided for each intervention. NIC Interventions Linked to 2012-2014 NANDA-I Diagnoses promotes clinical decision-making. New! Two-color design provides easy readability. 554 research-based nursing intervention labels with nearly 13,000 specific activities. NEW! 23 additional interventions include: Central Venous Access Device Management, Commendation, Healing Touch, Dementia Management: Wandering, Life Skills Enhancement, Diet Staging: Weight Loss Surgery, Stem Cell Infusion and many more. NEW! 133 revised interventions are provided for 49 specialties, including five new specialty core interventions. NEW! Updated list of estimated time and educational level has been expanded to cover every intervention included in the text. |
| nursing documentation and legal implications: Nursing Documentation Sue Meiner, 1999-05-06 Focusing on the legal implications in the US, this book is designed to meet the needs of professional and student nurses in determining how they should be recording their practice. |
| nursing documentation and legal implications: Nursing Care Plans & Documentation Lynda Juall Carpenito, 1999 his one-of-a-kind text covers every aspect of independent nursing care -- it's a must-have resource for every practicing and student nurse! Content includes nursing care plans for the care of all adults regardless of their clinical situation; detailed care plans for specific clinical problems; collaborative problems and nursing diagnoses; and a strong emphasis on documentation. It also includes research validated identification of frequently encountered nursing diagnoses and collaborative problems. This edition contains 15 new care paths for common diseases/disorders |
| nursing documentation and legal implications: Law for Nurses and Midwives Patricia J. Staunton, Mary Chiarella, 2016-08-06 Law for Nurses and Midwives is the most highly respected health law text for nursing and midwifery students studying law as part of their degree. Now in its 8th edition, this fundamental text outlines legal issues and responsibilities specific to both nursing and midwifery practice and features the legislation relevant to the provision of safe, quality healthcare in Australia. Authored by Patricia Staunton and Mary Chiarella, this fully revised edition includes updates to case law and the latest information on nursing and midwifery governance and the professional regulation of nurses and midwives. Revised Registration Standards and Standards for Practice established by the Nursing and Midwifery Board of Australia (NMBA), effective 2016Learning Objectives that highlight what students will attain from each chapterThe law in context through Case Examples, Clinical Examples and Case StudiesReview Questions to consolidate learning Break down of legislation by state and territoryUpdated state and territory statutes |
| nursing documentation and legal implications: Essentials of Nursing Law and Ethics Susan J. Westrick, 2013-08-09 An Updated and Authoritative Resource on Nursing Law and Ethics The Essentials of Nursing Law and Ethics, Second Edition focuses on the legal aspect of Nursing as it relates to patient safety and quality, environmental health and safety, error reduction and ethical boundaries of practice. Other timely topics include the appropriate use of social media by nursing staff. The text is written by a nurse attorney who presents complex topics in an understandable manner while providing accurate and well researched content relevant to the practice. Extensive legal research by the author incorporates the most current relevant professional and legal references including case law. The text is uniquely organized into five major sections including: the law and nursing practice; liability in patient care; documentation issues; employment and the workplace; and ethics. New to this Edition: • Professional boundaries and use of social media • Quality and safety initiatives in nursing practice, including Quality and Safety Education for Nurses (QSEN) concepts and content, Institute of Medicine (IOM) recommendations • Environmental health and safety, including equipment safety • Staffing issues and implications for patient safety and liability • Workplace issues including factors to consider when accepting assignments, horizontal violence • Additional coverage on medication error reduction and safety initiatives • Updated content on electronic documentation, communication, and recordkeeping • Regulatory processes including state board use of off duty conduct in disciplinary proceedings, and data bank reporting, and remediation as an alternative to discipline • Expansion of content on ethical considerations in areas such as assisted suicide, patients’ rights, and applying the ANA Code of Ethics for Nurses • Moral distress and moral courage in ethical decision making • Update on the processes for basic legal research Key Features: Test bank featuring NCLEX type questions and rationale A glossary of legal terminology found within the text A Table of Cases for easier access to case law Expanded online resources and scholarly references included at the end of each chapter |
