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 Operating Room.

Funny, but I had orientation this week and earlier this week someone had posted that their risk management person advised against . Guess what, so did the woman who talked to us!!:angryfire We have several new grads so I feel that what she said was damaging. She gave us the old line that we were more likely to be sued if we had our own insurance, that the hospital would never hang us out to dry..blah blah blah...When we went to lunch, I made sure to correct the erroneous info she gave out. I'm such a troublemaker!!:lol2: I also gave out the number for NSO.(that's what I have)

that the hospital would never hang us out to dry..blah blah blah...

Ha! My ----- tushy.

Its a myth to think that if you dont have malpractice insurance, you wont be sued. You can be sued anyway, whether you have insurance or not, and then lose your house & assests if you have any, or a good portion of any future earnings paying off what the inexpensive insurance would have covered for you. As the article points out:

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 the lawyer doesn't sue everyone connected - whether they have insurance or not, the client may then sue the lawyer for legal malpractice.

Faced with that option, the lawyer is going to go after everyone involved, insurance or not.

A big problem with our tort system is that plaintiffs have a free shot at suing everyone, and pay no penalty when they are wrong. Just as a nurse will end up paying the legal fees of the injured party if he is found liable for an injury, the plaintiff should always pay the nurse's legal fees if the verdict is in favor of the nurse.

I had to give a deposition in a suit that I was not named in, but did care for the pt at one point. One of the 1st things my facility's lawyers asked was, "Who has their own liability insurance?"

The lawyer said that if the plaintiff lawyer asks, we have to tell them if we do, or do not have insurance. He said he hoped they would not ask. I did have insurance, and they did not ask me, but they did ask everyone else during their deposition.

I have a fear that if you have insurance, they will scrutinize your charting, and do whatever they can to find something they can twist to make you look guilty to a jury- the millions your insurance promises, would be all they might go after.

Of course, I know all the reasons it makes since to have insurance, and I have already planned to purchase it again, but is their some truth to the above?

You are no more (or less) likely to get sued whether or not you have your own policy (which every practicing nurse needs to have!) Your charting will get no more scrutiny than anybody else's; if you were directly involved in the incident (if there is one - they might just allege negligent care against everyone, but will have to prove it), they will go after you - and if you don't have your own insurance, that means your house* and other assets. Also, how will you pay for your own attorney without insurance? Your company's legal plan (if you have one) will not cover you in a case involving your employer (i.e., codefendent); and don't rely on your employer's lawyers! There is a clear conflict of interest (you are "the enemy" if you might cause your employer to have to pay big $$$ So why would they defend you?!).

So why would they ask in a deposition who has their own insurance? Probably just so they can notify your carrier and include them in the lawsuit (however, you should have already notified them anyway!!)

Also, at the time that the lawsuit is filed, the plaintiff's lawyer typically does not know who has insurance; everyone will be included regardless. Of course, the deep pocket (i.e., the hospital or employer) is what they are really after; but this does not mean that anyone else possibly involved will be overlooked.

So get your insurance, and always chart as if you could get sued! This will be your best protection. BTW, even if your employers carries insurance for their RNs, don't think they will be looking out for you - oh, no, if it comes down to it you will be sacrificed (i.e., named the scapegoat). Why risk it? A policy is no more than about $100-130 per year for most nurses and (IMO) an absolute necessity.

HTH.

DeLana :)

*Some states exempt your primary residence, however.

Funny, but I had orientation this week and earlier this week someone had posted that their risk management person advised against malpractice insurance. Guess what, so did the woman who talked to us!!:angryfire We have several new grads so I feel that what she said was damaging. She gave us the old line that we were more likely to be sued if we had our own insurance, that the hospital would never hang us out to dry..blah blah blah...When we went to lunch, I made sure to correct the erroneous info she gave out. I'm such a troublemaker!!:lol2: I also gave out the number for NSO.(that's what I have)

I can't believe this misinformations is still being told - it's criminal! New grads may not know any better (no excuses for seasoned nurses, though ;))

I remember the evil head nurse in my first job (no exaggeration) told me something similar - and that she had no insurance of her own. All I can say - if what goes around truly comes around, she will lose everything she has (which wouldn't break my heart - sorry, but you would not believe what she did to me).

DeLana

Gotta say it....I dont recommend insurance.

Having worked for med/mal/negligence attorneys, I found out very quickly that there are many great misconceptions, and these misconceptions are what keep insurance co and lawyers wealthy.

Do some research.

Things are not as they appear.

All I can say - if what goes around truly comes around, she will lose everything she has (which wouldn't break my heart - sorry, but you would not believe what she did to me).

Oh, yeah, I would.

:)

Gotta say it....I dont recommend insurance.

Having worked for med/mal/negligence attorneys, I found out very quickly that there are many great misconceptions, and these misconceptions are what keep insurance co and lawyers wealthy.

Do some research.

Things are not as they appear.

Can you be more specific? Why should we not get insurance?

All my research revealed the need to have our own insurance.

DeLana

Interesting thread.

I also researched this years ago and received a reply from a Chicago paralegal who's worked both sides of the fence (defending hospitals and staff vs working for malpractice attorneys). With over 25 years of experience, he made some good points regarding . Mentioned, in his own practice, hospital insurance did indeed cover virtually all the defendants, in fact, couldn't recall a specific example where it did not. He also said he did not know of any cases where an attorney specifically targeted those with liability policies but admitted this was entirely possible.

Went on to illustrate a possible example where in a conflict of interest, you would be at a distinct disadvantage as the hospital's attorneys might bias their services to the protection of the hospital over you. Of course a personal liability policy would be of benefit, and the relatively low cost of the premium makes it easily available.

One point I specifically remember was how important it was to maintain your policy EVEN IF YOU LEAVE NURSING for at least 3 years. Doing so would take you beyond the statute of limitations for malpractice lawsuits just in case you're sued after you quit nursing. Policies won't cover you if you no longer have an active policy regardless of when the incident actually occurred. Scary.

My two cents . . .get a policy through NSO for $100, or so and sleep peacefully at night.

Phil

Can you be more specific? Why should we not get insurance?

All my research revealed the need to have our own insurance.

DeLana

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 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.

Specializes in ER, Outpatient PACU and School Nursing.

Interesting topic that we actually discussed yesterday morning coming on shift with the night nurses. all of them agreed about no . They said they same thing as you. I was surprised since all of them have been there 15 years plus. I have been there 8 years and wondering if I should pick it up with all of the staffing issues that we are having in the er, etc..

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
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.

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.

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