Latest Likes For sirI

sirI, MSN, APRN, NP Admin 84,809 Views

Joined Jun 24, '05. Posts: 102,769 (17% Liked) Likes: 26,803

Sorted By Last Like Received (Max 500)
  • Feb 17

    As pointed out, we cannot offer the medical advice you seek. Please pose all questions/concerns to your PCP. We wish you well and hope you adjust.

  • Feb 15

    Quote from legalnurse22
    demonsthenes,
    "legal nurse consultants utilize different skills than paralegals and nurse-paralegals, skills we already possess from our nursing education and experience. we participate in cases where health, illness or injury is at issue. we do not delve into real estate, probate, marital property, real property or other fields of law unrelated to a specific health issue. nor do we do legal research and writing. a nurse who enters the legal field as a legal nurse consultant is still practicing nursing. we have not changed careers; we've only changed our practice area. we are not legal experts, nor do we 'perform specifically delegated substantive legal work' (which, according to the aba, is what a paralegal/legal assistant does)." this quote was taken from a lnc that i respect very much. she taught me and thousands of other clncs around the country. i'm not an expert on legal matters, i'm an expert on nursing. my "competence" is my 27 years of clinical nursing experience and "to utilize a rn as a paralegal/legal assistant is to pull her away from her core strengths". i have what i need to get the job done. i do not need additional training as a paralegal. my role is clear. i am a legal nurse consultant.

    legalnurse22
    i could not have said it better myself, legalnurse22. excellent post.

    we as lncs are a compliment to the legal profession. we also know that we do not nor should we ever provide legal advice and/or legal writings for anyone. the paralegal is in no way prepared to offer medical-legal consulting services to anyone. the nurse paralegal is an excellent resource and much like the lnc. but, an rn who has demonstrated strong ability to practice as an lnc is equally important and really the better choice of the two professions, imho.

    finally, the lnc is better prepared to offer services to the attorney-client than the the legal assistant for the latter has no clue of the ins and outs of nursing and/or medicine. not that the assistant is not necessary in the attorney office. they are. they can "assist" the attorney in preparations of the case, do research, file important documents for later retrieval, etc. they have no clue how to assist in the preparation of an expert medical witness for deposition. the legal assistant has no clue how to review the medical record and determine whether the case has merit. the legal assistant has no clue how to conduct in depth research regarding the myriad medical/nursing diagnoses. the legal assistant really has no business offering any type of service as a medical-legal consultant.

  • Feb 8

    This thread is to help educate those interested in becoming a Forensic Nurse as well as help define the role of the forensic nurse.

    There are programs that prepare the RN as a masters prepared forensic specialist. There are programs for the CNS forensic specialist as well as post-masters for other APRNs. And, there are programs for the LPN and paramedic.

    But, most are post RN certificate programs.

    When considering a Forensic Nursing program one should note if they adhere to standards set forth by the International Association of Forensic Nurses (IAFN) and the Federal Emergency Management Agency (FEMA). Note if they are accredited approvers by the individual Boards of Nursing and the American Nurses Credentialing Center's Commission on Accreditation. Also, Forensic Nursing post-graduate programs should be endorsed by the Commission on Collegiate Nursing Education (CCNE).

    Here are few links to help you (not all inclusive Forensic Nursing programs):

    University of California, Riverside

    Sexual Assault Examination Training: Adult/Adolescent and Sexual Assault Examination Training: Pediatrics ONLINE PROGRAMS

    The courses are designed for LVN/LPN, RN, Physician, and other licensed medical professionals. Nursing students that have completed at least one semester of clinical training may participate.
    Sexual Assault Nurse Examiners work with law enforcement and the legal system while providing objective forensic examinations to victims and suspects of reported sexual assault events. Topics in the Sexual Assault Examination Training comprehensive online program include physical assessment of patients, forensic terminology, DNA technology, forensic and differential evaluation of findings, and collection and preservation of forensic evidence, chain of custody, documentation and photography, and preparation for court testimony.

