NURS303 Lecture Notes - Lecture 16: Neonatal Intensive Care Unit, Health Care, Electronic Health Record
23 Dec 2016
School
Department
Course
Professor
Document Summary
Your most controllable element: standard of care. Substandard care (breach of the standard of care) Failure to recognize limits and ask for help. Facts: what the patient or bystander remembers; what the chart says (or doesn"t); what the caregivers admit. Opinions: what the experts" say in their reports; how their opinions hold up in court. If it wasn"t charted, it wasn"t done : there are many instances where care is provided and observations are made without corresponding documentation. For instance, if there is a visual assessment and everything looks normal, this has clinical significance, but would not be charted: but if an active intervention is done but not charted, it is problematic. Professional standards: carna documentation standards for regulated members (january 2013) Criminal law deals with intentional harms committed against certain individuals, but are also considered offences against the public. Civil law deals with disputes among private parties. Punishment is not the primary concern, rather compensation of the victim.
