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Graduate Nurses | Documentation & Lawsuits
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- Опубліковано 8 бер 2012
- Blog Book Review | • Book Review | Mosby's ...
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The opinions expressed on this channel and/or in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and/or in the videos on this channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted and/or altered.
The views expressed on this channel and/or in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction.
NurseNacole brings up some good sources and the very important point about documentation. Documentation may be tedious, but it is very helpful to you and the patients.
This is so awesome! Thank you! I'm a new nursing student and this has been super helpful so far!
No problem, thank you for watching!
@NurseNacole I realized how serious documentation is after my first shift during orientation when know one knew how to properly document. It really discouraged me in a way. But it made me consider becoming a nursing lawyer/educator to teach nurses and my self the legal system and how to chart. I'm getting better, and a lot better now at charting, but I need tons of help. I hope this book with help me.
This video just made my day. Thank you so much Nacole. I hope school and work is going great. I'm off to purchase this book and hopefully save my license in the end. :)
Hi Nacole this is one of ma fave videos of yours as it is one of da basic things 2 know and live by while caring for patients as every aspect of the care is crucial and documentig really is a thing that each nurse has to appreciate n do to perfection..
Thank you I am so glad you did your documentation. Thanks for sharing...a lesson learned. I am going to purchase that book right now at my favorite book store....Amazon. If that were me...I would have been so scared I probably would have vomited. I thought about keeping a “Nursing Journal” at home, something where I come home and write about my day. No names or anything (patient privacy), just enough info. so if anything happened yrs. later I could refer to it. Just a thought.
Keep up the great work Nacole.
That double documentation saved my butt many times! But there was this case were the night shift forgot to document (or say any thing about it during report) that my patient had a DNR/DNI. Of course that very patient coded and of course i did not know that the patient had a DNR! So I began to do as I was trained and began resuscitation. Luckily nothing "bad" happened from it because i had a fabulous charge nurse who knew the patient had a DNR and found the paper work before i could resuscitat
Wow wow wow such a good video thank you!
Thank you for watching.
Great video!
Thank you for sharing.
You're very welcome.
another great one Nacole
Love ya Nacole. You are awesome
Thank you so much.
Love it keep up the good work
Thanks! Will do!
thanks for sharing that. i'm a RN now and my embarrassing experience was so unforgettable for me too. it happens in my last year and was assisting my last OR assist for the required operation requirements for graduation. the physician who would conduct the operation was gay and he said it plain to me that he wasn't pleased that a female nsg. student was going to assist him. the whole time was so awkward for me, i wanted to poke his side with the scalpel. he later apologize and it felt okey after
great tip and i will definitely take this into consideration! On the same note of lawsuits, do you have malpractice insurance? Does the hospital require you to get it? And if you do, what insurance carrier do you use? Thank you always for your time.
I am inventing an easier method with an head to toe symptoms sheet and assessment. I kinda feel like it's court reporting but, for the medical field. LoL.
Haha : )
love this video!!! thank you sooo much! i have been looking for a video like this! i am a new grad RN and i still have a hard time trying to balance everything... will u pleeeeease make a video on some documentation samples? btw, u mentioned to document in real time. So would u say to put the exact time? i was taught that q2hr documentation is good unless there are any changes? like for example i would document like 0700, 0900, 1000, 1200, etc. What can you say about this? TIA :)
this is a great video I have a question though to your first point about physicians not remembering conversations what prevents someone from erroneously stating they spoke to a physician when they didn't? I guess my point here is just because it's documented doesn't necessarily mean that it did happen.
there's that mantra that says if it wasn't documented it didn't happen but in my humble opinion that's completely b*******.
and of course I agree though this conversation between the position and the nurse should absolutely be documented at a minimum at least the nurse should mention they notified the attending doc :)
I agree, conversation are the gaps that can't be verified - unless they are recorded. That is the human factor and what makes all healthcare messy.
do a room tour!
*laughs in 2022 new grad* obviously here because I'm wanting to be more intentional about charting to protect my license. I sometimes don't document until the end of a 12 hour shift and am at work 1-2 hours late. any recommendations?
I cluster my charting. I can't wait until the end, my memory isn't that good, I block out little chunks for charting - that way, I'm realistic about getting it done. I can't do a video for you.
You're amazing... smart chickadee...I want you as my nurse.😘
You are too kind, thank you for your support!