There are numerous variations to charting by exception. Virtually every facility that uses such a system does it differently.
Good documentation can help nurses defend themselves in a malpractice lawsuit, and keep them out of court in the first place.
Nurses work long hours and play a critical role in keeping patients healthy. Many nurses feel that fatigue “comes with the territory” of such a high-stress, high-impact job. But what’s really at risk when a nurse is fatigued?
There is no quick and effective antidote to malpractice allegations. Prevention, however, is necessary.
In most states, a patient can wait several years to file a lawsuit and then it can take years before the suit goes to court.
Whether you are an experienced nurse or recent grad, documentation can be challenging. Here is some information that can assist with improving your charting and reducing liability risks:
The confusing or opinionated words you choose in charting today could come back to haunt you tomorrow.
Trying to save time by using abbreviations? Make sure that you aren't putting yourself or your patients in jeopardy.
Accurate and complete patient information is essential to providing the highest possible standard of care. Here is simple guidance to keep charting at its best, protect patients from treatment error and prevent potential malpractice liability.
This case involves a family nurse practitioner (NP), her business (a women’s health clinic), and employees that specialized in gynecology and hormone therapy.
This case study involves a registered nurse with 19 years’ experience as an emergency nurse (15 as a certified emergency nurse) was working in the triage area of the emergency department.