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Wound Documentation

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: 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 ...

Legal Perils and Pitfalls of Wound Care: Risk Factors for Unavoidable Ulcers

April 9, 2019
by Heidi H. Cross, MSN, RN, FNP-BC, CWON According to the Agency for Healthcare Research and Quality, more than 17,000 lawsuits related to pressure ulcers (PUs) are filed annually in the United Sta...

Legal Perils and Pitfalls of Wound Care: Top 10 Wound Assessment Documentation Errors and Omissions

October 12, 2023
Inconsistencies, omission of necessary elements of wound documentation, as well as misunderstandings of proper wound terminology and concepts can potentially leave glaring inaccuracies and omissions i...

Literature Review: The Use of Smartphones in Wound Healing

October 30, 2019
By Temple University School of Podiatric Medicine Journal Review Club The advancement of technology and the introduction of the World Wide Web have allowed information to be a click of a button awa...

Medical Documentation and Communication Pitfalls Can Set the Stage for Litigation

January 23, 2015
By Mary Ellen Posthauer RDN, CD, LD, FAND As Dr. Aletha Tippett noted in her December blog, following wound documentation standards can help clinicians avoid legal issues. Pressure ulcer litigation...

Multidisciplinary Care: How Vital Is Communication

April 28, 2023
Dr. Scott Bolhack, MD, MBA, CMD, CWS, FACP, FAAP, discusses the importance of communication across care settings. Through the "Wound Provider Checklist" he presented at SAWC Spring 2023, Dr. Bolhack h...

My Nightmare Easter Weekend of 2003: The Importance of Documenting Patient History

May 28, 2014
By Janis E. Harrison, RN, BSN, CWOCN, CFCN My husband Daryl had gone in to a same-day surgery center for incisional hernia repair and possible "tummy tuck" after losing 85 pounds. We had searched f...
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