Full Course Description
Nursing Documentation: Proven Strategies to Keep Your Patients and Your License Safe
Join expert and legal nurse consultant, Rosale Lobo, PhD(c), MSN, RN, CNS, LNCC, to learn how to develop a systematic approach to documentation that will keep you, your patients and your license safe. You will learn how to identify and avoid risky documentation as well as how to correctly utilize electronic documentation and the correct technique for meaningful use. Rosale will show you step by step, how to overcome your most complex documentation questions and challenges.
This dynamic one-day program will include tools to safeguard your documentation including:
- Time saving tips for electronic documentation and EMR use
- Documenting compliance, incident reports, and adverse events
- Sample strategy worksheets for ease of data collection
- Federal government requests for charting based on meaningful use criteria
- Dangers with social media, email, and texting
- Examples and case studies of correct and incorrect documentation
The Components of Documentation
- Social Networking
- Indirect Care
Electronic Nursing Documentation
- American Recovery and Reinvestment Act
- Meaningful Use
- Health Insurance Portability and Accountability Act (HIPPA)
- Risky electronic documentation practices
- Dangers of email, social networking, and texting
Electronic Medical Records (EMR) Strategies
- Time Management
- Software Knowledge
- Meaningful Use
Reimbursement and Documentation
- Medicare/Medicaid Changes
- Incentives and meaningful use criteria
- EMR Timelines
- Hospital Acquired Conditions
Documentation When Things Go Wrong
- Incident Reports
- Adverse Events
- Risk Factors
- Truth Tellers
Avoiding Risky Documentation
- Credible evidence
- Avoiding Ambiguity
- Recording events objectively
- Late Entries
- Correcting Errors
What if the Worst Happens?
- Duty /Breach of Duty
- Nurse Practice Act
- State Board of Nursing
Examples and Case Studies of Documentation
- Identify a strategic nursing documentation system.
- Describe how documentation is used to decide if you are guilty or innocent in a lawsuit.
- Recognize the meaningful use criteria to meet reimbursement needs.
- List how to best use features in computerized records to ensure reimbursement.
- Identify how to prevent risky behavior when using social media and other forms of electronic communication.
- Define how to use best practice and standard of care for documenting incident reports and adverse events.
- Integrate the correct practices into your documentation to keep your license unblemished.
- Summarize the common documentation mistakes and how to avoid and/or correct them.
Practical Ethics: Addressing the Real-Life Challenges Confronting Healthcare Professionals
- Ethics committees can help with the thorny dilemmas
- Help patients & families as you develop new skills to take on ethical challenges
- Apply a variety of ethical decision-making tools – take home’s to build your toolkit!
- Explore legal outcomes in current cases & classic ethical cases
- How would you respond to the MOST challenging workplace-related ethical issues?
- Updates on ethical dilemmas arising from technological advances
Would you like to feel more comfortable when faced with ethical dilemmas in clinical situations, in your workplace, and in your everyday life? Would you like to help patients and families navigate the difficult seas of ethical decision-making with greater ease, or to make better decisions on workplace-related ethical issues that you personally encounter? This workshop will equip you with an Ethical Toolkit to use, whether guiding a patient/family in decisions about Advance Directives or making that heart-wrenching decision to discontinue mechanical ventilation for a loved one, or ensuring that your work environment upholds the highest ethical standards.
Past attendees have found learning from Kathleen Kovarik, PhD, RN, on these often challenging topics to be interesting, fun and engaging. Ride the wave of Kathleen’s passion for ethics, and enjoy the multi-faceted, interactive environment she creates that results in high-level learning. She will guide you deeper into understanding ethical decision-making and its practical application to the complex health-care situations that you face on a regular basis.
What are Your Values?
- Exploration of Foundational Beliefs/Values
- Values Exercise
- Sharpening Critical Thinking Skills
- Human Medical Experimentation and Evolution of Ethics
- Key Cases and Codes
- Presidents Garfield and McKinley
- Tuskegee Syphilis Study
- Nuremburg Trials and Nuremburg Code
- Declaration of Helsinki
- The “God Committee” and Dialysis
- Recent Application of Ethical Decisions in the U.S.
- When is it Appropriate to Involve the Ethics Committee?
- Seeking Consultation: How To’s
- Understanding the Composition of Committees/Models
- Ethical Viewpoints and Stances
- Deontology versus Teleology
- Objectivism versus Relativism
- Key Theories
- Kantian Ethics
- Natural Law
- Rawlsian Ethics
- Ethic of Care
- Rights-Based Ethics
- Communitarian Ethics
- Respect for Persons
Ethical Decision-Making: A Toolkit for Practice
- Framing Ethical Questions and Problems
- Decision-Making Formats and Tools
- The Four-Quadrant Approach
- Bennett-Woods Eight Step Model
The Most Controversial Cases
- Classic, Precedent-Setting Cases
- Current Ethical Dilemmas and Recent Cases
- Living Wills, Advance Directives, DNRs and ANDs
- Cases Involving Personhood Definitions
- Issues of Informed Consent
- What are some of the Most Complex Cases You’ve Encountered?
Dealing with Ethical Dilemmas: Decision-Making Team Practice
- A Dilemma of Limited Resources: Hurricane Katrina and Mercy Hospital
Exercising Ethical Leadership
- Ethical Leadership in the Workplace
- Keeping Current on Ethical Issues
- Ethical Dilemmas on the Horizon: Advancing Technology
- Recent Research: A Sampler
- Educational Opportunities in
- Health-Care Ethics
- Determine scenarios that benefit from ethics committee involvement.
- Investigate ethical insights to clinical and workplace scenarios.
- Apply a variety of ethical decision-making tools to analyze complex patient/family dilemmas.
- Integrate knowledge from precedent-setting ethical cases into current decision-making.
- Critique current ethical cases utilizing sound ethical principles.
- Dissect potential ethical dilemmas arising from technological advances now and in the future.
- Incorporate a variety of “ethical tools” into a practical, usable, and easily accessible ethical toolkit.