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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Specializes in Education, FP, LNC, Forensics, ED, OB.
I think we both agree on one thing: If it brings peace of mind, it would be worth it.

On that, we shall agree.;)

Specializes in Utilization Management.

So help me understand here:

Nurse A hangs the wrong medication. Patient goes to ICU but ultimately succumbs. Hospital fires Nurse A and reports to BON. Family sues. BON investigates. Nurse A cannot find gainful employment while being investigated and cannot afford a lawyer because she's unemployed.

Is Nurse A still represented by the hospital lawyer in the lawsuit? Who represents her before the BON?

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

"Again, It (malpractice insurance) 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.

Improving your spacing did not improve the message's clarity.

What individual research and experiences would protect someone against allegations being made to the BON and their needing to retain counsel?

The insurance industry never approached me about obtaining malpractice. I had to seek very hard to find it, in fact. Being fired for something I did not do that happened not on my shift was not propaganda. Having the facility report me to the BON for what even the BON called the "alleged incident" was not propaganda. That the one person who stood up for me and told the truth, which was that I was not at fault, was fired is not propaganda.

I was cleared of all charges and the matter discharged. However, had that one person not defended me, losing her own livelihood to so do, I could very well have lost my license.

I'll pay the $49 a year. Yeah, they're getting rich off of me. Woo-hoo!

Specializes in Education, FP, LNC, Forensics, ED, OB.
So help me understand here:

Nurse A hangs the wrong medication. Patient goes to ICU but ultimately succumbs. Hospital fires Nurse A and reports to BON. Family sues. BON investigates. Nurse A cannot find gainful employment while being investigated and cannot afford a lawyer because she's unemployed.

Is Nurse A still represented by the hospital lawyer in the lawsuit? Who represents her before the BON?

If Nurse A has , she/he contacts them immediately upon knowing there is a possibility of a problem.

If no insurance, Nurse A secures own attorney or goes bare.

So help me understand here:

Nurse A hangs the wrong medication. Patient goes to ICU but ultimately succumbs. Hospital fires Nurse A and reports to BON. Family sues. BON investigates. Nurse A cannot find gainful employment while being investigated and cannot afford a lawyer because she's unemployed.

Is Nurse A still represented by the hospital lawyer in the lawsuit? Who represents her before the BON?

I dont think I want Nurse A taking care of my family. (That would make a great thread.)

Specializes in Utilization Management.
I dont think I want Nurse A taking care of my family. (That would make a great thread.)

But honey, these things do happen, even to good nurses. Poor staffing is one cause of this type of error. Pharmacy and doctors might very well make errors in calculating or ordering. Yet the nurse is often the last link in the chain and the one who gets fired, sued, and ruined over it.

reading all these postings make me feel uncomfortable working anymore. lol. But I love my chosen profession, and I love caring to people. hope it returns good to me.

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.

Hospitals don't even stick to the basic good faith employment rights. Why should we be stupid enough to think they'd back us up in a lawsuit? You'd better believe they'd be looking for a way to drop a nurse named in a lawsuit in a New York minute.

I'll pay the $100 for the policy, thank you very much.

I dont think I want Nurse A taking care of my family. (That would make a great thread.)

Excuse me, are you even a nurse? The best and brightest nurses make mistakes. Good Lord, if we got rid of every nurse who ever made a med error there would be a handful of nurses left.

I dont think I want Nurse A taking care of my family. (That would make a great thread.)

And actually, it would make a terrible thread. It's extremely disrespectful to those of us who are nurses.

You are covered by the facility insurance policy. If you are named in a civil action, it will be along with the facility, and as an employee of the facility.

Attorneys do not "go after" the average working joe- they would lose money. The insurance companies have the $$.

Your malpractice insurance company's lawyers are not working for you ("on your side",) they are on the insurance company's side.

No one is going to fight for your innocence...it is all a big game of money and bedfellows. It is about the money.

Most people experience auto and homeowners insurance, and this is totally different. Researching is tricky due to the $$ and propaganda from insurance companies.

Think about how involved malpractice companies are with student nursing organizations or with the schools themselves. Hasn't anyone ever questioned this?

However, if it makes a person sleep better, it may be worth the money-

As for me, no.

My insurance company's lawyers are of course agents of their employer and thus tasked to achieve the best possible outcome for same; however, they do this by defending their client (me) - for if I'm found guilty of malpractice, this same insurance company will be responsible for paying the claim. Therefore, they will most definitely be on my side.

On the other hand, my hospital's lawyers are much more inclined NOT to look out for my best interest because if they were to represent me (e.g., by proving that short-staffing or an unreasonable assignment was a contributing factor to my alleged malpractice) they would not truly act in the best interest of their employer, the hospital (in fact, they would most likely argue that there was no short-staffing and that the hospital shares no blame - that it's my fault alone, as the "negligent" nurse).

Therefore, I would never rely on my employer's lawyers and insurance company to represent me (in fact, I would expect my own lawyer and insurance company to represent my interests and to protect me from my employer's lawyers!) Paranoid? No, realistic.

DeLana

Specializes in ER, ICU, L&D, OR.

I have never had and never will have

As for the comment about lawyers being evil, as an attorney friend of mine commented many years ago, everyone thinks attorneys are evil until they need one, and then it's suddenly a different story ... :)

Yes, but the reason I need one is because some other evil attorney forced me into hiring one. :lol2:

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