http://www.wcei.net . Cindy Broadus RN continues her discussion about Proper and Defensive Documentation.
In a continuation of the discussion of the medical record, Cindy has a unique position and speaks from experience. As a CLNI (Certified Legal Nurse Investigator) and LNC (Legal Nurse Consultant), she shares with us actual instances and common mistakes our peers often…
Tag Archive: Defensive Documentation
If it Wasn’t Documented, It Wasn’t Done! Documentation Woes! Part 3
If it Wasn't Documented, It Wasn't Done! Documentation Woes! Part 2
http://www.wcei.net . Cindy Broadus RN discusses Defensive Documentation.
The medical record is considered to be the most reliable source for determining what happened. It is a legal document, yet not always treated as such. With litigation lurking around the corner for every healthcare professional, we, as Wound Care Certified professionals, need to make sure our documentation…
If it wasn't Documented, It wasn't done!
How many times have we all heard, “If it wasn’t documented, it wasn’t done”? Far too often, we’re sure. Seriously, we as clinicians should take note of our documentation practices. Below is a short clip (Part 1 of 4) in which WCEI’s own Cindy Broadus RN, presented to the attendees at the Wild On Wounds…
Wound Care Certification: Defensive Documentation
Practicing as a Wound Care Certified nurse or professional has its challenges. Not only do we have the challenge of taking care of complex patients and the wounds they incur. We also have the challenge of protecting ourselves through proper and defensive documentation