Documentation and Regulatory Compliance

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Topic 1: Documentation and Regulatory Compliance

Based on the information you have learned in the course so far and the readings, analyze the advantages and disadvantages of charting by exception when faced with a malpractice lawsuit. Discuss how you would correct mistakes in a medical chart and the formatting of your documentation when witnessing an adverse patient occurrence (APO). What APOs have to be reported in your state? How would charting corrections be perceived in a court of law? What are the implications for handling of forensic issues?

For each Discussion Topic:

Initial posts for each discussion topic must also include a minimum of three peer-reviewed citations.Citations must include outside sources. Additionally, comments should also include a citation to support assertions. While the discussion board tool limits the ability to use APA formatting (e.g., hanging indents), posts must include the required elements of an APA in-text citation and list of references. Each post requires it’s Own answer. They do not require a front face sheet.

Topic 2: Impaired Nurses

Assume that you have knowledge that the nurse working with you on your unit has been illegally using drugs. What are your obligations to disclose this? What are your obligations to the institution you work for? Are there any places you could refer the nurse to? What are the implications for this nurse’s license? Are there any potential risks to your license? If so, what?

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