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Digital Seminar

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


Speaker:
Rosale Lobo, PhD, RN, MSN, LNC
Duration:
Full Day
Format:
Audio and Video
Copyright:
May 11, 2016
Product Code:
POS013030
Media Type:
Digital Seminar

  • Program no longer active
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Description

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

 

Credit


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. 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 cepesi@pesi.com or 800-844-8260 before the event.

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


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 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 6.0 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 7.6 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.


Other Professions

This self-study activity qualifies for 6.25 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

Rosale Lobo, PhD, RN, MSN, LNC's Profile

Rosale Lobo, PhD, RN, MSN, LNC Related seminars and products


Rosale Lobo, PhD, RN, MSN, LNC, has been a registered nurse for 37 years in the capacity of a nurse, legal nurse consultant, administrator, speaker, author, and entrepreneur. Working with people in hospitals, clinics, and home care settings allowed her to study patients and healthcare professional’s experiences from various perspectives.

Dr. Lobo earned her PhD (2017), with research demonstrating the importance of educating nurses on documentation and patient safety. Her company, Lobo Consulting Group, LLC partners with medical malpractice attorneys nationwide to support their pursuit of justice for their clients. Through her versatile background, she has acquired expertise in the nuances and complexities of healthcare litigation and documentation. As a speaker, Dr. Lobo continues to travel the country speaking with nurses and healthcare systems about the pathways to safer practice patterns.

 

Speaker Disclosures:
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.


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


Outline

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

 

Objectives

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

Target Audience

Nurses, Nursing Home Administrators, and other Healthcare Professionals

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