Nursing Malpractice : Liability and Risk Management

by
Edition: 1st
Format: Paperback
Pub. Date: 1999-05-01
Publisher(s): PRAEGER AGENCY ACCOUNT
List Price: $37.45

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Summary

Students and professional nurses at any level of clinical practice will find this book to be a vital resource on the basic legal concepts and principles of malpractice, liability, and risk management, and their implications for the profession. The book also provides detailed strategies for dealing with these issues. The content is also highly relevant to practitioners in all other health care and legal disciplines that collaborate in the delivery of health care. Issues discussed include the expanding and evolving roles for professional nurses and the concomitant legal accountability and risk for liability, the increasing incidence of nurses named as defendants in malpractice lawsuits, anticipated changes in our health care delivery system, and breakthroughs in science and technology that will present new legal questions. The book also includes material on other important facets of today's nursing practice, including the growing phenomenon of tele-nursing, the essentials of malpractice insurance, and the legal significance of documentation and patients' medical records. It helps the reader identify the nurse at risk for a malpractice suit and the characteristics of the patient likely to sue. The appendices provide information on state laws concerned with access to medical records, a list of useful websites, a list of state boards of nursing, and a glossary of important terms.

Author Biography

CHARLES C. SHARPE is a mlinical nurse specialist who has been a member of the faculty of several nursing departments in colleges in southeastern Pennsylvania.

Table of Contents

Tables
xi
Preface xiii
Abbreviations xv
The Law
1(16)
Definition of Law
1(1)
Sources of Law
1(1)
The Two Principal Subdivisions of Law
2(1)
The Two Principal Divisions of Law
3(1)
The Law of Torts
4(1)
Types of Tort
5(1)
Intentional Torts
6(1)
Intentional Torts against Persons
7(8)
Patients' Bills of Rights
15(2)
Malpractice
17(10)
Definition of Malpractice
17(1)
Negligence
17(1)
Required Elements of Malpractice
18(3)
The Legal Doctrine of Res Ipsa Loquitur
21(1)
The Legal Doctrine of Vicarious Liability
22(5)
Defenses in Malpractice
27(6)
Principal Types of Legal Defense
27(6)
Standards of Nursing Care
33(8)
Definition of Standard of Care
33(1)
Application of Standards of Care in Nursing Malpractice
34(1)
Expert Witnesses and Standards of Care
35(1)
Sources of Standards of Care
35(3)
Application of Standards of Care in Nursing Practice
38(3)
The Nurse at Risk for a Malpractice Lawsuit
41(12)
Common Bases of Nursing Malpractice Lawsuits
41(1)
The Nurse Most Likely to Be Sued
42(1)
The Patient Most Likely to Sue
42(1)
Preventing a Lawsuit
43(1)
Other Instances of Potential Liability
44(6)
Liability Risks in Advanced Practice Nursing
50(3)
The Legal Process
53(16)
Steps in the Legal Process
53(1)
Initiation of a Malpractice Lawsuit
54(1)
Pretrial Activity
55(4)
Mechanisms of Discovery
59(5)
Settlement
64(1)
The Trial
65(1)
Damages
65(4)
Surviving Notification of a Nursing Malpractice Lawsuit
69(6)
The Nurse and the Legal Process
69(1)
The Nurse As Defendant
69(3)
What to Do if You Are Sued
72(1)
What Not to Do if You Are Sued
72(3)
Preparing for and Surviving a Deposition and a Trial
75(14)
Deposition Procedures and Protocols
75(3)
The Expert Witness at a Deposition
78(1)
Preparing for a Deposition
79(1)
The Deposition
80(1)
Survival Tactics for the Deponent
80(6)
The Trial
86(3)
Defensive Documentation
89(16)
Nursing Documentation As a Risk Management Strategy
89(1)
Nurses' Notes
90(6)
Nursing Diagnoses: Legal Aspects
96(2)
Documenting Discharge Teaching and Planning
98(1)
Incident Reports
99(3)
Computerized Charting
102(3)
The Medical Record As Evidence in Nursing Malpractice
105(8)
The Medical Record
105(5)
Legal Implications of Tampering with the Medical Record
110(3)
Legal Implications of Informed Consent
113(12)
Consent
113(1)
Consent in Nursing Practice
114(2)
Informed Consent
116(1)
Required Elements of Informed Consent
116(4)
Minors and Consent
120(1)
Consent Forms
120(1)
Responsibility for Obtaining Informed Consent
121(1)
The Nurse As a Witness to Informed Consent
122(1)
Witnessing Other Legal Documents
123(2)
Legal Implications of Advance Directives and No-Code Orders
125(10)
Advance Directives
125(2)
Types of Advance Directives
127(2)
Informing the Patient Regarding Advance Directives
129(1)
Nurses' Roles in Advance Directives
129(1)
Documenting Advance Directives in the Medical Record
130(1)
Compliance with Advance Directives
131(1)
Organ Donation and Advance Directives
132(1)
No-Code Orders
132(3)
Malpractice Insurance
135(12)
Professional Responsibility for Coverage
135(1)
The Need for Malpractice Insurance
135(1)
Going Naked
136(1)
Mistaken Perceptions of Malpractice Insurance
137(1)
Types of Malpractice Insurance Policies
138(1)
Reading and Understanding a Policy
139(5)
Employer Coverage
144(3)
The National Practitioner Data Bank
147(12)
The Creation of the National Practitioner Data Bank
147(1)
Definition of ``Health Care Practitioner''
148(1)
Confidentiality of Data Bank Information
149(1)
What Must Be Reported to the Data Bank
149(2)
Who Must Report to the Data Bank
151(1)
Who Can and Who Must Query the Data Bank
152(2)
Legal Implications of a Hospital's Failure to Query the Data Bank
154(1)
Attorney Access to the Data Bank
155(1)
Other Data Banks
156(3)
Disciplinary Actions by State Boards of Nursing under Nurse Practice Acts
159(14)
History of Nurse Practice Acts
159(1)
Content and Purpose of a Nurse Practice Act
160(1)
Defining Nursing
161(1)
Scope of Nursing Practice
161(1)
The Board of Nursing
162(1)
Licensure
162(1)
Violations of a Nurse Practice Act
163(1)
Bases for Disciplinary Actions by a State Board
164(1)
Types of Disciplinary Actions by a State Board
164(1)
Disciplinary Proceedings
165(3)
Cybercare
168(5)
Roles of the Professional Nurse in the Legal Process
173(10)
Nurses' Roles in the Legal Process
173(1)
Why Nurses Elect to Function in These Roles
173(1)
The Nurse Attorney
174(1)
The Nurse As a Testifying Expert
174(4)
The Nurse As a Consulting Expert
178(2)
Becoming a Testifying Expert and/or a Consulting Expert
180(1)
Implications for the Nursing Profession
181(2)
Appendix I. State Laws on Patient Access to Medical Records 183(4)
Appendix II. List of Web Sites 187(4)
Appendix III. List of State Boards of Nursing 191(10)
Glossary 201(10)
Bibliography 211(4)
Index 215

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