    Fitchburg State University Forensic Nursing Graduate Certificate (Online)

    This program provides an opportunity for advanced practice nurses who hold a master's degree in nursing from accredited programs to acquire specialization in forensic nursing. Forensic nursing is the application of nursing science to public or legal proceedings and the integration of the forensic aspects of health care with the bio-psycho-social education of the professional nurse. Students are prepared to deal with the prevention, scientific investigation, and treatment of victims of trauma and/or death as well as the investigation and treatment of perpetrators of abuse, violence, criminal activity and traumatic accidents. The program is offered completely online.

    International Association of Forensic Nurses

    The Commission for Forensic Nursing Certification currently offers three professional credentials: the Sexual Assault Nurse Examiner-Adult/Adolescent, the Sexual Assault Nurse Examiner-Pediatric, and, in collaboration with the American Nurses Credentialing Center (ANCC), the portfolio in Advanced Forensic Nursing.

    American College of Forensic Examiners Institute Certified Forensic Nurse (CFN)

    Hold a current, full, and unrestricted license as a registered nurse (RN) in the United States (or its territories)

    Have practiced for a minimum of three (3) years as a RN in the United States Documentation of clinicial experience (a clinical experience validation form) signed by an appropriate clinical authority, such as a mentor, employer, or nursing supervisor.

    SANE-SART Resource Service - Sexual Sssault Nurse Examiner (SANE) - Sexual Assault Response Team (SART)

    SANE-A/SAFE/SAMFE Preparation and Refresher, and Webinars. This interactive, engaging course places you into real-world simulations that challenge you to assess a wide variety of scenarios involved in performing sexual assault medical-forensic exams, investigating and prosecuting sexual assault cases or advocating for the victim. You will be challenged to identify problems and take appropriate action to achieve solutions and positive outcomes. The simulations are complemented by webinars hosted by subject matter experts who provide an expanded discussion of the course material.

    Johns Hopkins Post Bachelor's Forensic Program

    Registered nurses (RNs) with bachelor's degrees can now pursue an online post-baccalaureate certificate in forensic nursing at the Johns Hopkins University School of Nursing (JHUSON). Pending approval from the Middle States Commission on Higher Education, the online option replaces the former post master's Certificate in Advanced Forensic Nursing (CAFN) option. The program prepares registered nurses to serve individuals in need of comprehensive forensic nursing assessments and care following intentional injury, non-intentional injury, and disasters.

    University of Illinois at Chicago Advanced Practice Forensic Nurse

    This certificate is our answer to the Institute of Medicine's (IOM) 2002 Report, Confronting Chronic Neglect: The Education & Training of Health Professionals on Family Violence. The Forensic Nursing Certificate program is comprised of three courses plus a supervised practicum. The courses are online and are designed for learners to achieve the Academy of Violence & Abuse Core Competencies.

    Duquesne University Forensic Nursing Certificate for Advanced Practice (Summer start only)

    The forensic nursing program prepares nurses at the advanced practice level in many areas of forensics. At the advanced practice level, nurses impact social policy, health care initiatives, education, research and practice.

    Monmouth University Forensic Nursing Graduate Certificate

    Monmouth University's forensic nursing program includes the study of interpersonal violence, forensic evidence, nursing ethics and legal issues. The program prepares graduates to work in a variety of areas including child/elder abuse assessment and evaluation; domestic violence intervention; sexual assault examination; mass disaster response and death investigation.

    American Nurses Credentialing Center - Advanced Forensic Nursing-Board Certified (AFN-BC)

    Credential Awarded: AFN-BC (Certification through Portfolio)

    Certification through portfolio is a new assessment methodology to achieve ANCC board certification. No exam is required. Eligible applicants submit an online portfolio of evidence to document their specialized knowledge, skills, understanding, and application of professional nursing practice and theory. Portfolios must articulate performance in four domains of practice: Professional Development, Professional and Ethical Nursing Practice, Teamwork and Collaboration, and Quality and Safety, as described in the Portfolio Content Outline [pdf] and Eligibility Criteria for this specialty certification.

    St. Louis University Medicolegal Death Investigator

    This course is designed for medicolegal death investigators, coroners, law enforcement officers, physicians, nurses, emergency medical personnel, attorneys, forensic scientists and others who are involved in the investigation of violent suspicious and unexpected deaths. This five (5) day program teaches individuals how to conduct scientific, systematic and thorough death scene and telephone investigations for Medical Examiner and Coroner offices.