| nursing documentation and legal implications: Ethical and Legal Issues in Canadian Nursing - E-Book Margaret Keatings, Pamela Adams, 2023-08-25 - UPDATED! Thoroughly revised and expanded coverage of top-of-mind ethical and legal topics concerning vulnerable populations; Indigenous (Joyce Echaquan Inquiry), refugees, and LGBTQ2 persons; advancing technologies and telemedicine; evolving scopes of practice of various categories of nurses; Medical Assistance in Dying (MAiD); and much more. - NEW! Coverage of Indigenous legal and ethical perspectives and ways of knowing and understanding related to health, health care, and decision making. - NEW! Up-to-date information on legal and ethical challenges in the time of SARS‐CoV‐2. - NEW! Case studies for the Next-Generation NCLEX® on the companion Evolve website. |
| nursing documentation and legal implications: Paying for Performance in Healthcare: Implications for Health System Performance and Accountability Cheryl Cashin, Y-Ling Chi, Michael Borowitz, Sarah Thompson, 2014-09-16 Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited.This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice.Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementationdecisions, including the role of stakeholders Critical assessment of objectives versus results Examination of the of 'net' impacts, includingpositive spillover effects and unintended consequences The detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability. This title is in the European Observatory on Health Systems and Policies Series. |
| nursing documentation and legal implications: The Medical-Legal Aspects of Acute Care Medicine James E. Szalados, 2021-04-02 The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a comprehensive resource intended to provide a state-of-the-art overview of complex ethical, regulatory, and legal issues of importance to clinical healthcare professionals in the area of acute care medicine; including, for example, physicians, advanced practice providers, nurses, pharmacists, social workers, and care managers. In addition, this book also covers key legal and regulatory issues relevant to non-clinicians, such as hospital and practice administrators; department heads, educators, and risk managers. This text reviews traditional and emerging areas of ethical and legal controversies in healthcare such as resuscitation; mass-casualty event response and triage; patient autonomy and shared decision-making; medical research and teaching; ethical and legal issues in the care of the mental health patient; and, medical record documentation and confidentiality. Furthermore, this volume includes chapters dedicated to critically important topics, such as team leadership, the team model of clinical care, drug and device regulation, professional negligence, clinical education, the law of corporations, tele-medicine and e-health, medical errors and the culture of safety, regulatory compliance, the regulation of clinical laboratories, the law of insurance, and a practical overview of claims management and billing. Authored by experts in the field, The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a valuable resource for all clinical and non-clinical healthcare professionals. |
| nursing documentation and legal implications: The Health Care Manager's Legal Guide Mcconnell, 2010-09-30 The Health Care Manager's Legal Guide provides healthcare management students and professionals with a one-of-a-kind resource on successfully negotiating the legal pitfalls across healthcare’s complex institutional and commercial landscape. Healthcare managers today must tread carefully as never before to avoid legal issues. Grounded in the expert guidance of healthcare managers, health administration educators, and attorneys, The Health Care Manager's Legal Guide covers the numerous legal obstacles managers confront on a daily basis, from human resources and employee and patient privacy to disciplinary action and union organizing. The Health Care Manager's Legal Guide provides practical information on avoiding these and other common legal hazards encountered when managing a healthcare workforce. Using straightforward language, this book serves as an essential resource for aspiring and working healthcare managers. The Health Care Manager's Legal Guide features • Practical legal guidance presented in easy-to-understand terms • A minimum of “legalese” • A review of the most important laws directly affecting healthcare managers • Study and discussion questions in every chapter |
