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Legal Issues

Legal Perils and Pitfalls of Wound Care – Is That Ulcer Unavoidable or Not?

January 31, 2019
by Heidi H. Cross, MSN, RN, FNP-BC, CWON "If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed sore, it is generally the fault not...

Legal Perils and Pitfalls of Wound Care – Is Your Policy Up to Snuff?

June 28, 2022
I have been there, done that. Sitting in the fact witness chair in front of a plaintiff attorney who is wildly waving a copy of my facility’s wound care policy and procedure, demanding to know why cer...

Legal Perils and Pitfalls of Wound Care – Wound Care From a “30,000-Foot” View

April 1, 2021
By Heidi Cross, MSN, RN, FNP-BC, CWON Since the advent of coronavirus disease 2019 (COVID-19), I haven’t done much flying, but I love travel and I love flying. One of my favorite experiences is a w...

Legal Perils and Pitfalls of Wound Care, Part 3: Turning and Positioning

November 29, 2018
by Heidi H. Cross, MSN, RN, FNP-BC, CWON Failure to T&P (turn and position) is always part and parcel of a pressure ulcer lawsuit and a key element of a complaint related to pressure ulcers, as ill...

Legal Perils and Pitfalls of Wound Care, Part 4: Risk Assessments

January 2, 2019
by Heidi H. Cross, MSN, RN, FNP-BC, CWON When looking at medical charts from a legal perspective, one of the areas closely scrutinized is the risk assessment for skin breakdown and pressure ulcer d...

Legal Perils and Pitfalls of Wound Care: Adjusting Expectations

January 23, 2020
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 T...

Legal Perils and Pitfalls of Wound Care: Nutrition Assessment, Support, and Documentation Part 4

January 12, 2022
The following is a wrap up of the 2019 pressure injury guidelines of the National Pressure Injury Advisory Panel (NPIAP)1 related to nutrition, of which there are 15. For guidelines #1 to #10, see my ...

Legal Perils and Pitfalls of Wound Care: Nutrition Assessment, Support, and Documentation, Part 1

August 5, 2020
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 w...

Legal Perils and Pitfalls of Wound Care: Nutrition Assessment, Support, and Documentation, Part 2

August 20, 2020
In the previous blog, I briefly went through the standards of care when it comes to nutrition and pressure injury (PI) prevention and development and discussed what a large role nutrition plays in PI ...
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