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Volume 26 Number 4 Winter 2015 THE JOURNAL OF egal Nurse Consulting SAFETY

PROTECT YOUR MOST VALUABLE ASSET Your ability to earn a paycheck. Income Protection is available to you on a discounted basis for being an association member. Your income protection program will prov

THE JOURNAL OF egal Nurse Volume 26 Number 4 Winter 2015 Consulting 7 EVALUATING SAFETY IN THE OR TIPS FOR THE LNC Patricia Ann Stormy Green Wan RN, BSHS, RNFA, LNC 23 PATIENT SAFETY CREATING

PURPOSE American Association of Legal Nurse Consultants 330 North Wabash Ave. Suite 2000 Chicago, IL 60611 8774022562 3123215177 Fax 3126736655 Email Web site The purpose

ARTICLE SUBMISSION The Journal of Legal Nurse Consulting JLNC, a refereed publication, is the official journal of the American Association of Legal Nurse Consultants AALNC. We invite interested nurses

FROM THE PRESIDENT A Message from the President Varsha Desai BSN, RN, CNLCP, LNCC President, AALNC I Dear AALNC Members, n October, AALNC released the 2016 AALNC Education and Networking Forum sche

FROM THE EDITOR December 2015 Editors Note elcome to the December 2015 issue of the JLNC, Safety. Youll see articles on a wide variety of topics to help you review cases, including standards of pract

LETTERS TO THE EDITOR MORE ON ELECTRONIC COMMUNICATION This came in from the Paradigm Bytes nursing newsletter These issues may arise in cases a client refers to a legal n

FEATURE Evaluating Safety in the OR Tips for the LNC Patricia Ann Stormy Green Wan RN, BSHS, RNFA, LNC Keywords Operating room safety, surgical team, standards of care, surgical cases Some of the mo

MEMBERS OF THE SURGICAL TEAM There are commonly five key players during surgical procedures. This list should not be considered comprehensive, and it does not include full role descriptions. 1. Surgeo

For example, the degree of Trendelenburg to achieve adequate access to the surgical site may be quite steep. Not only does each degree of Trendelenburg increase the risk of nerve or skin injury, but t

2. American College of Surgeons ACS Patient safety is a top priority Strongly encourages facilities to develop clear guidelines and encourages a team approach as an effective means of rendering saf

FEATURE Fetal Heart Monitoring in Labor and Delivery Cheryl Gysegem, RNCOB, BSN, BSHCA, CLNC Keywords Labor, delivery, monitoring, fetal monitoring, uterine contractions, acceleration, deceleration,

Table 1. Recommendations for assessment of fetal status during labor when using electronic fetal monitoring AWHONN, 2015 Latent phase 4 cm Lowrisk without oxytocin With oxytocin or risk factors At lea

The nadir of the deceleration occurs at the same time as the peak of the contraction. In most cases the onset, nadir, and recovery of the deceleration are simultaneous with the beginning, peak, and

Documentation must stand alone and recreate the moment as accurately as possible. umentation to look for accurate interpretation and inconsistencies Compare nurses notes with the physicians notes Chr

FEATURE Investigating Institutional Drug Diversion Kimberly New BSN RN JD Keywords Drug diversion, drug tampering, investigation Drug diversion is ubiquitous in healthcare institutions using drugs.

The liability of the diverter lies in actual harm done to others. Institutional liability usually lies in insufficient diligence to prevent the diversion. substitution. The institution can be exposed

ness, pretending to waste an entire dose by claiming that the patient refused the medication, maximizing the amount of waste available by removing largerthanneeded dosage units, and even removing prev

ESSENTIAL ELEMENTS OF A DIVERSION PROGRAM Every healthcare facility must have a robust program to prevent, detect, and respond to diversion. Liability for the institution typically arises from the fai

FEATURE Radiology Technologists Scope, Standards and Ethics O. Gary Lauer, Ph.D., RT R ARRT Keywords radiology technician, radiology technologist, radiology liability, radiation technology credential

patient from the gurney to the table, he lowered the side rails and then walked behind the exposure control booth to set the xray exposure technique. The patient fell off the gurney and fractured his

The radiologic technologist assesses situations exercises care, discretion and judgment assumes responsibility for professional decisions and acts in the best interest of the patient. . ASRT, 2015 The

In addition, the ASRT endorses three other curricula Nuclear Medicine Curriculum developed by the Society of Nuclear Medicine and Molecular Imaging National Education Curriculum for Sonography devel

FEATURE Patient Safety Creating a Culture Change to Support Communication and Teamwork Anne Marie Pettit, MSN, RN John J. Duffy, MSN, RN Keywords Safety, interprofessional communication, quality care

Communication failures were the leading root cause of all sentinel events reported to the Joint Commission. Is Human Building a Safer Health Care System provided a blueprint for change and a challenge

TeamSTEPPS The Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPSTM system was developed for healthcare by the U.S. Department of Defenses Patient Safety Program and the Ag

Clinicians must have standardized communication tools and work in an environment where individuals can express concerns. Structured communication techniques can help team members ensure accuracy, make

FEATURE Safe Practices for Clients who need Wheelchairs Considerations for Clients, Caregivers, and Health Care Facilities Ginger Walls, PT, MS, NCS, ATPSMS Michael Walls, MSN, PhD, RN Keywords Press

heelchairs and seating systems are critical equipment to assist with mobility, postural support, and skin protection. Staff and client safety can be directly related to proper training in and use of w

deformation damage around a bony prominence. Tissue damage due to cellular deformation can occur much more quickly minutes to hours than damage due to localized ischemia 68 hours Gefen, 2014. Deep tis

If equipment is required for safe discharge, wheelchairseating evaluation, trial, and recommendation process should be finished while the client is still an inpatient. Health insurance for facility lo

National Institutes of HealthU.S. National Library of Medicine. Preventing pressure ulcers. July 2014. www.nlm.nih.govmedlineplusency patientinstructions000147.htm Retrieved 9272015 Occupational Safet

THE JOURNAL OF egal Nurse Consulting Looking Ahead... XXVII.1, March 2016 Research in LNC XXVII.2, June 2016 LNC Written Work Products XXVII.3, September 2016 Infection XXVII.4, December 2016 F