Legal Issues

Heidi Cross's picture
Nutrition Management

By Heidi Cross, MSN, RN, FNP-BC, CWON

"Defendants failed to provide adequate nutrition to prevent plaintiff from suffering severe malnutrition and weight loss. This allowed the development of a severe pressure ulcer, numerous infections, and dehydration and malnutrition. Had defendants provided proper care, the pressure ulcer, infections, and malnutrition and dehydration would not have occurred."

Blog Category: 
Heidi Cross's picture

By Heidi Cross, MSN, RN, FNP-BC, CWON

Pressure injury risk and development are multifactorial, individualized processes. Each patient presents with a unique set of circumstances and needs. In looking at charts for attorneys to determine whether standards of care related to pressure injuries have been met, key elements include turning and positioning measures, support surfaces, mobility, proper and timely assessment of risk factors and wounds, physician communication and notifications, communication with family, proper wound treatments, and nutrition assessment and measures.

Blog Category: 
Heidi Cross's picture
End of life wounds

By Heidi Cross, MSN, RN, FNP-BC, CWON

"It was the best of times, it was the worst of times." – Charles Dicken

When Charles Dickens wrote this introduction to his Victorian-era novel, A Tale of Two Cities, his novel was aimed at the brewing French Revolution, but he could have been writing about the best and worst of modern American health care. His novels depicted how life could be pretty miserable during those times, with no social safety net and no real medical care. Fortunately, times have changed, and we have improved social supports as well as, some would argue, the best health care system in the world (although, sadly, not all people in the United States enjoy access to our great health care system, but I digress).

Blog Category: 
Cheryl Carver's picture
Keywords: 
off label drug prescription

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

Providers may view off label drug use (OLDU) for wounds as the "new wave". However, if there is little or no scientific evidence supporting the practice, it can possibly lead to more problems than good. Keep in mind that not every health care setting embraces off label drug use. For example, state surveyors view OLDU differently in long-term care versus home care. Providers should avoid any risk of being involved in a pressure injury investigation. OLDU may be considered a factor in the event of such an investigation. Hospice patients are considered to be in more of a "dying with dignity" category, therefore OLDU may be considered more acceptable.

Blog Category: 
Kathi Thimsen's picture
Keywords: 

By Kathi Thimsen RN, MSN, WOCN

The responses that I have been getting from the blogs are terrific! It is wonderful to know that clinicians are interested, questioning, and wanting to know what is in products. So, now in 2012, we continue this blog with the topic of products and practice.

Blog Category: 
Karen Zulkowski's picture
Keywords: 

By Karen Zulkowski DNS, RN, CWS

Part 4 in a series discussing the process of litigation in patient care lawsuits

Click here for Part 1
Click here for Part 2
Click here for Part 3

Blog Category: 
Karen Zulkowski's picture
Keywords: 

By Karen Zulkowski DNS, RN, CWS

How do you act when giving a deposition? It’s not something we covered in school. As I said last month, you probably won’t remember the plaintiff (patient). You may have only taken care of the person once or twice or when they were your patient. They may have gone back and forth to ICU and different units, or between the hospital and nursing home, so you had limited contact with them.

Blog Category: 
Karen Zulkowski's picture
Keywords: 

By Karen Zulkowski DNS, RN, CWS

Being involved in a lawsuit is never fun. However, if your facility is sued because a patient developed a pressure ulcer, you may have to testify. Pressure ulcers are the second most common reason for medical lawsuits. The facility and physicians are usually the ones targeted for monetary damages, but everyone that has taken care of the patient, the family that brought the lawsuit, and experts hired by both sides will have to be deposed.

Blog Category: