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Legal Aspects of Nursing

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Advance Directives: Guidelines for Healthcare Providers

Product code: M118        

Overview:

Approaches the subject from the point of view of healthcare staff, and offers suggestions for communications with patients. Presents an overview of advance directives, the types, legal implications and patient considerations.

Award Winner: National Council on Family Relations Media Awards

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Advance Directives: The Decision Is Yours Hospice Version

Product code: M119        Reviewed for accuracy: 2009

Overview:

Hospice Version

Provides patients and their families with a clear understanding of the reasons for making advance directives, and the personal values and other issues to consider when making an advance directive.

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Confidentiality: Who Needs to Know

Product code: M204S        Reviewed for accuracy: 2006

Overview:

Package includes 1 video and 20 workbooks.

Confidentiality is essential for maintaining the patient/caregiver bond of trust, protecting those cared for from potential harm, and for protecting institutions from lawsuits and loss of reputation resulting from improper disclosure. This responsibility takes on more importance as more and more confidential information is stored in computer based systems designed to share files easily.

This program describes the legal and ethical duty of all caregivers to safeguard the confidential information of the people they care for. This includes patients in acute care or home care settings, and residents in long-term care. It also explains how caregivers are affected by the Health Insurance Portability and Accountability Act (HIPAA), and demostrates effective techniques for maintaining confidentiality.

The Program:

  • Defines confidentiality

  • Explains the Health Insurance Portability and Accountability Act (HIPAA)

  • Provides examples of breaches of confidentiality

  • Demonstrates how to maintain confidentiality

  • Explains reporting laws

  • Provides confidentiality dilemmas for discussion and role playing

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Emergency Care: Legal Liability Issues

Product code: 78711        

Because of its unique patient care environment, the emergency department is ripe for medical malpractice claims against physicians, hospitals and staff. This program provides legal information using examples for actual cases to enable healthcare professionals to continue to provide high quality care to patients, while limiting their exposure to negligence lawsuits.After viewing this program, the learner will be able to:

  • . Discuss Common Law rules for providing emergency care
  • . Explain the federal statutory duty to provide emergency care
  • . Discuss Good Samaritan statutes
  • . Discuss a nurse's normal duty to defer to physicians
  • . Describe when a nurse must contradict a physician
  • . Explain procedures to take when no physician can be found
  • . Describe the burden of proof and types of claims
  • . Discuss emergency informed consent and documentation

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    HIPAA for Healthcare Workers: An Overview

    Product code: M224SA    Copyright © 2008
        

    The Health Insurance Portability and Accountability Act (HIPAA)of 1996 was the beginning step of a complex but important reform of the American healthcare system, and has led to a number of practice changes in health care. This three-part series "HIPAA for Nurses" provides an overview of HIPAA regulations from a nursing perspective for continuing nursing education.The series provides 1.5 hours of continuing nursing education credit.

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    HIPAA for Healthcare Workers: The Privacy Rule

    Product code: M224SB    Copyright © 2008
        

    The Health Insurance Portability and Accountability Act (HIPAA)of 1996 was the beginning step of a complex but important reform of the American healthcare system, and has led to a number of practice changes in health care. This three-part series "HIPAA for Nurses" provides an overview of HIPAA regulations from a nursing perspective for continuing nursing education.The series provides 1.5 hours of continuing nursing education credit.

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    HIPAA for Healthcare Workers: The Security Rule

    Product code: M224SC    Copyright © 2008
        

    The Health Insurance Portability and Accountability Act (HIPAA)of 1996 was the beginning step of a complex but important reform of the American healthcare system, and has led to a number of practice changes in health care. This three-part series "HIPAA for Nurses" provides an overview of HIPAA regulations from a nursing perspective for continuing nursing education.The series provides 1.5 hours of continuing nursing education credit.

