00:01
Let's talk about
avoiding liability.
00:05
Just like we want to avoid crises,
we always also want to avoid liability.
00:11
When you do something,
you document it.
00:15
If you have not done something,
you don't document it.
00:19
But if you have done something and
you don't document it, guess what?
You haven't done it.
00:27
So, in order to avoid liability,
your number one friend is document,
your number two
friend is document,
and your number
three friend is...
00:40
You guessed it.
00:41
Document.
00:44
Also, you want to make sure that
you are communicating effectively.
00:48
What does that mean?
That means that you
want to make sure
that what you're hearing is
what the person is saying.
00:55
And when you respond, what you are
saying is what the person is hearing.
01:01
How do you do that?
You ask if the person says to you, "I,
I don't want to have this procedure."
You're allowed to say to them,
"What I'm hearing you say is that you
don't want to have this procedure.
01:15
Am I correct?"
And let them say,
"Yes, you are correct."
And you can say, "Can I ask you why
you don't want to have this procedure?"
And that effective communication might
actually begin a therapeutic engagement.
01:33
And then you document,
document what the patient says,
why they don't want it,
why they are refusing treatment,
and that the conversation
has taken place.
01:45
You need to know what
the standard of care is.
01:48
If you are ever brought
into the court system,
they are going to compare
your care to standard of care.
01:59
What would a nurse who has the same
education as you do in this situation?
What is the standard of
care that is acceptable?
And you must meet or exceed
that standard of care.
02:19
And one of the most important
things is that we know our patients,
we know the clients
that we're working with,
and we are able to talk to them.
02:30
When you are involved in providing
care to another human being,
you are legally allowed to do
those things that are identified
as being part of your
scope of nursing practice.
02:50
As an RN, your scope of practice
is different than an LPN.
02:55
As an LPN and an RN, your scope of
practice are different from an NP.
03:02
And so you must know what
your scope of practice is.
03:06
You also have to be a good
judge of your own competence.
03:10
Can I do this?
And can I do this well enough?
Am I making sure that my
patient is safe in my hands?
If you don't know
how to do something,
you've got to be able to turn
around and ask your supervisor.
03:27
Get someone to teach you how to do
whatever it is that you must be doing.
03:33
Because your competence
and your scope of practice
are what you are held to,
that is what you need to be practicing at.