| nursing documentation and legal implications: Psychiatric Nursing Mary Ann Boyd, 2008 The AJN Book of the Year award-winning textbook, Psychiatric Nursing: Contemporary Practice, is now in its thoroughly revised, updated Fourth Edition. Based on the biopsychosocial model of psychiatric nursing, this text provides thorough coverage of mental health promotion, assessment, and interventions in adults, families, children, adolescents, and older adults. Features include psychoeducation checklists, therapeutic dialogues, NCLEX® notes, vignettes of famous people with mental disorders, and illustrations showing the interrelationship of the biologic, psychologic, and social domains of mental health and illness. This edition reintroduces the important chapter on sleep disorders and includes a new chapter on forensic psychiatry. A bound-in CD-ROM and companion Website offer numerous student and instructor resources, including Clinical Simulations and questions about movies involving mental disorders. |
| nursing documentation and legal implications: Legal, Ethical, and Practical Aspects of Patient Care Documentation Ronald W. Scott, 2013 Fourth Edition, is the only text to integrate coverage of the legal responsibilities of rehabilitation professionals with basic, essential advice on how to effectively document patient care activities from intake through discharge. This resource thoroughly covers the basics of documentation and includes many exemplars, cases, and forms, as well as a sample abbreviations used in rehabilitation settings. This book covers all the bases from ethics, to practical aspects of patient care documentation, to relevant and salient legal implications and illustrative case examples that will help students excel in practice. |
| nursing documentation and legal implications: Ethical and Legal Issues in Canadian Nursing Margaret Keatings, O'Neil Brian Smith, 1999 ETHICAL & LEGAL ISSUES IN CANADIAN NURSING explores the essential questions and dilemmas that challenge nurses in day-to-day practice, including withdrawal of treatment, living wills, organ donation, informed consent, patient and caregiver rights, and changing public attitudes towards human reproductive technology, assisted suicide, and euthanasia. Includes numerous case studies to aid in class discussion and debate. |
| nursing documentation and legal implications: Nursing Documentation Patricia W. Iyer, Nancy Hand Camp, 1995 Clearly and concisely provides guidelines for appropriate and careful documentation of care. Accurate documentation shows managed care companies that patients receive adequate care and that health care providers are controlling costs and resources. In addition, it plays a large role in how third party payors make payment or denial decisions. This new edition includes the latest changes and trends in nursing documentation as related to the newly restructured healthcare environment. Special attention focuses on the latest documentation issues specific to specialty settings, such as acute care, home care, and long-term care, and a variety of clinical specialties, such as obstetrics, pediatrics, and critical care.--Amazon.com. |
| nursing documentation and legal implications: Fast Facts for the Operating Room Nurse Theresa Criscitelli, EdD, RN, CNOR, Theresa Criscitelli, 2014-12-05 Print+CourseSmart |
| nursing documentation and legal implications: Nurse as Educator Susan B. Bastable, 2007-12-12 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice prepares nurse educators, clinical nurse specialists, and nurse practitioners for their ever-increasing roles in patient teaching, health education, health promotion, and nursing education. Designed to teach nurses about the development, motivational, and sociocultural differences that affect teaching and learning, this text combines theoretical and pragmatic content in a balanced, complete style. The Third Edition of this best-selling text has been updated and revised to include the latest research. Nurse as Educator is used extensively in nursing educations courses and programs, as well as in both institutional and community-based settings. |
| nursing documentation and legal implications: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. |
| nursing documentation and legal implications: Fundamentals of Nursing Carol Taylor, Pamela Lynn, Jennifer Bartlett, 2018-10-05 Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Proven, approachable, and part of a complete course solution, Fundamentals of Nursing, 9th Edition, makes essential concepts accessible and help students develop the knowledge and clinical skills to succeed throughout their nursing education. This comprehensively enhanced edition equips students for today’s clinical environment with coverage of emerging practices and technology, new multimedia learning tools, and case studies that reflect the clinical application of chapter concepts and prepare students to excel throughout their nursing careers. Features New! Reflective Practice Leading to Personal Learning callouts cultivate a person-centered approach to nursing care. New! Clinical vignettes personalize the clinical application of concepts and integrate with vSim for Nursing for patient-specific reinforcement of commonly encountered scenarios and conditions. New! Technology Alerts