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    Informed Consent: Legal Liability Issues

    Product code: 78710        

    Informed consent is often the basis for negligence claims, and physicians are not the only healthcare professionals who can be held liable for negligence is this area. This program will explain, in general, when and how the duty to ensure that a patient has properly consented to a procedure, can fall on a nurse or other healthcare provider.After viewing this program the learner will be able to:

    • . Define informed consent
    • . Describe who must obtain informed consent
    • . Explain who can be held liable
    • . Cover areas where informed consent is most needed
    • . Describe exceptions to the need for informed consent
    • . Describe the types of claims that can be brought
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      Informed Consent: Basic Principles for Staff Education DVD

      Product code: 78765        

      The Informed Consent Video will educate your staff about the basic regulatory requirements related to providing adequate information to individuals for whom healthcare treatment or procedures are planned. This information should allow those individuals, as patients, to fully and knowledgeably participate in choices about their healthcare. This video and workbook includes: . Educate your healthcare organization about the fundamental right of patients to make informed desisions about consenting to healthcare treatment and procedures . Outline the fundamental data elements required to provide the patient with enough information to consent to, or refuse, a treatment or procedure . Educate staff about their responsibilities as healthcare providers on what key issues the patient must be told about his or her planned procedure and what type of information a nurse or other clinical care provider generally imparts to the patient . Educate staff about general informed consent related to operative and other procedures . Educate staff about general informed consent elements related to the transfusion of blood and blood components . Educate staff about general informed consent elements related to research projects and clinical trials

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      Legal and Ethical Nursing Issues: Foundations

      Product code: A2209        

      Overview:

      As nurses assume a more assertive role in the provision of healthcare, knowledge of medicolegal issues becomes increasingly important. This program reviews sources for legal and ethical guidance and outlines legal-ethical nursing.

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      Medical Errors, Part 1: New Approaches to an Old Problem

      Product code: M206TA    Copyright © 2008
          

      Series Overview: In 2000 the Institute of Medicine's landmark report, To Err is Human estimated that one of every 20 Americans who check into a hospital will be the victim of a medical error, and that up to 98,000 patients will die from all types of medical errors in a single year. Since that time, professional organizations for healthcare workers and facilities, including the Joint Commission, have worked diligently to develop strategies to reduce these numbers and make patient safety a primary healthcare concern. This three-part series is designed to provide healthcare workers with background information on the extent of the problem of medical errors, and describe specific strategies and practices aimed at reducing medical errors. The three programs in this series are: Medical Errors, Part 1: New Approaches to an Old Problem Medical Errors, Part 2: Prevention practices Medical Errors, Part 3: Preventing Medication Errors Overview: Medical Errors, Part 1: New Approaches to an Old Problem provides an overview of the issue of medical errors in the American healthcare system. The program identifies the different types of medical errors, and discusses the "systems approach" as a new way to dramatically reduce them. The program also discusses the process of distinguishing system errors from errors made by individuals.

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      Medical Errors, Part 2: Prevention Practices

      Product code: M206TB    Copyright © 2008
          

      Series Overview: In 2000 the Institute of Medicine's landmark report, To Err is Human estimated that one of every 20 Americans who check into a hospital will be the victim of a medical error, and that up to 98,000 patients will die from all types of medical errors in a single year. Since that time, professional organizations for healthcare workers and facilities, including the Joint Commission, have worked diligently to develop strategies to reduce these numbers and make patient safety a primary healthcare concern. This three-part series is designed to provide healthcare workers with background information on the extent of the problem of medical errors, and describe specific strategies and practices aimed at reducing medical errors. The three programs in this series are: Medical Errors, Part 1: New Approaches to an Old Problem Medical Errors, Part 2: Prevention practices Medical Errors, Part 3: Preventing Medication Errors Overview: Medical Errors, Part 2: Prevention Practices discusses a number of important changes in healthcare practice that are occurring in an effort to reduce medical errors. The program discusses the role and goals of the patient safety team, including the development of standardized safety procedures and the implementation of the National Patient Safety Goals. The program also provides an overview of the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery, and the procedures for disclosing medical errors to patients.

