Malpractice Insurance: Having your own policy is a NECESSITY

Nurses General Nursing

Published

New York State Nurses Association (NYSNA)

REPORT: April 2003

Malpractice Insurance: Having your own policy is a NECESSITY!

by Mark Genovese

You may never have to use a professional liability policy, but it is extremely risky not to have one. You may have heard your nursing representative give a talk about individual insurance, but NYSNA can't emphasize its importance more.

"One question frequently raised when NYSNA delivers practice and malpractice workshops is: 'Do I really need my own personal liability coverage, since my employer covers me?'" said Janet Haebler, senior associate director of NYSNA's Practice and Governmental Affairs program. "Employers often tell their nurses that additional liability coverage is unnecessary. But when performing competently within their legal scope of practice, nurses are vulnerable to lawsuits. And a nurse is always a nurse, whether employed or not. Every RN should possess her or his own professional liability coverage."

"Obtaining professional is a low-cost measure to protect your license," said Diane K. Salerno, NYSNA labor educator. "This is one issue in which RNs really need to rely on themselves."

Common misconceptions about professional liability insurance:

"I'm already covered by my employer"

A healthcare facility need not carry professional liability insurance for RNs. The fact that a healthcare facility provides liability coverage for employees doesn't necessarily mean you will have coverage now or in the future. This is why it's important for you to obtain your own policy. You may not be covered by your employer in all instances:

The policy may cover the facility, but not individual employees.

It may have gaps in coverage. If you take a job with another facility, the policy won't cover you for an incident that may have occurred on your previous job. If you are out of work, the policy may not cover you for an incident that occurred when you were still employed.

If a facility merges with another, closes, or goes bankrupt, the policy may no longer be in effect; the facility may fail to make a payment on the premium and lose its protection; and

the policy may not cover you if you practice nursing at places other than your facility. To make sure they know where they stand, it's a good idea for RNs to ask their employers for a copy of their facility's policy.

"I don't have many assets in my own name"

Nursing malpractice suits can take years to settle. Even if you do not currently have assets in your own name, you may in the future, as you build a bank account or an investment portfolio or buy a home. If assets are jointly owned, they may not be completely immune from being used to satisfy a spouse's legal obligations.

An individual professional liability policy may protect whatever assets you may have against potentially large legal expenses and liability you may incur as a result of a malpractice claim. Even if you believe you don't have - and won't have - any assets which need protection, professional liability coverage may provide for your legal defense should you be involved in a malpractice lawsuit, and compensate the injured party if you are found negligent.

"I won't be sued because I don't have "

If you have any connection with a patient who makes a claim against your employer, you will most likely be named a party to the suit. You can even be sued in a circumstance where you contend you have not had contact with a patient who makes a claim against your employer.

A lawyer for an injured plaintiff normally will sue everyone connected with a malpractice incident. If not, the lawyer may be sued for legal malpractice.

How can you obtain insurance?

If you don't yet have professional liability insurance, here is how you can get started.

NYSNA endorses the Nurses Service Organization (NSO) and works directly with them to provide the best possible coverage for our RNs. The NSO also provides coverage for legal defense expenses. Any RN can obtain information about this insurance through a link on NYSNA's Web site at http://www.nysna.org; at NSO's Web site at http://www.nso.com; or by calling NSO at 800-247-1500.

Need an Attorney?

NYSNA's Practice and Governmental Affairs program offers guidelines for selecting an attorney, and can provide a list of names, although it does not endorse anyone on that list. You can also contact your local Bar Association for information on finding an attorney who specializes in malpractice. In NY, a good place to start is the New York State Bar Association's referral line, 800-342-3661; e-mail: lrs@ nysba.org; Web site: http://www.nysba.org.

"Liability insurance is critical," Haebler said. "RNs are RNs 24/7, not just when they're on duty."

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Just because you have doesn't mean you're more likely to be sued. If that was true, then the premiums would be a hellava lot higher than they are now.

$100 a year is dirt cheap. The reason that the premiums are so cheap is because nurses are generally great liability risks.

BUT ... the real risk to worry about is the state where you live. That's where the real liability risk lies.

In Texas, for example, the premiums are triple the amount of other states and the insurance companies greatly limit the coverage there also.

So that tells me the insurance companies are paying more claims for nurses in Texas than other states.

Same for NP's in Florida ... their premiums are much higher and the coverage is much more limited than other states because the insurance companies have had to pay more claims for NP's there.

If you're worried about being sued, that's what you should be looking at ... are the premiums higher than average and is the coverage more limited where you live than other states ...

Because the insurance companies know more than your co-workers or anybody else. Afterall ... they're the ones who are actually paying out the claims.

That does kind of make sense. I would think though that in trying to save the insurance company money they would have to be on the nurses side and not the side of the one doing the suing.

But the point is not lost that the hospital's attorneys are representing the hospital and the malpractice lawyers are picked by the insurance company to save them money.

The hospital's attorneys don't have anything (much) to do with the legal action (except maybe to the media). The hospital's insurance carrier has the attorneys that deal with those legal issues.

I think that nurses get a little confused about who represents who.

