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Disclosure of Unforeseen Outcomes
Medical errors and unanticipated outcomes not only have the potential for devastating consequences, but they are a relatively common occurrence in healthcare. Accordingly, providers must be well-versed in understanding the basic steps of disclosing these events to patients and their families, as well as the legal ramifications of such action. Fortunately, there are models and ethical frameworks that help guide these decisions and conversations, but every provider must determine the approach that is best for their practice.
Understand the basic steps of the disclosure process, the ethical frameworks for disclosure, and the pragmatic, regulatory, and legal reasons for disclosure.
Explore the emotional and psychological effects of medical errors on providers and patients.
Documentation: The Legal Side
As a professional nurse, you are expected to be familiar with many aspects of care. You are not exempt from malpractice or negligence claims because you were following orders. You are responsible for assessing, planning, implementing, and evaluating appropriate nursing care. What you document can and does reflect the care provided and the outcomes of that care. Documentation that is factual, complete, timely, and detailed is required. In this course, you will learn about concepts and rules regarding documentation in the medical record. Legal aspects to be aware of while practicing will also be discussed. The goal of this course is to educate nursing professionals in post-acute care settings about the legal implications of documentation.
Discuss malpractice, negligence, and compensatory and punitive damages as they relate to healthcare. Explain four intentional torts that a healthcare professional may be held liable for. Describe four documentation techniques to use to avoid legal issues.
Medical Record Documentation and Legal Information for CNAs
Documenting care is just as important as providing care. This course discusses the purpose of the medical record and documentation. It also describes documentation practices and legal standards that affect the certified nursing assistant.
This course provides direct care workers in post-acute care education on documentation and legal aspects of care.
Discuss the purpose of the medical record and documentation.
Identify at least two documentation practices used to avoid errors.
Explain the legal standards that affect the certified nursing assistant.