familiarize students with emerging devices and software they’ll likely encounter in the clinical setting. New! Informatics chapter reflects the increasingly important role of data and information technology in patient care. New! QSEN boxes in every chapter help students ensure compliance with Quality and Safety Education for Nurses competencies. NEW! Legal Alerts help students ensure compliance with important laws and considerations related to clinical practice. New! Watch & Learn Videos clarify key concepts and procedures in engaging detail. Revised! Illustrated Concept Maps engage visual learners, simplify complex topics, and strengthen students’ clinical reasoning skills. Case scenarios in each chapter encourage holistic patient care and reflection on critical thinking questions. |
| nursing documentation and legal implications: Legal Aspects of Health Care Administration George D. Pozgar, 2004 The Ninth Edition of this book continues to provide students with a strong foundation in health care law and an overview of practical ways to improve the quality and safe delivery of healthcare. |
| nursing documentation and legal implications: Physical Therapy Management Ronald W. Scott, Christopher Petrosino, 2008-01-01 Discover what it takes to succeed in the real world of physical therapy practice, where you'll rely not only on your clinical skills, but on management skills such as budgeting, recruiting, professional development, and limiting your risk of liability. Expert authors Ron Scott and Christopher Petrosirio guide you through the essentials of practice management to help you understand and master these skills and more. You'll find ideas for marketing your practice, as well as advice and information on negotiation and dispute resolution, human resources management, quality and risk management, legal and ethical issues, and fiscal management. Specific case examples from the authors' own experiences illustrate important points throughout the book. Well-known author Ron Scott draws from his unique experiences as a physical therapist clinical manager, MBA, and health law attorney to provide a uniquely comprehensive and insightful overview of physical therapy practice management.An emphasis on human resources (people) management offers effective strategies for recruiting, selecting, and retaining the best clinicians and support professionals in this increasingly competitive field.Case examples based on the authors' own experiences bring concepts to life.Engaging exercises - including group discussions, role-playing scenarios, and short answer - help you strengthen your critical thinking skills.Current terminology from the APTA Guide to Physical Therapist Practice, 2nd Edition is used throughout. |
| nursing documentation and legal implications: Emergency and Trauma Care for Nurses and Paramedics Kate Curtis, Clair Ramsden, 2015-10-16 - Highlighted skills - cross references to the Clinical Skills chapter throughout text - Over 30 new case studies - Patient journey from pre-hospital and emergency-specific case studies - Critical thinking questions at the end of chapters - Chapter 35 Obstetric emergencies now includes 'Supporting a normal birth'. |
| nursing documentation and legal implications: Intrapartum Management Modules Betsy Kennedy, 2016-04-19 Confidently deliver safe, accurate intrapartum care with the expert guidance of Intrapartum Management Modules, 5e. This essential, fully updated edition offers easy-to-follow directions on the full range of intrapartum skills, from admission assessment of the laboring woman and fetus to delivery and postpartum care. Written by top-level intrapartum nurses and educators, this is not only an essential study aid for inpatient obstetric nursing certification; it also offers indispensable orientation support to new practitioners. Absorb the A to Z of intrapartum nursing science and skills . . . NEW and updated content offers the latest evidence-based therapeutic methods, drugs, and technology NEW chapter on electronic fetal heart rate monitoring Practice strips for monitoring fetal heart rate and contractions End-of-module practice/review questions and end-of-book posttests to aid retention and bulletproof exam preparation Centers for Disease Control guidelines for safe labor and delivery National Institute of Child Health and Human Development guidelines for accurate electronic fetal monitoring Self-paced independent learning manual—step-by-step directions for vital skills, including: Physical exam of the laboring woman Evaluating contractions Meeting the individual and cultural needs of the laboring woman and family Identifying the high-risk mother and fetus Assessing fetal health Managing gestational diabetes Determining whether a patient is at risk for domestic violence Evaluating fetal lie and presentation Breathing and effleurage techniques Managing an unexpected delivery |
| nursing documentation and legal implications: National Library of Medicine Audiovisuals Catalog National Library of Medicine (U.S.), 1991 |
