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819 GENERAL PURPOSE To provide nurses with an overview of the legal implications

ID: 248052 • Letter: 8

Question

819 GENERAL PURPOSE To provide nurses with an overview of the legal implications of nursing documentation and practice. LEARNING OBJECTIVES After reading the preceding article and taking this test, you should be able to: 1. Identify liability issues in nursing practice and elements necessary for professional negligence. 2. Identify and practice pitalls you should avoid. 3. List the four ties for the nursing staff 1.Which statement is correct about professional negligence lawsuits? a. The person filing the lawsuit is the done under similar circumstances. d. the requirements of care as proposed b. "The patient threw the water pitch- er across the room during shift change. by the legal community. b. The defendant has the burden of C. The plaintiff needn't prove injury, dam d. The plaintiff must prove that a breach defendant proof age, or loss in the prevailing standard of care 4. In cases of professional negli-CThe patient's rudeness prevented gence a. the plaintiff's lawyer determines who d. "The patient's dressing change was interrupted by his belligerent behav- can testify as an expert witness. b. expert witnesses aren't required to 7 When the patient's condition sud- denly changes for the worse, you're caused an injury. c. an expert must testify about the errors of the treating health care provider. d. federal law determines who can testi- required to notify the health care 2. The burden of proof in a lawsuit alleging professional negligence provider a. by marking the documentation in the requires that a. a duty to the patient existed b. care was given only by registered pro record so you can add documentab. in person or by telephone. fy as an expert witness 5. Leaving space in the medical tion later a. is an approved way to evaluate the chart as urgent. fessional nurses patient's failure to follow procedures after his discharge. c no later than the end of your shift dwhen the health care provider c. the injuries were caused by the appears in the unit for scheduled effect of care before documenting it. b. prevents speculation about what actu d. the patient's injuries occurred only rounds. ally happened. c. prevents the appearance of a cover-. All of the following are errors in 3. The prevailing standard of care is based on medication administration that you d. raises questions about why the docu can be liable for except a. the skills of the nurse delivering the b. the patient's perception of the care he 6. Which statement is best to docu c what a reasonably prudent profession unbiased way? mentation was done after the fact a. failing to carry out a proper order b. following an inappropriate order. care questioning a medication order that seems inappropriate. d. failing to document follow-up action ment a patient's behavior in an al with similar expertise would have a. "The patient's hostility created difficul for an adverse reaction. Earn CE credit online: Go to http:/

Explanation / Answer

1 d The burden of proof is always on the person who brings a claim in a dispute.

2a If a nurse is named as a a defendendent in a malpractice lawsuit and proceedings show that the nurse did not followed the accepted standards of care the n the nurse will be held liable.

3dThe nurse must meet the appropriate standards of care when delivering care to the patient,otherwise nurse will be held liabe if the client is held liable.

4d

5d Leaving spaces in between writings is not acceptable according to documentation guidelines.

6c

7b The nurse should follow specific guidelines for telephonic prescriptions and document calls made to the health provider.

8c A nurse is obligated to carry out physicians orders except when the nurse believes it to be inaccurate.A nurse carrying out an inaccurate prescription may be legally responsible for any harm which is incurred to the patient.The nurse should clarify with the physician an unclear prescription.

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