Issues state laws medicare conditions of

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Unformatted text preview: ligence Reporting to the Board of Nursing Facility has an obligation to report a nurse to the Board of Nursing if circumstances warrant such action Examples of Reportable issues: Corporate entity has an obligation to employ persons that are properly licensed 11 State and Federal surveyors can make reports to the Board as a result of survey findings Wh thi When this occurs, the facility may also receive deficiencies if it th if it failed failed to report nurse Practicing beyond scope of license Patient abandonment Falsification of medical records Practicing while under the influence of drugs/alcohol Drug diversion 12 2 2/22/2011 Nursing and the Law Potential Areas of Exposure Nursing and the Law Authority of the Board of Nursing to Investigate Investigate a Report Board has subpoena power Can request personnel records Can request medical records Conduct interviews Typical Organizational Structure Chief Nursing Officer Director(s) Assistant Director(s)/Department Heads Unit Managers Manage Supervisors Charge Nurses Staff Nurses Nursing Assistants, Patient Care Technicians, Unit Secretaries 13 14 Nursing and the Law Potential Areas of Exposure Nursing and the Law Potential Areas of Exposure Physicians Orders Orders written – hard copy or electronic order entry Orders are “taken off” the chart Orders are processed are processed Confusing, unclear or otherwise questionable orders should be clarified before orders are processed Medications Medication Errors Omissions Failure to document Wrong patient Wrong route Wrong dosage Failure to clarify orders Drug Wastage Drug Diversion Failure to clarify orders could result in negligence claims Issues with abbreviations Issues with narcotic counts Theft of drugs 15 16 Nursing and the Law Potential Areas of Exposure Falls Failure to provide prescribed treatment Nursing and the Law Potential Areas of Exposure i.e., Wound care treatment Failure to monitor i.e., fetal monitors, telemetry, cardiac monitors Monitors disconnected Failure to recognize and report a change in status Failure to identify correct patient Documentation Failure to record pertinent findings Failure to record care and treatment Illegible documentation Timeliness of documentation Falsification of records Delayed treatment i.e., blood transfusions i.e., reporting critical values resulting from a delay in processing orders 17 18 3 2/22/2011 Nursing and the Law Potential Areas of Exposure Nursing and the Law Potential Areas of Exposure CRNAs and Potential issues Improper placement of airways Failure to recognize a change in patient’s condition diti Infection Control Issues Failure to follow proper infection control practices can result in potential exposure Proper hand washing techniques – most mos effective effective means of preventing the spread of infection i.e., change in vitals Improper use of anesthetics Cross contamination issues MRSA 19 20 Liability by Department and Other Health Care Professionals Liability by Department and Other Health Care Professi...
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This note was uploaded on 08/21/2011 for the course AHS 318 taught by Professor Estep during the Spring '11 term at University of Alabama at Birmingham.

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