Full Course Description

Legal Nurse Protection: Charting During the Chaos

How would you feel to have peace of mind following each shift, knowing you had delivered care the way you wanted to AND documented the details that really mattered? The chaos of the work we do can make it difficult to ever feel you are truly on top of all the details. But you try. And you try very hard.  

Rosale Lobo, PhD, RN, MSN, LNC, is determined to help make your tough job a little easier.  She wants to make sure you feel a little more confident in all that you do. Rosale has vast experiences in clinical practice roles, management positions and extensive work as an independent legal nurse consultant with plaintiff attorneys. Her expertise will be evident. She will share best current legal practices so you know the words, phrases, and messages your charting is sending to the ‘reader’.

Getting all the tools necessary to keep pace with charting practices can alleviate many feelings of uncertainty. Proper nursing documentation relies on a series of steps and systems that will personalize your charting. It doesn’t mean longer charting sessions, it means creating a succinct method that demystifies the charting process, while anticipating any legal moves against you. This is one training you can’t afford to miss!

Program Information


  1. Analyze a chart like a lawyer.
  2. Determine key sources of evidence used against us.
  3. Appraise the concept of time stamping and the tremendous value it holds.
  4. Plan and experience the deposition process.
  5. Evaluate a COVID-19 case for care and potential litigation.
  6. Demonstrate the value of a timeline chronology.
  7. Distinguish between care plans and the care planning process.
  8. Evaluate policies and procedures for potential risks.
  9. Compose a plan for a ransomware attack on your facilities software.
  10. Propose what clinical documentation integrity means to you.
  11. Develop defense tactics for deposition and beyond.
  12. Determine the relationship between Magnet status and litigation outcomes.
  13. Investigate delegation specifics and the professional nurses’ responsibilities.
  14. Manage risky situations to report the facts with ease.


The Real Components of Nursing Negligence 

  • Damage control for every nurse
  • Surviving any allegation
  • Strengthening your position of innocence 
  • Overcoming the fear of litigation 

Charting with Guidance during Pandemic Crises

  • Recipes for following the rules of nursing negligence laws
  • Locating the policies that apply to your practice
  • Managing the aftermath of disruption
  • Promoting the confidence in your practice
  • Protecting your position when COVID is rampant 

Mid-Level Providers and Identified Risks

  • Codes of Federal regulations and your license
  • Legal implications for telehealth and your responsibilities
  • Determining the accuracy of your assessments

Charting Can Feel Dangerous at Work 

  • Understanding cyber attacks 
  • Paper charting might be your only way out
  • Key elements to outlining patients’ progress
  • Using key terms to set yourself free

Trends in Litigation 

  • New hot spots for attorneys
  • Technology, software, and ethics
  • Clinical documentation integrity 
  • Nursing home litigation
  • Discharge planning and utilization
  • Magnet status and litigation relationships

Dissecting the Chart Like a Pro

  • Transferring the attorney’s thoughts into your own
  • Seeking the resources to understand the rules
  • Managing the case review like a pro
  • Preparing for deposition, just in case

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Legal Nurse Consultants
  • Risk Management
  • Paralegals
  • Attorneys

Copyright : 05/07/2021

Nursing Documentation: Proven Strategies to Keep Your Patients and Your License Safe

Watch expert and legal nurse consultant, Brenda Elliff, 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.

Brenda will show you, step by step, how to overcome your most complex documentation questions and challenges.

This dynamic recording will include tools to improve 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

Program Information


  1. Create a strategic nursing documentation system.
  2. Theorize how documentation is used to decide if you are guilty or innocent in a lawsuit.
  3. Determine the meaningful use criteria to meet reimbursement needs.
  4. Categorize how to best use features in computerized records to ensure reimbursement.
  5. Evaluate how to prevent risky behavior when using social media and other forms of electronic communication.
  6. Utilize best practices and standards of care for documenting incident reports and adverse events.
  7. Integrate the correct practices into your documentation to keep your license unblemished.
  8. Determine the common documentation mistakes and how to avoid and/or correct them.


The Components of Documentation

  • Guidelines
  • Interpretation
  • Mistakes
  • Education
  • 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
  • Liability
  • 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

  • Compliance
  • Regulations
  • CMC
  • Incident Reports
  • Adverse Events
  • Risk Factors

Ethical Issues

  • Truth Tellers
  • Standards
  • Deviations
  • Errors
  • Omissions
  • Communicating
  • Corrections

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
  • Depositions

Examples and Case Studies of Documentation

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Legal Nurse Consultants
  • Risk Managers

Copyright : 10/07/2019