Documentation for home health care
HTML-код
- Опубликовано: 13 июл 2024
- Avoiding malpractice is more than avoiding a lawsuit, it is avoiding the litigation process altogether. Proper documentation is arguably the most important element in avoiding malpractice and litigation for nurses. There are many reasons why nurses spend much of their time charting. However, when it comes to malpractice and the litigation process, documentation may be the only evidence a nurse has to defend his or her position.
By the time a lawsuit is filed, chances are the nurses will not remember the particular patient involved, especially if they only cared for the patient for one or two shifts. Even if the nurses do remember the patient, it is their documentation that will be reviewed, presented and relied on, not their memory.
All nurses have been taught, "If it's not written, it's not done!" But, what exactly does that mean? Whether you are a student nurse or have been in nursing for thirty years, this question may be difficult to answer.
Over the years, documentation has changed a great deal. But, the rationale behind why documentation is important remains the same. Whether you are documenting with a narrative style, using flow sheets or charting by exception, the purpose of documentation is to memorialize what occurred while you took care of your patient and to capture relevant information about the patient's condition and medical history. The more accurately your documentation depicts what actually happened during the time you took care of your patient, the more likely you are to avoid becoming involved in litigation for malpractice.
Regardless of the type or style of charting a nurse uses, it is important for documentation to be legible, logical, and complete. Not only to prove what occurred, but to also show what did not occur. For example, if a patient is admitted to a facility with both arms in tact, and claims to have left the facility with a broken arm, the first thing the patient's attorneys and their experts are going to do is review the medical records. They will try to determine from the records when and how this patient's arm could have been broken.
It’s difficult to find knowledgeable people on this topic, but you sound like you know what you’re talking about! Thanks
i agree with the description above. documentation must be properly maintained and recorded in order for us to monitor and regulate whatever health care treatment or program is given to the patient
It is a very good information, but whoever was doing the transcript obviously is not paying attention!!!
6:23 "incident report shit also be completed"
To: Paloma Home Health I suggest that you check the transcript!!
Thank you.
i like this video because documentation is the key to cover yourself. love it
Enjoyed this, very informative and good reminder for everyone.
I am just setting up my office now I would like love your help very good video
Классное видео! мне понравилось, молодец!) Вообще уважаю труд тех кто делает видео, и ведет свои каналы. Я сама веду канал и знаю, как это непросто - записывать ролики.
Не останавливайся, продолжай!
THANK YOU VERY MUCH...
Thank you, I enjoyed this clip. I look forward to others from you. Feel free to contact me to discuss more
Here in California the embezzelment is a out of control! Make sure who you hire to take care of your loved ones. Most of these so-called nurses are not back grounded because most come from other countries. So when they are hired in america to watch seniors, they look for every chance to steal PIN numbers bank information, obtain power of attorny. Just be very wise about whom you hire to watch your loved ones. thats my message here.
Always leave a paper trail, so much safer to cover yourself.
Hay quá
Got any advice for someone, not old, not senile, but "recommended" to come into a "skilled nursing facility" for treatment for CRPS type 1 and 2, due to severe medical misconduct, 6 years of my records "vanished" along w/my diagnosis and NOBODY did or are now helping me at all...The Dr. who "talked me into staying here" and the doctor that participated in covering up my diagnosis, over 800 bux...the same "Dr." and it has only gotten worse, I've talked to the State, Administrator after administrator, ombudsman, SAVA (the scum that own this "facility") to no avail...Now no one here can even tell me what the damn acronym even stands for, let alone how to treat it...in short...I'm in an earthly HELL!
Also known as reflex sympathetic dystrophy syndrome (RSD), this type occurs after an illness or injury that didn't directly damage the nerves in your affected limb. About 90 percent of people with complex regional pain syndrome have type 1
Great info! I was satisfied with IHA Alert since my Grandmom's hip replacement. She is one tough cookie. Still trying to get around. We're always telling her to sit down for a bit but she's just so stubborn. This definitely works with her budget. Big plus and the no contract was perfect for her!!! www.independentharmony.net/
Every we do will be on a digital format. You can't trust a paper trail anymore.