| nursing documentation and legal implications: Medical and Dental Expenses , 1990 |
Proper documentation protects patients and your license
Aug 7, 2023 · Nursing documentation plays a critical role in healthcare. Errors or incomplete information can affect data accuracy and ultimately best practices. Improper documentation …
25 Legal Dos and Don'ts of Nursing Documentation Transcript
Nov 25, 2023 · 25 Legal Dos and Don'ts of Nursing Documentation Transcript 1. “If you did not write it down, you did not do it. If you did not do it, you were negligent.” You need not just to …
LEGAL IMPLICATIONS - Nursing Management and Professional …
There are several types of laws and regulations that affect nursing practice. Laws are rules and regulations created by a society and enforced by courts and professional licensure boards. …
8 Legal Standards for Nursing Documentation - Nurse Cram
Jan 15, 2025 · To meet legal standards, nurses must follow these eight key principles: Accuracy: Record facts, avoid assumptions, and use approved medical terms. Timeliness: Document …
Five Legal Requirements for Nursing Documentation
Nursing documentation is a clinical necessity and a legal obligation that carries significant implications for patient safety and professional liability. By adhering to legal requirements and …
Legal and Ethical Issues in Nursing Documentation
💡 Nursing documentation is a critical component of patient care and has significant legal and ethical implications. Nurses must ensure that their documentation is accurate, complete, and timely, …
The legalities of nursing documentation - LWW
The first rule of documentation for any nurse is to know the governing laws in the state of practice, the policies and procedures of the institution of practice, and the guidelines from applicable …
Legal Implications of Nursing Documentation - NSUWorks
Jun 17, 2024 · In this article, we will explore the legal implications of nursing documentation and emphasize the importance of maintaining comprehensive and accurate records. Patient Safety …
Medical Record Documentation and Legal Aspects - - RN.org®
The purpose of this course is to outline accuracy and legal requirements for nursing documentation, including a review of different formats for documentation. Goals Explain the …
What Are the Best Practices for Nursing Documentation ...
May 7, 2024 · In the event of legal proceedings, the nursing documentation acts as tangible proof of the care provided and becomes a crucial part of the defense. Maintaining consistent, …
Proper documentation protects patients and your license
Aug 7, 2023 · Nursing documentation plays a critical role in healthcare. Errors or incomplete information can affect data accuracy and ultimately best practices. Improper documentation …
25 Legal Dos and Don'ts of Nursing Documentation Transcript
Nov 25, 2023 · 25 Legal Dos and Don'ts of Nursing Documentation Transcript 1. “If you did not write it down, you did not do it. If you did not do it, you were negligent.” You need not just to …
LEGAL IMPLICATIONS - Nursing Management and Professional …
There are several types of laws and regulations that affect nursing practice. Laws are rules and regulations created by a society and enforced by courts and professional licensure boards. …
8 Legal Standards for Nursing Documentation - Nurse Cram
Jan 15, 2025 · To meet legal standards, nurses must follow these eight key principles: Accuracy: Record facts, avoid assumptions, and use approved medical terms. Timeliness: Document …
Five Legal Requirements for Nursing Documentation
Nursing documentation is a clinical necessity and a legal obligation that carries significant implications for patient safety and professional liability. By adhering to legal requirements and …
Legal and Ethical Issues in Nursing Documentation
💡 Nursing documentation is a critical component of patient care and has significant legal and ethical implications. Nurses must ensure that their documentation is accurate, complete, and timely, …
The legalities of nursing documentation - LWW
The first rule of documentation for any nurse is to know the governing laws in the state of practice, the policies and procedures of the institution of practice, and the guidelines from applicable …
Legal Implications of Nursing Documentation - NSUWorks
Jun 17, 2024 · In this article, we will explore the legal implications of nursing documentation and emphasize the importance of maintaining comprehensive and accurate records. Patient Safety …
Medical Record Documentation and Legal Aspects
The purpose of this course is to outline accuracy and legal requirements for nursing documentation, including a review of different formats for documentation. Goals Explain the …
What Are the Best Practices for Nursing Documentation ...
May 7, 2024 · In the event of legal proceedings, the nursing documentation acts as tangible proof of the care provided and becomes a crucial part of the defense. Maintaining consistent, …
