RiskManager

Healthcare risk management and liability

Member

All Content by RiskManager

  1. RiskManager

    Question about who is responsible for an incident report

    Well, as the risk manager, I do answer these questions, fill out the interrogatories and get deposed on this. Because there are so many exceptions; specific state statutory and case law unique to...
  2. RiskManager

    Need an emotional support dog

    The comments above that an emotional support animal is not a service animal under Federal law are spot on. The Feds have said only dogs and miniature horses qualify as service animals that must be...
  3. RiskManager

    Question about who is responsible for an incident report

    As the person who reads and acts upon the incident reports, I agree with all the comments above regarding doing the incident report and noting that the event was reported to, but not seen, by the...
  4. RiskManager

    Defibrillators that charged to 400 J

    I like to say that my right arm is an inch longer than the left from hauling the 37 pounds of lead-acid battery goodness that was the PC Lifepak 6 on and off the Medic One rig to the patient. It...
  5. The above scenario by PSO812 is not unusual. Your liability insurance from CNA or Liberty Mutual has an 'other insurance' clause and the hospital's insurance also usually has an 'other insurance'...
  6. RiskManager

    accidental violation?

    Speaking as the person who orders the access audits from IT, the typical access audit shows things like: the ID of the person who opened the chart, the date and time of access, what parts of the...
  7. RiskManager

    How detailed should my resignation letter be?

    I endorse what WinterLilac said about trying to leave a positive impression. I have always counseled people to be nice to the people you meet on your way up, since you may meet them again on your way...
  8. RiskManager

    Nurse charting for clinic

    The RiskManager would also like to see something about the patient being notified of the lab result in addition to what PSU 213 noted above. Something like: Patient called at 1547 hours on 6/14/15...
  9. RiskManager

    How detailed should my resignation letter be?

    Dear Manager: This letter is to inform you that I am resigning my position at St. Elsewhere hospital. My last day of work will be xxx date. I have appreciated my time at St. Elsewhere. A...
  10. RiskManager

    Navy Hospital Corpsman to Nurse (Officer)

    Of note, I have known several E-7 and E-8 Corpsmen who did the Independent Duty Corpsman training and experience, and after retirement, went through the IDC to PA completion training at a civilian...
  11. RiskManager

    Unauthorized dea number use

    In addition to the DEA, I would also contact your state's NP licensing agency and the state Board of Pharmacy lest a sudden spike in controlled substances scripts in your name trigger flashing lights...
  12. RiskManager

    Patients hitting on nurses

    On occasion, the staff calls me in to talk to a patient about this. I explain the concept of professional boundaries and point out that in my state, having a personal relationship with a patient...
  13. RiskManager

    Observed an Unconsented surgery performed

    Speaking as the person who handles these types of claims, there is very little chance indeed that the nursing staff would be involved in this case and it would have no impact on your career. It would...
  14. RiskManager

    Observed an Unconsented surgery performed

    Rose Queen has said pretty much what I would have said, and the consent forms I write have language permitting that other procedures can be done as necessary in the clinical judgment of the surgeon....
  15. RiskManager

    Legal issues and other topics in private duty nursing

    Some potential resources for more information: 1. Contact the state nursing association. Many state associations publish material on the state laws/regulations on nursing practice. 2. Contact the...
  16. RiskManager

    Getting Paid

    Were I in your shoes, I would come up with a standard fee agreement/contract. This discusses such things as the status as an independent contractor, scope of work, confidentiality, ownership of...
  17. I see from the article that at autopsy, meconium was found in the infant's stomach and airway. Of note, one of my areas of specialty in malpractice claims management is OB cases. I have done a few...
  18. Generally speaking, when a medical examiner or a coroner does an inquest in a death, they can choose one of several options to describe the cause of death: natural, accidental, homicide, suspicious,...
  19. RiskManager

    Who has liability insurance?

    Be sure to first educate yourself on the 'other insurance' clause in the typical nursing liability policy and the implications for covering you in the event of a
  20. RiskManager

    Getting Paid

    In the absence of a written contract, or a verbal agreement that was witnessed by someone else, you are up the creek without a paddle in terms of your ability to sue and recover your fee, unless...
  21. RiskManager

    nurse midwife assistant?

    Are you referring to working as a
  22. RiskManager

    Student nurses and deposition

    Yes, but it would be unlikely, unless you participated in the care of someone who sustained a poor outcome, or it was some other non-clinical civil matter, like employment practices or workers'...
  23. RiskManager

    Narcan prescriptions in NH

    StopOverdose.org - Opioid Overdose Prevention We now have this in Washington state, and it is the bees' knees in terms of reducing opioid overdose deaths. We stock it on our crash carts, local...
  24. RiskManager

    I got subpoenaed

    I can think of three possible explanations: 1. You are working for the agency as an independent contractor, not an employee. If so, the agency's professional liability insurance would not cover an...
  25. RiskManager

    I got subpoenaed

    I have done risk management and claims for several home health agencies who assign staff employees to do private duty nursing. The agencies carry malpractice insurance that cover the employees for...