Rosale Lobo – PESI – 3-Day: Legal Nurse Intensive Training Course

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Rosale Lobo – PESI – 3-Day: Legal Nurse Intensive Training Course

“If you don’t write that, you could lose your license,” or “If you write that, you could lose your license.” This was something I heard during my entire nursing career and I never really knew what it meant. I was the nurse who was called into the office to explain an entry, clarify a comment, or “fix” something that had already been noted. My thought was, “if you just tell me what I’m supposed to chart, I’ll do it.”

In addition to supervisor or facility expectations, there are requirements now in place for electronic charting by the Center for Medicare and Medicaid Services (CMS). In addition, healthcare is highly regulated and full of reimbursement woes, which often are connected with the documentation. What’s a nurse to do…? Rosale Lobo, PhD(c), MSN, RN, CNS, LNCC, has the answers!

Learn the meaning of being a non-fiction story teller – nurses have been voted the most trusted professionals for years because we are truth tellers. We are educated to care for our patients with compassion and ethics, so why has it become difficult to chart according to our personal belief system. Learn the truth behind documentation standards.

Charting for innocence or guilt – it is no secret that charting can lead to a trip to court but how does that actually happen. How does this path become something nurses fear? This 3-day boot camp will take you down the path to litigation and demonstrate why certain actions or inactions could jeopardize your chances of appearing innocent.

Did you deviate from the standard of care? How does a person deviate from the standard of care if there is no one there to witness it? Who determines that a nurse has deviated from the standard of care? Three days of intense learning about nursing documentation and litigation will transform the way you think about your nursing practice and the way you document the care you provide.

This class is a must for all nurses. It is long overdue. You will definitely return to work with increased confidence to reduce your own professional risk.

Speaker

Rosale Lobo, PhD, RN, MSN, LNC
Rosale Lobo, PhD, RN, MSN, LNC, has been a registered nurse for 37 years in the capacity of a direct care provider, administrator, researcher, speaker, author, legal nurse consultant, and entrepreneur. Working with people in hospitals, clinics, and home care settings allowed her to study patients and healthcare policy and administration. Her dissertation grew from the love of researching healthcare standards as a legal nurse consultant. Her company, Lobo Consulting Group, LLC partners with medical malpractice attorneys to support their pursuit of justice for their clients. Through her versatile background, she has acquired expertise in the nuances and complexities of healthcare litigation and documentation. As a speaker, Dr. Lobo continues to travel the country speaking with nurses and healthcare systems about the pathways to safer practice patterns.

Speaker Disclosures:
Financial: Rosale Lobo has an employment relationship with Southern Connecticut State University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Rosale Lobo has no relevant non-financial relationships.

Outline

Healthcare Litigation

• Evolution of medicine, nursing and healthcare
• The essence of the story behind litigation
• The burden of proof
• The expert witness seals the deal

The Components of Documentation

• Guidelines
• Interpretation
• Mistakes
• Education
• Social networking
• Indirect care

Electronic Nursing Documentation

• American Recovery and Reinvestment Act
• Meaningful Use
• Risky electronic documentation practices
• Dangers of email, social networking, and texting

Electronic Medical Record Strategies

• Time management
• Liability
• Software knowledge/Informatics

Reimbursement and Documentation

• Medicare and Medicaid Changes
• Incentives for participation
• Hospital Acquired Conditions

Elements of a Lawsuit

• Plaintiff complaints
• Medical record review
• Timeline chronology
• Evidence

Documentation When Things Go Wrong

• Compliance
• Regulations
• Incident reporting
• Adverse events
• Risk factors

Ethical Issues

• Truth telling
• Standards that are within standards
• Deviations, real or perceived
• Errors of omission
• Errors of commissions
• Communicating clearly

Avoiding Risky Documentation

• Credible evidence
• Avoiding ambiguity
• Recording events objectively
• Late entries
• Correcting errors

What if the Worst Happens?

• Duty/Breach of Duty
• Nurse Practice Act
• State Board of Nursing
• Depositions

Objectives

1. Analyze how the nursing standards of care can come under scrutiny.
2. Evaluate authoritative sources.
3. Separate care plan and the care planning process.
4. Explore a strategic nursing documentation system.
5. Communicate how documentation is used to decide if you are innocent or guilty in a lawsuit.
6. Explore how to prevent risky behavior when using social media and other forms of electronic communication.
7. Inform how to use best practice and standard of care for documenting incident reports and adverse events.
8. Analyze the Center for Medicare and Medicaid regulatory language on nursing documentation.
9. Formulate a strategic tool for your standard of practice.
10. Evaluate deposition proceedings.
11. Analyze timeline chronologies.
12. Determine defense and plaintiff allegations.
13. Integrate the correct practices into your documentation to reduce litigation exposure.
14. Explore the common documentation mistakes and how to avoid/correct them.
15. Evaluate facility policy and procedures for potential risk.
16. Graph the litigation timeline.
17. Formulate deposition questions as the plaintiff and/or defense teams.
18. Practice litigation language during mock depositions.

Target Audience

Nurses, Nurse Practitioners, Clinical, Nurse Specialists, Legal Nurse, Consultants, Risk Managers.

Reviews 

Mary Grace S
“Very informative.. Learned About the importance of accurate and quality charting ”

Kristina S
“This information is very helpful for me. It will not only help me to improve my charting and knowing the legalities of how I perform my job but I am also a preceptor to other nurses and it will help me to train them.”

Liza Mae O
“Great and useful course”

Commonly Asked Questions:

1. Business Model Innovation: Acknowledge the reality of a legitimate enterprise! Our approach involves the coordination of a collective purchase, in which the costs are shared among the participants. We utilize this cash to acquire renowned courses from sale pages and make them accessible to individuals with restricted financial resources. Our clients appreciate the affordability and accessibility we provide, despite the authors’ concerns.
2. 3-Day: Legal Nurse Intensive Training Course

• There are no scheduled coaching calls or sessions with the author.
• Access to the author’s private Facebook group or web portal is not permitted.
• No access to the author’s private membership forum.
• There is no direct email support available from the author or their team.