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Documentation, Part 2: The Best Evidence of Care

Ferrell, Kathy Graves BS, RN, CLNC

AJN, American Journal of Nursing: July 2007 - Volume 107 - Issue 7 - p 61–64
doi: 10.1097/01.NAJ.0000279271.41357.fa
FEATURE: Legal Clinic

Complete and accurate charting can be crucial to exonerating nurses in civil lawsuits.

OVERVIEW: Properly documenting care in a patient's medical records is essential and, in the event of a lawsuit, provides evidence that the care that was provided met professional standards. Even nurses who meet the standards of care must document that care fully and accurately to avoid being vulnerable to accusations of malpractice that may result in costly jury verdicts and court decisions.

Learn how to avoid being vulnerable to accusations of malpractice that may result in costly jury verdicts and court decisions.

Kathy Graves Ferrell is a legal nurse consultant in Thompson's Station, TN.

Contact author: kathy@ferrellconsulting.com.

© 2007 Lippincott Williams & Wilkins, Inc.