Responsible Documentation of Patient Care: Avoiding Legal Risk III
Documentation on the Record, Responsible documentation of Maternity Care, Proper terms used at trial, Examination of Hospital Documentation at Trial, Critical Thinking and Documentation of Care, Using Standard Terms in Documentation Martha Merrill-Hall Documentation on the Record, Responsible documentation of Maternity Care, Proper terms used at trial, Examination of Hospital Documentation at Trial, Critical Thinking and Documentation of Care, Using Standard Terms in Documentation Martha Merrill-Hall

Responsible Documentation of Patient Care: Avoiding Legal Risk III

Avoid comments in your documentation that can be considered “blaming” e.g. “I gave the order to the nurse but she never seems to listen to anything I say”. Generally avoid recording any negative conversations or disruptive team member behavior. This scenario will make any plaintiffs’ attorney jump fpr joy.

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