Posts Tagged ‘Legal Implications In Wound Care’

Truth or Consequences: Admitting Your Wound Care Program Needs Improvement

Friday, June 9th, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

Some healthcare providers are working in underperforming facilities, and they need to discuss how to improve outcomes before it becomes a matter of legal record.

Truth or Consequences: Admitting Your Wound Care Program Needs Improvement

 

“I didn’t have any special training in wounds. No one else wanted to do it, so I said okay.”

“The weekends were really bad. We only had a few people working weekends.”

“I know some of the patients didn’t get turned all day.”

“We always were running out of supplies, so I improvised.”

All of these confessions, or truths, are from real life depositions of nurses who were working in facilities that patients were suing because they developed wounds. These nurses were not trying to hurt their facility in any way or stymie the defense team, but were simply telling the truth in their opinion.

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Nine Wound Care Documentation Pitfalls to Avoid

Friday, May 12th, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

Lawsuits often are settled out of court because the medical record documentation is not defensible. Incomplete, illogical, and inconsistent records are far too common, so it is important to avoid the common pitfalls.

9 Wound Care Documentation Pitfalls to Avoid

 

After reviewing hundreds of medical charts involved in litigation, I noticed many of the same problems occurring in the documentation over and over again. From New York to Florida to California, it is remarkable how the same inconsistencies, errors, and oversights tend to stymie the defense of a case. The goal of every healthcare practitioner is to have complete, accurate, and timely documentation of the medical care given to each and every patient. Here are nine wound care documentation pitfalls to avoid.

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When Your Patient Refuses to Be Turned and Repositioned—And Then Sues!

Friday, February 3rd, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

The battle between optimal medical care and patient rights is one to fight with empathy and finesse to keep it out of the courtroom.

When Your Patient Refuses to Be Turned and Repositioned—And Then Sues!

 

I recently reviewed a lawsuit filed by the family of a patient* with a spinal cord injury. The patient was involved in a car accident and sustained multiple traumatic injuries. The medical team worked tirelessly over the course of many weeks to stabilize him. Because of this catastrophic accident, the patient was understandably quite devastated and depressed. He refused all physical therapy and spent most days lying in bed on his back, despite encouragement from his medical team and pleading from his family. He frequently stated that he wished he was dead and that he wanted everyone to leave him alone, often escalating things to the point of screaming.

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Intake + Output = Big Documentation Problems

Friday, October 7th, 2016

Nancy Collins, PhD, RDN, LDN, FAPWCA, FAND

Inaccurate and incomplete intake and output (I&O) records pose a problem in litigation, as well as a risk to the patient who requires monitoring of fluid balance for medical reasons. 

Intake + Output = Big Documentation Problems

 

“Would you agree that the nurses did not know how to do basic arithmetic?”

Of course nurses know how to add and subtract, yet I was asked this question in a very challenging manner by a plaintiff attorney. He had just showed me 3 weeks of I&O tables excerpted from the medical chart of the deceased plaintiff, and almost every shift was incomplete. The plaintiff attorney was reducing the problem to poor math skills, implying that not a single day was complete because the nurses who cared for this patient lacked the skills to add a column of numbers. He knew I would disagree because I was not going to say these nurses lacked basic math skills. But he also knew his follow-up question was the real reason for this math ploy.

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Your Patient Died: Should You Send the Family a Card?

Friday, September 9th, 2016

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

Bereavement care is part of the job, no matter how difficult it is to talk about death and deal with grieving family members.

Your Patient Died: Should You Send the Family a Card?

 

“Callous disregard.” These two little emotionally loaded words are how the plaintiff complaint summed up the following story from a grieving daughter named Sally.* In her deposition, Sally recounted how nice and welcoming everyone was at the nursing home when she toured it 3 years ago prior to moving her mom in. It seemed like a good place where the staff could provide the care her mom needed; care Sally was no longer able to provide for her at home as her mom’s physical and mental condition continued to worsen. Those feel-good sentiments were replaced by anger, sadness, and ultimately litigation after her mom died. When Sally was asked why she was suing, she replied that no one at the nursing home cared about her mother.

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Keeping Yourself Out of Hot Water: Legal Implications In Wound Care

Monday, June 20th, 2011

Legal Implications in Wound Care

Keeping Yourself Out of Hot Water: Legal Implications In Wound Care will be presented by Cindy Broadus RN, BSHA, LNHA, CLNC, CLNI, CHCRM, WCC, 3C Healthcare Consulting LLC, and WCEI Instructor at this year’s Wild on Wounds National Conference in Las Vegas NV at Caesars Palace.

We know what gets us into trouble legally in wound care. So how do we avoid these complications? With litigation on the rise, it is better to be safe then sorry. In this session, we’ll discuss some of the ways you can keep yourself out of hot water and implement discussed precautions in your everyday practice.

Cindy’s sessions are usually jammed packed with attendees who want to learn about the Legal Implications in Wound Care. So don’t miss out on this session, its a great one!

For more information about the Wound care Education Institute and WOW 2011, Check Out Wild On Wounds National Convention.

You Have Been Served: Legal Implications in Wound care

Wednesday, August 4th, 2010

The Wild on Wounds National Convention is coming up  September 23-25, 2010 in Las Vegas. Continuing in our session highlights, You Have Been Served: Legal Implications in Wound Care, will be presented by Cindy Broadus RN, BSHA, LNHA, CLNC, CLNI, CHCRM, WCC, 3M Healthcare Consulting, LLC and WCEI Instructor.

“You Have Been Served” are not words that any healthcare professional wants to hear, yet they all too often do. With all the advances in wound care, why do patients still develop pressure ulcers? Why do they still go through amputations, and why do they die? In this session we will discuss legal implications that exist, and what you can do to minimize them.

For more information about the Wild on Wound National Conference or to register, please check out http://www.wcei.net/wow-conference

For more information about the Wound Care Education Institute and their Skin and Wound Management Course, please visit http://www.wcei.net/course_info