Best Practices in Nursing Documentation: Writing Effective and Legal Proof Notes

Best Practices in Nursing Documentation: Writing Effective and Legal Proof Notes is an online event dedicated to how to create a lawsuit-proof, auditable nursing documentation .

Best Practices in Nursing Documentation: Writing Effective and Legal Proof Notes covers topics such as:

  • Aspects of E.H.R and how it impacts documentation in positive and negative fashions
  • Areas Covered in the Webinar:
  • Late entries ; why they happen and how to manage them
  • Time sequence of documentation ; it’s importance and how to enter related information after the event
  • Co-signatures ; importance of correct use , how to modify an entry when co-signing documentation
  • Signatures what their significance is and why a signature page or record is required to support your electronic signature
  • Need for response documentation ; what happened because of the treatment /action provided
  • Fact’s versus opinions; the significance of accuracy of reporting without interpretation of events
  • Communication with MD’s /Families and other groups ; why it is essential to include in the medical record

Best Practices in Nursing Documentation: Writing Effective and Legal Proof Notes intended for:

  • Nursing Directors
  • Healthcare Administrators
  • Nurses
  • Doctors
  • Healthcare Policy Experts
  • Compliance officers
  • Documentation
  • Healthcare Advocates
  • Rehab Staff
  • Medical Records Clerks

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