The goal of this presentation is to emphasize the importance of accurate, complete and timely documentation. Legal, Ethical and Professional Issues in Nursing. You only need to mark all sections complete. CNO Practice Standard on Documentation – Statement #1, Communication Documentation should be a complete record of nursing care – assessment, planning, intervention and evaluation Document objective and subjective data Ensure plan of care is clear, current, relevant and individualized to meet the client’s needs and wishes Or use it to create really cool photo slideshows - with 2D and 3D transitions, animation, and your choice of music - that you can share with your Facebook friends or Google+ circles. Nurses and student nurses are legally responsible for their actions ; 3 Regulation of Nursing Practice This type of nursing documentation omits valuable aspects of patient care, creating several gaps and inconsistencies in the patient's overall clinical picture. Tightening up your documentation can go a long way. * Core Standards for Documentation These are the minimum expectations: nurse maintains documentation that is: Clear, concise and comprehensive Accurate, true and honest; Relevant; Reflective of observations, not of unfounded conclusions Timely and completed only during or after giving care Chronological: present a clear picture of events * Complete record of nursing care provided, … Meet all necessary medico-legal requirements for documentation. Presentation Summary : Documentation. The standard of care for each licensed nurse may vary from state to state but each nurse is responsible for understanding and complying with the Nurse Practice Act to … is a leading presentation/slideshow sharing website. legal and ethical issues in nursing, patient care technicians, social workers, and office personal. A registered nurse who holds himself or herself out as a clinical [nurse] specialist or is known as a clinical [nurse] specialist shall be required, Source :, The Oncology Nurse Navigator Has The Duty To Practice Nurse Navigation PPT, Presentation Summary : The Oncology Nurse Navigator has the duty to practice nurse navigation using the applicable standard of care. Quiz 4.1 Medical Record Documentation and Legal Aspects Locked 10 questions; The quiz is not a requirement for this course. Failure to provide the standard of care resulting in injury to the patient is. It is a truism that every elderly person is different. $60 for Non-Members of Upstate AHEC // Free for Members of Upstate AHEC. This type of nursing documentation omits valuable aspects of patient care, creating several gaps and inconsistencies in the patient's overall clinical picture. Documentation provides evidence of care and is an important professional and medico legal requirement of nursing practice. Legal Aspects of Nursing. Nursing documentation (or charting, as it is routinely referred to) is frequently one of the most time consuming and least favored aspects of nursing care. 2009). List the kinds of documentation CNAs complete. 2. The text of the legislation for regulating nurses, midwives and nursing associates. Accurate, objective, and complete documentation of client care is required by both accreditation and reimbursement agencies, including federal and state governments. When redirected, he returned to the day room where he, Source :, Presentation Summary : There’s the legal audience—the number of records requests we receive from attorneys continues to grow. • Discuss the authority of state boards of nursing. Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free.
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