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      Medical Errors, Part 3: Preventing Medication Errors

      Product code: M206TC    Copyright © 2008
          

      Series Overview: In 2000 the Institute of Medicine's landmark report, To Err is Human estimated that one of every 20 Americans who check into a hospital will be the victim of a medical error, and that up to 98,000 patients will die from all types of medical errors in a single year. Since that time, professional organizations for healthcare workers and facilities, including the Joint Commission, have worked diligently to develop strategies to reduce these numbers and make patient safety a primary healthcare concern. This three-part series is designed to provide healthcare workers with background information on the extent of the problem of medical errors, and describe specific strategies and practices aimed at reducing medical errors. The three programs in this series are: Medical Errors, Part 1: New Approaches to an Old Problem Medical Errors, Part 2: Prevention practices Medical Errors, Part 3: Preventing Medication Errors Overview: Medical Errors, Part 3: Preventing Medication Errors discusses changes in how medications are handled and administered in American healthcare. The program provides an overview of the different kinds of medication errors that can occur, and offers specific guidance on how nursing staff can prevent these errors. The program also reviews the National Patient Safety Goals that directly address the prevention of medication erros.

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      Nursing Negligence: Protect Yourself, Protect Your Patients

      Product code: M215        

      Overview:

      Government reports suggest that one in every 20 hospitals patients is the victim of a medical error each year. According to the conclusions of one report written by the National Academy of Sciences, Institute of Medicine, as many as 14,000 unnecessary deaths occur annually in the United States due to medication errors and many more patients are injured or harmed due to acts of negligence.

      Alarmingly, medication errors are just one type of nursing negligence that have serious consequences for patients, for the reputations and licenses of the healthcare professionals involved, and the reputation of the entire institution of medicine. Fortunately, there are ways to prevent nursing negligence from occuring.

      (includes 1 video and 20 workbooks)

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      Nursing Negligence: What You Need to Know

      Product code: 78753RA    Copyright © 2007
          

      This series is an update of Nursing Negligence: Preventing Nursing Negligence in the 21st Century. This course has been redesigned to be easier to use by presenting information in smaller modules that still provide continuing nursing education.This series discusses the legal elements of nursing negligence. It also provides expanded information on delegation of nursing tasks to unlicensed personnel such as Certified Nursing Assistants (CNAs) - including the ANA's 5-Rs of Delegation - and describes how this can affect liability. Information is provided on the most common types of negligence, with the goal of helping nurses protect themselves, their patients and their healthcare insitution.This course is designed to raise awareness about the risks, consequences and legal liabilities of nursing negligence. Guidance is also offered to help nurses protect themselves, their patients and the facility at which they work.

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      Preventing Medication Errors Part 1: General Recommendations for System-wide Change

      Product code: M218SA    Copyright © 2009
          

      SERIES OVERVIEW: Recent studies from the Food and Drug Administration have determined that about 1.3 million people are injured every year in the United States by errors in medications that they are given in hospitals, and at least 7,000 have died. Some form of error occurs in one of every five doses given in our hospitals. This series is designed to provide nurses with the information they need to increase patient safety by effectively preventing medication errors. This series is designated for a total of 1.5 contact hours of continuing nursing education. OVERVIEW: This program reviews general recommendations for large-scale, system wide changes that can be made to prevent medication errors.

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      Preventing Medication Errors Part 2: Sources of Errors and Basic Safety Practices

      Product code: M218SB    Copyright © 2009
          

      SERIES OVERVIEW: Recent studies from the Food and Drug Administration have determined that about 1.3 million people are injured every year in the United States by errors in medications that they are given in hospitals, and at least 7,000 have died. Some form of error occurs in one of every five doses given in our hospitals. This series is designed to provide nurses with the information they need to increase patient safety by effectively preventing medication errors. This series is designated for a total of 1.5 contact hours of continuing nursing education. OVERVIEW: This program identifies common sources of medication errors. It will also describe the five “rights” of medication administration, which is the foundation for safe medication administration practices.