    Pennsylvania State University Online Undergraduate Certificate in Nursing Forensics

    Who Should Apply?

    Penn State College of Nursing's online nursing forensics certificate program could be right for you if you have a valid RN license and you wish to enhance your professional credentials. The courses can show you how to help your patients by providing a bridge between the health care system and the criminal justice system. The 12-credit Certificate in Nursing Forensics can help you gain foundational knowledge in forensic nursing.

  • Feb 7

    Hello,

    As pointed out, we cannot provide the personal medical advice you seek per our Terms of Service; this includes advising how to take your own pressure and/or suggesting what equipment to use. You really need to pose all of your questions and concerns to your healthcare provider just like you have done here. He or she will be able to suggest what you need for equipment and either show you how to measure your own blood pressure or set up something where you can learn how to do it properly.

    Good luck and we wish you well.

  • Feb 6

    Forensic Nurses Week is organized by the educative Nursing association, International Association of Forensic Nurses.

    Forensic Nurses are all-important individuals who, along with their love of the Law blended with their love for Nursing, can help those who have been neglected, abused, sexually assaulted and/or are the victim of any crime of violence, including intentional/unintentional death. These Nurses are beneficial in communicating with Law Enforcement agencies and have been instrumental in helping to prosecute violent offenders as well as create anti-violent crime units in many cities across the United States, Australia, the UK, and Canada.

    Forensic Nursing is a specialty recognized by the American Nurses Association. Several years ago, this writer submitted an Article that pointed out how the role of the Forensic Nurse was still in its infancy; although there are many who enter into this field of Nursing, this is still true today. We still need to raise awareness.

    Many individuals ask who can become a Forensic Nurse and do they have to have a Masters degree in Nursing. Any licensed Nurse, Registered Nurse (RN) or Licensed Practical Nurse (LPN), can become a Forensic Nurse. There are certificate programs available and many individuals are post-graduate prepared (Masters, PhD), although a post-graduate degree is not required to practice Forensic Nursing.

    Types of Forensic Nurses (not all inclusive):

    • Correctional
    • Sexual Assault Nurse Examiner - Adult (SANE-A®) (RN)
    • Sexual Assault Nurse Examiner - Pediatric (SANE-P®) (RN)
    • Death Investigator
    • Sexual Assault Examiner (SAE)
    • SAFE - Sexual Assault Forensic Examiner
    • Medical-Legal Consultant (Legal Nurse Consultant)
    • City/county Coroner
    • Forensic Photographer
    • Psychiatric
    • Digital forensics analysts

    Duties of the Forensic Nurse (not all inclusive):
    • Injury identification/collect evidence/maintain chain of custody vital in Court proceedings
    • Provide expert medical testimony
    • Provide Fact witness testimony
    • Victim support
    • Consultant during crisis/disaster situations
    • Aid in apprehension/prosecution of perpetrator of violent acts

    Places of employment (not all inclusive):
    • Coroner/medical examiner office
    • Hospital ED
    • Law enforcement agency
    • Correctional institutions
    • Law firms
    • Tissue and Organ donation centers

    Nurses interested in the Forensic Nursing sub-specialty should thoroughly research the educative pathways that best suit their needs ... degree or certificate course. Also, while researching, the individual must check their individual State Board of Nursing for any additional requirements including continuing education, initial certification and re-certification. Included in this research should be a self-examination of what drives their interest and/or reason to pursue Forensic Nursing. Some Nurses may be drawn to this field because they have a strong empathetic desire to help a traumatized victim. Although an admirable reason, Nurses must be aware of the potential problematic emotional effects of working long-term with trauma victims.

    Education (not all inclusive):

    Most educative entities contain in their focus of study (not all inclusive):
    • Perpetrator theory
    • Victimology
    • Criminology
    • Forensic law
    • Criminal justice
    • Preservation of evidence
    • DNA lab interpretation
    • Elder/Child abuse
    • Domestic violence
    • Human trafficking

    Salary
    Salary expectations vary from one location to another. This writer has seen yearly salaries ranging from mid-$50,000 to over $100,000. indeed.com states as of November 8, 2016, the average salary equaled $54,000 with sexual assault nurse examiners earning an average of $69,000 (indeed.com). It should be noted that Forensic Nurses earn a higher salary in private hospitals located in major cities (American Forensic Nurses).

