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

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

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Description

Faculty:
Rosale Lobo
Duration:
Full Day
Format:
Audio and Video
Copyright:
May 11, 2016

Description

Outline

There are components of documentation.

  • Guidelines
  • Interpretation
  • Mistakes
  • Education
  • Social Networking
  • Indirect Care

Documentation for electronic nursing.

  • 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

Strategies for electronic medical records.

  • Time Management
  • Liability
  • Software Knowledge
  • Meaningful Use

Documentation and reimbursement.

  • Medicare/Medicaid Changes
  • Incentives and meaningful use criteria
  • EMR Timelines
  • Hospital Acquired Conditions

Things go wrong and there is documentation.

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

There are ethical issues.

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

Risky documentation can be avoided.

  • 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

There are examples and case studies of documentation.

Faculty

Rosale Lobo, PhD, MSN, RN, CNS, LNCC's Profile

Rosale Lobo, PhD, MSN, RN, CNS, LNCC Related seminars and products: 8

Adjunct Professor

Southern Connecticut State University


There is a woman namedRosale Lobo. PHD, MSN, RN, LNCC. 30 years of combined experience as a direct care nurse, faculty, administrator, and legal nurse consultant. She is a clinical faculty at Southern Connecticut State University and a staff nurse at a large teaching hospital. She expanded her independent legal nurse consulting practice to include New York, Georgia, Colorado, and Connecticut after working with attorneys in North Carolina. She has been used as both an expert witness and a consultant by medical malpractice attorneys.

Her master’s degree was earned from Hunter College. magna cum laude Her research focused on nursing documentation. The author isRosale. Proper nursing documentation protects your license. The PHC Publishing Group. She is a member of the American Nurses Association, American Association of Legal Nurse Consultants, Connecticut Association of Legal Nurse Consultants, and the American Society of Public Administration.

Speaker disclosures.

Financial: Southern Connecticut State University and Gateway Community College have an Adjunct Clinical Faculty namedRosale Lobo. She is an author for PESI Publishing & Media. Ms. Lobo is paid by PESI, Inc.

Non-financial is not financial. There is no relevant non-financial relationship disclosed byRosale Lobo.


Salepage: https://catalog.pesi.com//item/nursing-documentation-proven-strategies-patients-license-safe-13771
Archive: https://archive.ph/wip/feV5e

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