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“If you don’t write that, you could lose your license,” or “If you write that, you could lose your license.” This was something I heard during my entire nursing career and I never really knew what it meant. I was the nurse who was called into the office to explain an entry, clarify a comment, or “fix” something that had already been noted. My thought was, “if you just tell me what I’m supposed to chart, I’ll do it.”
In addition to supervisor or facility expectations, there are requirements now in place for electronic charting by the Center for Medicare and Medicaid Services (CMS). In addition, healthcare is highly regulated and full of reimbursement woes, which often are connected with the documentation. What’s a nurse to do…? Rosale Lobo, PhD(c), MSN, RN, CNS, LNCC, has the answers!
Learn the meaning of being a non-fiction story teller - nurses have been voted the most trusted professionals for years because we are truth tellers. We are educated to care for our patients with compassion and ethics, so why has it become difficult to chart according to our personal belief system. Learn the truth behind documentation standards.
Charting for innocence or guilt - it is no secret that charting can lead to a trip to court but how does that actually happen. How does this path become something nurses fear? This 3-day boot camp will take you down the path to litigation and demonstrate why certain actions or inactions could jeopardize your chances of appearing innocent.
Did you deviate from the standard of care? How does a person deviate from the standard of care if there is no one there to witness it? Who determines that a nurse has deviated from the standard of care? Three days of intense learning about nursing documentation and litigation will transform the way you think about your nursing practice and the way you document the care you provide.
This class is a must for all nurses. It is long overdue. You will definitely return to work with increased confidence to reduce your own professional risk.
This self-study activity includes 3.0 hours of Gener ethics instruction. Not all boards allow ethics credit for self-study products. If ethics is not specified within your licensing board’s approval statement below, please contact your board to determine the applicability and amount of ethics allowed.
PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 19.0 self-study contact hours.
PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 19.0 self-study contact hours. Please email email@example.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.
|Manual (10.16 MB)||94 Pages||Available after Purchase|
|Manual 2 (9.05 MB)||106 Pages||Available after Purchase|
|CE Test – 077320 – Paper Option (265.1 KB)||Available after Purchase|
Rosale Lobo, PhD, RN, MSN, LNC, has 30 years of combined experience as a direct care nurse, faculty, administrator, and legal nurse consultant. Rosale is a staff nurse at a large teaching hospital in Connecticut and serves as clinical faculty at Southern Connecticut State University. She began working with attorneys in North Carolina and expanded her independent legal nurse consulting practice to New York, Georgia, Colorado, and Connecticut. Plaintiff medical malpractice attorneys have utilized her expertise as both an expert witness and a “behind-the-scenes” consultant.
Rosale is a BSN graduate from Long Island University, earned her master’s degree from Hunter College with magna cum laude distinction, and her PhD from Walden University, focusing her dissertation research on Nursing Documentation. Rosale is the author of Guilty or Innocent: Protecting Your License Through Proper Nursing Documentation. She is a member of the American Nurses Association, American Association of Legal Nurse Consultants, and past educational board member for the Connecticut Association of Legal Nurse Consultants.
Financial: Rosale Lobo has an employment relationship with Southern Connecticut State University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Rosale Lobo has no relevant non-financial relationships.
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Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info
The Components of Documentation
Electronic Nursing Documentation
Electronic Medical Record Strategies
Reimbursement and Documentation
Elements of a Lawsuit
Documentation When Things Go Wrong
Avoiding Risky Documentation
What if the Worst Happens?
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