    Joseph Biden, 47th Vice President of the United Sates, recognized the importance of the Forensic Nurse when he stated the following:

    "Forensic Nurses play an integral role in bridging the gap between law and medicine. They should be in each and every emergency room" - Joseph Biden, Vice President, United States from Forensic Nursing: a Handbook for Practice

    Please join us as we celebrate Forensic Nurses Week.

  • Feb 6

    Hello,

    As pointed out, we cannot provide the personal medical advice you seek per our Terms of Service; this includes advising how to take your own pressure and/or suggesting what equipment to use. You really need to pose all of your questions and concerns to your healthcare provider just like you have done here. He or she will be able to suggest what you need for equipment and either show you how to measure your own blood pressure or set up something where you can learn how to do it properly.

    Good luck and we wish you well.

  • Feb 5

    Hello,

    As pointed out, we cannot provide the personal medical advice you seek per our Terms of Service; this includes advising how to take your own pressure and/or suggesting what equipment to use. You really need to pose all of your questions and concerns to your healthcare provider just like you have done here. He or she will be able to suggest what you need for equipment and either show you how to measure your own blood pressure or set up something where you can learn how to do it properly.

    Good luck and we wish you well.

  • Feb 4

    Hello,

    As pointed out, we cannot provide the personal medical advice you seek per our Terms of Service; this includes advising how to take your own pressure and/or suggesting what equipment to use. You really need to pose all of your questions and concerns to your healthcare provider just like you have done here. He or she will be able to suggest what you need for equipment and either show you how to measure your own blood pressure or set up something where you can learn how to do it properly.

    Good luck and we wish you well.

  • Feb 4

    Hello,

    As pointed out, we cannot provide the personal medical advice you seek per our Terms of Service; this includes advising how to take your own pressure and/or suggesting what equipment to use. You really need to pose all of your questions and concerns to your healthcare provider just like you have done here. He or she will be able to suggest what you need for equipment and either show you how to measure your own blood pressure or set up something where you can learn how to do it properly.

    Good luck and we wish you well.

  • Jan 28

    Quote from chrissy06
    hello everyone, i am currently a senior in a bsn program in ny, i'll be graduating next year may and im very interested in becoming a sane nurse. however, im finding it difficult to locate the city hospitals and hospitals in my home town of brookyn that currently have sane nurses. if anyone has any advice on how i can go about researching this, please feel free to post a reply or send me a message. also any experienced sane nurses feel free to send me any advice, as to how should i go about pursuing this dream. thank you and have blessed day:angel2:

    chissy
    hello and welcome to allnurses.com

    great to have you with us, chrissy.

    here are a few links for you:

    http://www.ojp.usdoj.gov/ovc/publica..._4_2001/9.html

    http://www.sane-sart.com/

    http://www.acfei.com/articles/articles_5.php

    [font='times new roman']http://www.forensicnurse.org/
    [font='times new roman']
    [font='times new roman']http://www.amrn.com/

    http://www.ama-assn.org/ama1/upload/...01/b222i01.rtf

    https://www.urmc.rochester.edu/son/pdf/iafn_newsletter1.pdf#search='sane%20programs%20in% 20new%20york'

    hope this helps you.
    [font='times new roman']
    [font='times new roman']

  • Jan 27

    This thread is to help educate those interested in becoming a Forensic Nurse as well as help define the role of the forensic nurse.

    There are programs that prepare the RN as a masters prepared forensic specialist. There are programs for the CNS forensic specialist as well as post-masters for other APRNs. And, there are programs for the LPN and paramedic.

    But, most are post RN certificate programs.

    When considering a Forensic Nursing program one should note if they adhere to standards set forth by the International Association of Forensic Nurses (IAFN) and the Federal Emergency Management Agency (FEMA). Note if they are accredited approvers by the individual Boards of Nursing and the American Nurses Credentialing Center's Commission on Accreditation. Also, Forensic Nursing post-graduate programs should be endorsed by the Commission on Collegiate Nursing Education (CCNE).