When a facility is sued, and insurance attorneys are called in, those attorneys are representing the facility...YOU ARE THE FACILITY. The actions of the employees are what is being questioned. So, they are representing the employees.

The facility doesn't keep attorneys that defend them against legal actions. The insurance company keep those high paid attorneys.

When nurses say "I want an attorney on my side"- to get that you would have to pay out of pocket-. Your individual insurance carrier provides attorneys, yes, but those attorneys are there representing the insurance company. They do want to minimize the $$ by diminishing your guilt, or diminishing the damages, but ultimately, the attorneys all work together to work out a settlement.

Very few civil actions go to trial. It is too expensive, and many judges wouldn't allow it even if the parties wanted to. (Yes-this happens- judges inform attorneys for all parties "get it off my docket".)

I think it ranges between 4% and 6% that actually go to court.

Specializes in Operating Room.

What it comes down to for me is this: Do I trust my employer(or ANY employer) these days not to screw me over? The answer for me is no...I think the insurance is worth it because it provides a lawyer for you if you get sued, defends you if you have to deal with the BON etc. I know several LNCs (legal nurse consultants, for those who don't know)and all of them recommend your own policy..The hospitals like to discourage you because when you have your own policy, they are not in complete control of the whole situation.

People are so litigious these days, they will go after anyone-nurses included. I've witnessed it firsthand and it made such an impression. This nurse also got sued by the hospital afterward. The cost comes out to less than 10.00 a month-completely worth it to me. PS. My policy covers some of the cost of a lawyer which to me is better than putting myself at the mercy of the hospital.

Specializes in Education, FP, LNC, Forensics, ED, OB.
the hospital's attorneys don't have anything (much) to do with the legal action (except maybe to the media). the hospital's insurance carrier has the attorneys that deal with those legal issues.

i think that nurses get a little confused about who represents who.

when a facility is sued, and insurance attorneys are called in, those attorneys are representing the facility...you are the facility. the actions of the employees are what is being questioned. so, they are representing the employees.

the facility doesn't keep attorneys that defend them against legal actions. the insurance company keep those high paid attorneys.

when nurses say "i want an attorney on my side"- to get that you would have to pay out of pocket-. your individual insurance carrier provides attorneys, yes, but those attorneys are there representing the insurance company. they do want to minimize the $$ by diminishing your guilt, or diminishing the damages, but ultimately, the attorneys all work together to work out a settlement.

very few civil actions go to trial. it is too expensive, and many judges wouldn't allow it even if the parties wanted to. (yes-this happens- judges inform attorneys for all parties "get it off my docket".)

i think it ranges between 4% and 6% that actually go to court.

all policies have limits of liability. other defendants employed at your entity may and probably do share your liability limits under the same policy. if you, as well as others, are named in a suit, your legal costs, including any settlement, could exceed your employer's shared liability limits. this would mean out-of-pocket expense(s) for you.

your employer's policy may cover you, but only up to a point. your employer's policy is designed to fit their own needs and protect their interests first. if you have your own individual protection, you will have the benefit of your own representation, when needed, that is concerned specifically with your interests.

here is a sticky thread about carrying :

? get malpractice: importance of professional liability insurance in managing risk

reasons why to carry malpractice insurance:

need tips...meeting attorney re: pt liabilty case

overdose of magnesium sulfate kills 18 mom in labor

if your license is disciplined

reinstated license after suspension

falsely accused of a hipaa violation

When a facility is sued, and insurance attorneys are called in, those attorneys are representing the facility...YOU ARE THE FACILITY.

And when the facility wants to lay blame somewhere and files false allegations against you with the BON, you are NOT the facility.

Pick up malpractice. www.nso.com

And when the facility wants to lay blame somewhere and files false allegations against you with the BON, you are NOT the facility.

Pick up malpractice. www.nso.com

I have read on this site of nurses who have utilized their insurance during issues involving the BON.

Again, It isn't for everyone. All depends on individual research, experiences, etc.

The propoganda mill is alive and well in the insurance industry.

Specializes in Education, FP, LNC, Forensics, ED, OB.
And when the facility wants to lay blame somewhere and files false allegations against you with the BON, you are NOT the facility.

Pick up malpractice. www.nso.com

:yeahthat:

If you, as the entity employee, are found out of hospital protocol/procedure and/or your nursing SOP, the entity attorney will not represent you.

I have read on this site of nurses who have utilized their insurance during issues involving the BON.

Again, It isn't for everyone. All depends on individual research, experiences, etc.

The propoganda mill is alive and well in the insurance industry.

I have no idea what this means.

:yeahthat:

If you, as the entity employee, are found out of hospital protocol/procedure and/or your nursing SOP, the entity attorney will not represent you.

Your individual insurance may not represent you at this point also.

I have no idea what this means.

"I have read on this site of nurses who have utilized their insurance during issues involving the BON."

"Again, It () isn't for everyone. All depends on individual research, experiences, etc."

"The propoganda mill is alive and well in the insurance industry"

I should have spaced those out.

Specializes in Education, FP, LNC, Forensics, ED, OB.

We will, respectively (and, respectfully), agree to disagree.

We will respectively agree to disagree.

I think we both agree on one thing: If it brings peace of mind, it would be worth it.

Small price to pay to prevent sleepless nights.

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