Legal Documentation and Defenses

Contact Hours: 4.00 NCPD Hours

Learning Outcome(s):

After participating in this course, learners will be able to:

• Summarize documentation principles.
• Identify the type of documentation needed to complete an incident report.
• Classify legal doctrines which affect your practice.
• Discuss the basic premise of patient autonomy.
• Explain which patients can and cannot consent to or reject treatment.
• List the differences between an adverse event and medical error.
• Understand how a facility's risk management department handles medical errors.
• Identify rationale and create a plan to avoid the "sins of customer service."

Author(s):

Patricia Iyer, MSN, RN, LNCC

Barbara Levin, BSN, RN, ONC, CMSRN, LNCC

Mary Ann Shea, JD, BS, RN