    Here are few links to help you (not all inclusive Forensic Nursing programs):

    University of California, Riverside

    Sexual Assault Examination Training: Adult/Adolescent and Sexual Assault Examination Training: Pediatrics ONLINE PROGRAMS

    The courses are designed for LVN/LPN, RN, Physician, and other licensed medical professionals. Nursing students that have completed at least one semester of clinical training may participate.
    Sexual Assault Nurse Examiners work with law enforcement and the legal system while providing objective forensic examinations to victims and suspects of reported sexual assault events. Topics in the Sexual Assault Examination Training comprehensive online program include physical assessment of patients, forensic terminology, DNA technology, forensic and differential evaluation of findings, and collection and preservation of forensic evidence, chain of custody, documentation and photography, and preparation for court testimony.

    Fitchburg State University Forensic Nursing Graduate Certificate (Online)

    This program provides an opportunity for advanced practice nurses who hold a master's degree in nursing from accredited programs to acquire specialization in forensic nursing. Forensic nursing is the application of nursing science to public or legal proceedings and the integration of the forensic aspects of health care with the bio-psycho-social education of the professional nurse. Students are prepared to deal with the prevention, scientific investigation, and treatment of victims of trauma and/or death as well as the investigation and treatment of perpetrators of abuse, violence, criminal activity and traumatic accidents. The program is offered completely online.

    International Association of Forensic Nurses

    The Commission for Forensic Nursing Certification currently offers three professional credentials: the Sexual Assault Nurse Examiner-Adult/Adolescent, the Sexual Assault Nurse Examiner-Pediatric, and, in collaboration with the American Nurses Credentialing Center (ANCC), the portfolio in Advanced Forensic Nursing.

    American College of Forensic Examiners Institute Certified Forensic Nurse (CFN)

    Hold a current, full, and unrestricted license as a registered nurse (RN) in the United States (or its territories)

    Have practiced for a minimum of three (3) years as a RN in the United States Documentation of clinicial experience (a clinical experience validation form) signed by an appropriate clinical authority, such as a mentor, employer, or nursing supervisor.

    SANE-SART Resource Service - Sexual Sssault Nurse Examiner (SANE) - Sexual Assault Response Team (SART)

    SANE-A/SAFE/SAMFE Preparation and Refresher, and Webinars. This interactive, engaging course places you into real-world simulations that challenge you to assess a wide variety of scenarios involved in performing sexual assault medical-forensic exams, investigating and prosecuting sexual assault cases or advocating for the victim. You will be challenged to identify problems and take appropriate action to achieve solutions and positive outcomes. The simulations are complemented by webinars hosted by subject matter experts who provide an expanded discussion of the course material.

    Johns Hopkins Post Bachelor's Forensic Program

    Registered nurses (RNs) with bachelor's degrees can now pursue an online post-baccalaureate certificate in forensic nursing at the Johns Hopkins University School of Nursing (JHUSON). Pending approval from the Middle States Commission on Higher Education, the online option replaces the former post master's Certificate in Advanced Forensic Nursing (CAFN) option. The program prepares registered nurses to serve individuals in need of comprehensive forensic nursing assessments and care following intentional injury, non-intentional injury, and disasters.

    University of Illinois at Chicago Advanced Practice Forensic Nurse

    This certificate is our answer to the Institute of Medicine's (IOM) 2002 Report, Confronting Chronic Neglect: The Education & Training of Health Professionals on Family Violence. The Forensic Nursing Certificate program is comprised of three courses plus a supervised practicum. The courses are online and are designed for learners to achieve the Academy of Violence & Abuse Core Competencies.

    Duquesne University Forensic Nursing Certificate for Advanced Practice (Summer start only)

    The forensic nursing program prepares nurses at the advanced practice level in many areas of forensics. At the advanced practice level, nurses impact social policy, health care initiatives, education, research and practice.

    Monmouth University Forensic Nursing Graduate Certificate

    Monmouth University's forensic nursing program includes the study of interpersonal violence, forensic evidence, nursing ethics and legal issues. The program prepares graduates to work in a variety of areas including child/elder abuse assessment and evaluation; domestic violence intervention; sexual assault examination; mass disaster response and death investigation.

