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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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)

Either that is a very mis-informed or very dishonest risk manager.

The hospital could have reason to discourage nurses from having their own insurance. If you're footing the bill for your own lawyers, it's less likely that you'll make your own case, which could contradict the hospital position.

: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.

Bingo.

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.

Yes, I am a nurse, and have been one for over 25 years.

I have made medication errors, however, have never personally witnessed a medication error so great that a person dies.

(It was very worrisome to me when it was reported that hundreds of thousands die yearly from medication errors, since I have lived and worked in 3 large metro cities and never witnessed anything like those reported medication errors. Hospitals/SNFs/Clinics/Home Health/Private Duty..Never saw a life changing medication error.)

In the scenario with Nurse A (initially re insurance), a patient died.

Wasn't just a med error. It was a MED ERROR.

No, I don't want Nurse A taking care of my family.

Specializes in Utilization Management.
Yes, I am a nurse, and have been one for over 25 years.

I have made medication errors, however, have never personally witnessed a medication error so great that a person dies.

(It was very worrisome to me when it was reported that hundreds of thousands die yearly from medication errors, since I have lived and worked in 3 large metro cities and never witnessed anything like those reported medication errors. Hospitals/SNFs/Clinics/Home Health/Private Duty..Never saw a life changing medication error.)

In the scenario with Nurse A (initially re insurance), a patient died.

Wasn't just a med error. It was a MED ERROR.

No, I don't want Nurse A taking care of my family.

Fine. Be that as it may, some families have actually had Nurse A and have had family members die.

So can anyone answer my original question?

Here's a link to a case from the NSO archives to illustrate:

http://www.nso.com/case/cases_area_index.php?id=62&area=Hospital

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?

Hospital lawyers do not represent anyone

Insurance carrier have their own attorneys

(this is a huge misconception by nurses-and a very significant one)

Nurse A represents herself before the Board, or she hires an attorney

Specializes in Education, FP, LNC, Forensics, ED, OB.
So can anyone answer my original question?

I answered this a couple pages back, AngieO.

Don't wait to get . Even if you are a nursing student. That way if anything goes down during your time in a hospital setting you are covered.

Doris

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

It could be any one of us. We should all be afraid, very afraid.

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

I understand what you're saying.

Hospitals are sued practically daily, especially in poor outcomes such as decubs, IV infiltrations, etc. Most of the time these things are traced to a human being somewhere within their hospital, not always nurses. They don't always fire the nurse. They defend their interests, which often means defending their employee's actions, their employee's training, etc. They realize that stuff is going to happen. IVs are going to infiltrate, people are going to get bedsores and infections. They understand it's the cost of doing business and try their best to find ways to stop. But they don't always hang their staff out to dry. As many times as they are sued, it's not practical to do this.

However, if I make a mistake that is negligent, or as Siri said I caused harm by not following hospital protocol, you can best believe I'm going to get a lawyer of my own.

I have also seen our hospital defend itself against process errors that involved staff, including a death by restraints where the nurse, the house supervisor, management among others were personally sued. No one was fired or left hanging. All were defended by the hospital. Another case it was felt by the family a patient was oversedated by a nurse. Same outcome, the hospital defended itself and thus the employee in the process. The employee never needed a lawyer of their own.

Not to say it doesn't happen. As someone said, spending $100 makes people sleep better at night.

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