Legally Speaking
Failure to document assessments or adequately monitor patients are frequently associated with this
What are malpractice allegations
Time is ticking once this screening fires
What is sepsis
A patient who is a chronic alcoholic must have this assessment documented
What is CIWA
Required elements of neuro/stroke documentation
What are BEFAST, NIHSS, swallow screen, vital signs, blood sugar, and neuro checks
This should be performed and documented at shift change, every time there is a change of nurse, and upon transfer out of the ED
What is a handoff
These hospital units are at higher risk for malpractice allegations
What are ED, ICU, and PACU
Psych risk screening for pediatric patients
What is ASQ
Obtained based on acuity, patient clinical status, and with any change in condition
What are vital signs
Four elements needed to prove negligence
What are duty to act, breach of duty, causation, injury
Screening for aggressive or potentially aggressive patients
What is DASA
This must be completed when a lab result in outside normal parameters
What is a critical result note
An act or continuing conduct of a professional which does not meet the standard of professional competence and results in provable damages
What is malpractice
Fall risk screening for an 8-year-old is performed using this screening tool
What is Humpty Dumpty
The writing of a nursing note that provides details about a patient's clinical condition is said to do this
What is paints a picture
The degree of care or competence that one is expected to exercise in a particular circumstance or role
What is the standard of care