Nursing Documentation 101: How to Guard Your License

Documentation image
04
Mar

Contact Hours: 2.5

Documenting is at best a useful tool for communication and at worst a necessary evil. It is well-known that documenting is one of the most tedious aspects of bedside nursing. It takes time away from patient care and may be used for (or against) you in court. In this CE module we will learn how to document properly. Proper documentation is an essential for defense against claims and continuity/quality of care in nursing.

Course Outline:

  1. Introduction
  2. The Who, What, When, Where, Why and How
  3. Privacy and Security
  4. The Legal Requirements
  5. When Documentation Becomes Your Defense
  6. The Cost
  7. What is Required for Nursing Documentation?
  8. Examples of Good and Bad Charting
  9. Common Documentation Errors
  10. Conclusion
  11. References (Bibliography)

More Course Information

In this course we will learn how to properly document patient care.

Author: Jillian Hay-Roe, RN, BSN, RN-NIC, LNC

Course Objectives: By the end of this course the learner will be able to:

1.) Describe best practices regarding documentation.

2.) Identify examples of proper and improper charting in everyday practice.

3.) Understand the importance of proper documentation.

This course will take the average learner 125 minutes to complete and thus awards 2.5 continuing education hours.

Target Audience: 

Registered Nurses (RN)

Advanced Practice Registered Nurses (APRN)

Licensed Practical Nurses (LPN/LVN)

Requirement for completion:

Successful completion of all modules (course content, test, and evaluation).

Course Offering # 3

Continuing Education Provider Approval # 7-0090

Expiration: December 21, 2021

Nursing CE Central is an approved provider of continuing education per the KBN.

Course Content

Total learning: 1 lesson Time: 15 days
  • Nursing Documentation 101: How to Guard Your License  0/1

Instructor

Jillian Hay-Roe, RN, BSN, RN-NIC, LNC

Jillian is a Registered Nurse and Legal Nurse Consultant. She obtained her Legal Nurse Consulting Certificate from the University of Florida and currently practices in sunny Phoenix, Arizona. She is also a clinical nursing instructor for Carrington college.

Free

In this course we will learn how to properly document patient care.