What You’ll Uncover in Rosale Lobo Nursing Documentation
Obtainable for Buy. This course is on the market in your account.
Rosale Lobo – Nursing Documentation
Description:
Be part of knowledgeable and authorized nurse guide, Rosale Lobo, PhD(c), MSN, RN, CNS, LNCC, to discover ways to develop a scientific strategy to documentation that may maintain you, your sufferers and your license secure. You’ll discover ways to determine and keep away from dangerous documentation in addition to how you can accurately make the most of digital documentation and the right approach for significant use. Rosale will present you step-by-step, how you can overcome your most complicated documentation questions and challenges.
This dynamic one-day program will embody instruments to safeguard your documentation together with:
- Time saving suggestions for digital documentation and EMR use
- Documenting compliance, incident stories, and adversarial occasions
- Pattern technique worksheets for ease of information assortment
- Federal authorities requests for charting based mostly on significant use standards
- Risks with social media, electronic mail, and texting
- Examples and case research of right and incorrect documentation
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OUTLINE
The Parts of Documentation
- Pointers
- Interpretation
- Errors
- Schooling
- Social Networking
- Oblique Care
Digital Nursing Documentation
- American Restoration and Reinvestment Act
- Significant Use
- Well being Insurance coverage Portability and Accountability Act (HIPPA)
- Dangerous digital documentation practices
- Risks of electronic mail, social networking, and texting
Digital Medical Information (EMR) Methods
- Time Administration
- Legal responsibility
- Software program Data
- Significant Use
Reimbursement and Documentation
- Medicare/Medicaid Modifications
- Incentives and significant use standards
- EMR Timelines
- Hospital Acquired Circumstances
Documentation When Issues Go Incorrect
- Compliance
- Rules
- CMC
- Incident Reviews
- Antagonistic Occasions
- Threat Components
Moral Points
- Fact Tellers
- Requirements
- Deviations
- Errors
- Omissions
- Speaking
- Corrections
Avoiding Dangerous Documentation
- Credible proof
- Avoiding Ambiguity
- Recording occasions objectively
- Late Entries
- Correcting Errors
What if the Worst Occurs?
- Obligation /Breach of Obligation
- Nurse Observe Act
- State Board of Nursing
- Depositions
Examples and Case Research of Documentation
OBJECTIVES
- Determine a strategic nursing documentation system.
- Describe how documentation is used to determine if you’re responsible or harmless in a lawsuit.
- Acknowledge the significant use standards to satisfy reimbursement wants.
- Listing how you can finest use options in computerized data to make sure reimbursement.
- Determine how you can stop dangerous conduct when utilizing social media and different types of digital communication.
- Outline how you can use finest follow and customary of look after documenting incident stories and adversarial occasions.
- Combine the right practices into your documentation to maintain your license unblemished.
- Summarize the widespread documentation errors and how you can keep away from and/or right them.
IMPORTANT: This complete “Rosale Lobo – Nursing Documentation” is totally downloadable and obtainable in your account
(In case of a damaged hyperlink, we’ll renew your hyperlink shortly).
Your endurance is appreciated.
