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Accountability for Documentation

Emerging RN Leader

Recently, nurse leaders have talked with me about professional nurses who don’t document […] The post Accountability for Documentation appeared first on Emerging Nurse Leader. Ethicists have commented that there has been a change in the willingness of individuals to accept responsibility. for their behavior.

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Mastering Healthcare Documentation Training

American Medical Compliance

The Mastering Healthcare Documentation Training teaches healthcare providers how to create comprehensive, accurate medical records that enhance patient care, ensure legal compliance, and drive quality improvement. The SOAP note is a way for healthcare workers to document in a structured and organized way.

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Late Arrivals, No-Shows? Effective Strategies for NPs

Nurse Practitioners in Business

However, to effectively manage these problems, you need a unified approach of clear policies, proactive and open communication, and a good dose of patient education. Clearly Communicate Your Policies: Explain your policies when patients first establish with your office. Does that mean you cant do anything about it? No, of course not!

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What’s Trending Now for Nurse Leaders

Emerging RN Leader

Sherman, EdD, RN, NEA-BC, FAAN As we approach the end of 2024, the trending topics that nurse leaders are talking about right now include the following: The work of nurses, especially in acute care environments, is increasingly complex due to higher patient acuity, sustained patient volumes, and documentation requirements to achieve full […] (..)

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Legal Responsibilities of Nurses in Medication Administration 

American Medical Compliance

Nurses must: Administer medications as prescribed Monitor for side effects Document properly Report any errors promptly Healthcare providers must also ensure their nurses are licensed and aware of their states regulations. If a patient refuses, the nurse must respect that choice, document it, and inform the physician.

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Nursing Care Plan: Guide with Example & Writing Tips

University of St. Augustine for Health Sciences

They also facilitate effective communication in a nursing team. A nursing care plan documents how to identify a patients needs and facilitate holistic care, typically according to a five-step framework. This is important to maximize care efficiency and to provide documentation for healthcare providers. Include dates and times.

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A Near Tragedy: Lessons for Nurses from a Kentucky Man’s Close Call with Organ Donation

Empowered Nurses

Recently, a shocking story from Kentucky highlighted the importance of caution and communication in healthcare. Even if we aren’t the ones making the final call, our role is critical in communicating patient changes and ensuring protocols are followed thoroughly and correctly.