    American Nurses Credentialing Center - Advanced Forensic Nursing-Board Certified (AFN-BC)

    Credential Awarded: AFN-BC (Certification through Portfolio)

    Certification through portfolio is a new assessment methodology to achieve ANCC board certification. No exam is required. Eligible applicants submit an online portfolio of evidence to document their specialized knowledge, skills, understanding, and application of professional nursing practice and theory. Portfolios must articulate performance in four domains of practice: Professional Development, Professional and Ethical Nursing Practice, Teamwork and Collaboration, and Quality and Safety, as described in the Portfolio Content Outline [pdf] and Eligibility Criteria for this specialty certification.

    St. Louis University Medicolegal Death Investigator

    This course is designed for medicolegal death investigators, coroners, law enforcement officers, physicians, nurses, emergency medical personnel, attorneys, forensic scientists and others who are involved in the investigation of violent suspicious and unexpected deaths. This five (5) day program teaches individuals how to conduct scientific, systematic and thorough death scene and telephone investigations for Medical Examiner and Coroner offices.

    Pennsylvania State University Online Undergraduate Certificate in Nursing Forensics

    Who Should Apply?

    Penn State College of Nursing's online nursing forensics certificate program could be right for you if you have a valid RN license and you wish to enhance your professional credentials. The courses can show you how to help your patients by providing a bridge between the health care system and the criminal justice system. The 12-credit Certificate in Nursing Forensics can help you gain foundational knowledge in forensic nursing.

  • Jan 27

    The world of Forensic Nursing is still in its infancy. Wide-open opportunities are everywhere. I think you can find something in just about any city and it doesn't have to be a major city either. Forensic Nurses, in my opinion, play an integral role between law enforcement and medicine. This career utilizes all areas of nursing from being the support person for the newborn throughout the lifespan until death. Nurses who have a love for the Law, are experienced in many areas of nursing should consider this type of career. We are desperately needed to support and protect those who are unable to defend themselves. Most Boards of Nursing recognize this specialty and include education, continuing education, and certification/re-certification requirements.

    Forensic Nurses can be RNs, LPNs, and Paramedics. Most, however, are graduates of Post-Masters certificate programs.

    The individual (victim) who has suffered from intentional or even non-intentional situations can benefit from the Forensic Nurse who is trained to handle almost any situation.

    Roles of the Forensic Nurse

    • Crime Scene visits
    • Evidence collection
    • Photographic injuries
    • Automobile and/or pedestrian accidents/collisions

    The Forensic Nurse can also enter into the following fields (not all inclusive):
    • Nurse Coroner
    • Forensic Photographer
    • Medical Examiner Nurse Investigator
    • Death Scene Investigator

    The most common Forensic Nurse is the Sexual Assault Nurse Examiner (SANE). The nurse cares for the victim of a sexual assault, documents for possible criminal cases, collects forensic evidence, and may be called to testify at trial. One thing to remember is that the Forensic Nurse is a "support" person, not an advocate for the victim.

    A very intriguing career, Forensic Nurses must study and understand legal issues as well. Many Legal Nurse Consultants (LNC) cross-train as Forensic Nurses, too.

    Focus of study to become a Forensic Nurse (not all inclusive):
    • Perpetrator theory
    • Victimology
    • Criminology
    • Forensic Law
    • Preservation of evidence
    • DNA lab interpretation
    • Elder/Child Abuse

    Salaries

    It is difficult to discuss salary compensation as a Forensic Nurse. Nurses in larger and major cities are compensated at a higher rate by private individuals and seem to make a substantial living as a Forensic Nurse. The website indeed.com stated that US sexual assault nurse examiners earned an average salary of $55,000 while salaries for forensic nurse examiners at $60,000 (information as of December 2013).

    UPDATE 5-13-16: The Bureau of Labor Statistics has projected a 26% growth rate for jobs in nursing, with forensic nursing being the fastest growing sub-specialty from 2010 to 2020.

    Average Salaries Across the Country - Forensics Nursing Salary + Careers Outlook


    One thing that I found very interesting is a quote from Joseph Biden, 47th Vice President of the United Sates. He recognized the importance of this all-important Nursing Career.

    "Forensic Nurses play an integral role in bridging the gap between law and medicine. They should be in each and every emergency room"

    Joseph Biden, Vice President, United States from Forensic Nursing: a Handbook for Practice

    Future Articles will include Educative Entities.

  • Jan 25

    Smart, donster.

    You will receive the same student rates for your 1st year after graduation, too, with NSO.

