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Digital Seminar

Nursing Documentation Pitfalls: Legal Risks in the Critical Care Setting


Speaker:
Pam Collins, MSN, CMSRN, RN-BC
Duration:
2 Hours 01 Minutes
Format:
Audio and Video
Copyright:
Nov 09, 2022
Product Code:
POS078483
Media Type:
Digital Seminar


Description

"If you didn’t chart it, you didn’t do it" may sound over-rated, but in a court of law, this can make or break the case! This session will reveal strategies to help make your documentation court ready. You will learn the most common documentation errors that can change the course of a lawsuit, how to accurately reflect the care that you provided, and of course what should not be documented. Regardless of your critical care role, this session will help to ensure that your documentation holds up in court!

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 10/11/2025.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

CE Broker


Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 2.0 hours for completing this self-study program. This activity was originally recorded on 11/09/2022. It was last reviewed on 10/20/2022 and is valid until 10/20/2025

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.


Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Pam Collins, MSN, CMSRN, RN-BC's Profile

Pam Collins, MSN, CMSRN, RN-BC Related seminars and products


Pam Collins, MSN, CMSRN, RN-BC, has 40 years of varied nursing experiences that includes administration, nursing faculty, staff nurse, extensive experience as a nursing professional development practitioner with a focus in leadership development, and work as an education and legal consultant. Pam has served as an expert witness for plaintiff and defense medical malpractice cases, specific to nursing. She is dually certified in medical-surgical nursing from the American Nurses Credentialing Center and the Academy of Medical-Surgical Nurses, is also certified in nursing professional development, and has a proven track record of helping nurses achieve certification in medical-surgical nursing and nursing professional development.

Pam’s accomplishments include being a published author in nursing journals and textbooks, and just recently authored a medical-surgical certification review book. Pam has served on the advisory panel for the American Nurses Credentialing Center, has been the recipient of various awards for her contribution to education and nursing professional development, and was a flight nurse in the United States Air Force Reserve. Pam presents nationally on clinical and legal topics and is known for her ability to engage the audience.

 

Speaker Disclosures:
Financial: Pamela Collins maintains a private practice and has an employment relationship with Atrium Health System. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Pamela Collins is a member of the Academy of Medical-Surgical Nurses, the American Nurses Association, and the § Association for Nursing Professional Development.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Analyze common sources of lawsuits for healthcare professionals.
  2. Evaluate the most significant pitfalls in nursing documentation.
  3. Implement strategies to perform legally defensible documentation.
  4. Practice how to document high-risk patient situations.

Outline

  • Current Lawsuit Trends
    • Specialties at higher risk for litigation
    • Top sources of nursing malpractice/negligence
  • Common Pitfalls of Documentation
    • Vagueness
    • Omissions
    • Words to use/avoid
    • Late entries
    • Inconsistency
  • How to document high-risk situations and conversations
    • Patient refusal
    • MD/Provider notification
    • Discharge education
  • Electronic Documentation: Dos and Don’ts
    • Proper use of flowsheets
    • When to add narrative notes
    • Proper timing of entries

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants

Reviews

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