  • Jan 25

    This question comes up frequently and is asked of me quite often, "should I carry malpractice insurance?"

    "What is malpractice?"

    Simply put, it is a failure to adhere to a standard of care or conduct by a professional such as a Physician, Nurse, Attorney, etc. Malpractice occurs when it can be proven that the professional had a duty to provide a standard of care/conduct, breached that duty, an injury or damage resulted, and the injury/damage was caused by the breach.

    No matter how educated, confident, and careful the Nurse is, unintentional mistakes can and will happen. Accidents will occur. And, unfortunately, willful neglect can be an issue. Injury and death very often are the results of mistakes, accidents and neglect. Families want to know what happened. Even in the best scenario, the Nurse feels embarrassed and ultimately fears what the damage could do to a perfect professional reputation. Nurses must have the option of protecting their professional reputations and personal assets. Having individual liability insurance is a smart solution.

    Nurses will often make the following statement,

    “My employer covers me so I don’t need my own malpractice/liability policy”.
    Yes, your employer's policy may cover you, but only up to a point. Remember: Your employer's policy is created to fit their specific needs and protects them first. You may even be told (by your employer HR) that you do not need your own policy. What they do not tell you is that they want you to be represented by their attorneys. They do not want "outside" representation for they know that their best interests will not be first and foremost.

    All malpractice insurance policies have limits of liability. If you are only covered by your employer's insurance, 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 expenses for you.

    “What type of policy and how much coverage do I need as a Nurse?”

    These are questions that are very important when considering a policy.

    There are two popular types of policies that are purchased:
    • Occurrence-based – any covered incident occurring while the policy is in effect even if the policy is now cancelled and/or you have retired
    • Claims-made – any covered incident only while the policy is in effect

    The cost of a policy is economical and reasonable. For example, the annual premium could cover the first hour billed by Attorney. $1,000,000/$6,000,000 coverage premiums are approximately $100/year in most states for the Registered Nurse (RN) as well as for the Licensed Practical/Vocational Nurse (LPN/LVN).

    The following links are sites of interest:
    1. allnurses Medical Malpractice Program (aMMP)
    2. American Nurses Association
    3. Nurses Service Organization

    One major benefit of an individual policy that is often overlooked or taken for granted when considering coverage is license protection. Nurses need to be aware that this will extend beyond their employer’s coverage and includes discipline issues that can be brought up by the individual Nurse’s Board of Nursing (BON). Many Nurses do not have the financial ability to go against the BON therefore license protection is a must.

    Another all-important beneficial consideration is that policies normally will include coverage regarding libel, slander and patient confidentiality, including HIPAA issues. These issues can be troublesome and include great cost for the Nurse.

    Finally, a common statement that is incorrect and based in myth is,
    “Malpractice insurance will make me a target and I’ll be named in a lawsuit.”
    When being named in a lawsuit, no one knows you have your own personal policy unless you have revealed this information. Only after a lawsuit is filed and only during the period of the discovery phase is this information available.

    So, do you carry your own individual malpractice/liability insurance? In the end, the question of whether or not the Nurse should carry malpractice/liability insurance is a personal one and should be seriously considered.

    The peace of mind knowing that you are covered is overwhelming.

    The peace of overwhelming reassurance.

    More info on allnurses Medical Malpractice Insurance Program (aMMP)

  • Jan 15

    I am of a different opinion.

    I think a mandatory DNP will be a good idea. Yes, right now there are no real incentives such as higher salary and/or other things like traumaRUs pointed out.

    Many NPs in the beginning, such as OB-GYN NP, practiced after receiving only on-the-job training/preparation, usually a 4-year preceptorship, and sitting for a National certification. They received licensure from their individual states as licensed NPs.

    Then, MSN became mandatory to practice. One of the reasons for the shift to MSN was because 3rd party reimbursement started requiring MSN as the minimum to practice.

    I can foresee similar requirements in the future.

    NPs now who do not have an MSN can still practice in their state only (not disenfranchised), but should they relocate to another state, they would have to be minimum MSN-prepared in order to practice.

    In saying all of this, I would definitely like to see the DNP improved. Less "fluff" and more clinical preparation (like the old on-the-job trained Nps of the past). A true clinical doctorate.


close