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      Preventing Medication Errors Part 3: What Nurses Can Do

      Product code: M218SC    Copyright © 2009
          

      SERIES OVERVIEW: Recent studies from the Food and Drug Administration have determined that about 1.3 million people are injured every year in the United States by errors in medications that they are given in hospitals, and at least 7,000 have died. Some form of error occurs in one of every five doses given in our hospitals. This series is designed to provide nurses with the information they need to increase patient safety by effectively preventing medication errors. This series is designated for a total of 1.5 contact hours of continuing nursing education. OVERVIEW: This program describes best practice recommendations from the Joint Commission that nurses can put in place in their own day-to-day activities. This includes ways to increase patient involvement and education so that they can make a difference and protect themselves from medication errors.

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      Preventing Nursing Negligence in Your Practice

      Product code: 78753RB    Copyright © 2007
          

      This series is an update of Nursing Negligence: Preventing Nursing Negligence in the 21st Century. This course has been redesigned to be easier to use by presenting information in smaller modules that still provide continuing nursing education.This series discusses the legal elements of nursing negligence. It also provides expanded information on delegation of nursing tasks to unlicensed personnel such as Certified Nursing Assistants (CNAs) - including the ANA's 5-Rs of Delegation - and describes how this can affect liability. Information is provided on the most common types of negligence, with the goal of helping nurses protect themselves, their patients and their healthcare insitution.This course is designed to raise awareness about the risks, consequences and legal liabilities of nursing negligence. Guidance is also offered to help nurses protect themselves, their patients and the facility at which they work.

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      Protecting Patient's from Medical Errors Workbook

      Product code: M206R        

      Overview:

      In the landmark report, "To Error is Human," the National Academy of Sciences, Institute of Medicine revealed that pf the more than 20 million Americans who check into hospitals nationwide, one in twenty of these patients will be the victim of a medical error. Approximately one million medical errors are made in hospitals every year, resulting in about 98,000 deaths annually. This makes medical errors one of the nation's leading causes of death.

      This program describes the findings and recommendations of the report, including the three types of medical errors identified in the report and the need to change to a "systems" based approach to analyzing and correcting medical errors. In addition, the program demonstrates techniques nurses can incorporate into their care practice in an effort to prevent errors.

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      Restraints and Seclusion: Easy Does It!

      Product code: 78624        

      Overview:

      When providing care to our patients, we must also provide a measure of treatment to protect their rights, dignity, and well-being. When a patient acts out in a harmful way to themselves, to other patients, or even to staff, we must be prepared to incorporate the use of behavior management techniques. Although the practice of restraints and seclusion may be necessary, it should only be used as a last resort. The focus of this program is to explore alternative measures.

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      Restraints: Alternatives to Restraints

      Product code: M252B    Copyright © 2008
          

      SERIES OVERVIEW: Over the past decade a number of deaths have been attributed to improper use of restraints or seclusion. The concern has become so great that the Joint Commission has issued a sentinel event alert on the subject, and the Centers for Medicare and Medicaid Services (CMS), has issued regulations covering their use including a recent final Guidance Document on the use of restraints in 2008. The new three-part Medcom series with the working title Restraints in Healthcare provides nurses and other healthcare professionals with the information they need to comply with Joint Commission and CMS guidelines, and is designated for a minimum of 1.5 hours of continuing nursing education. Program titles for this series are: Restraints: Legal Considerations and Patient Rights Restraints: Alternatives to Restraints Restraints: Safe Application of Restraints OVERVIEW: Reducing restraints and implementing alternatives is an important step in the ongoing effort to improve the health and quality of life of anyone under medical care. The purpose of this program is to provide nurses with essential guidance on finding alternatives to restraints.

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      Restraints: Legal Considerations and Patient Rights

      Product code: M252A    Copyright © 2008
          

      SERIES OVERVIEW: Over the past decade a number of deaths have been attributed to improper use of restraints or seclusion. The concern has become so great that the Joint Commission has issued a sentinel event alert on the subject, and the Centers for Medicare and Medicaid Services (CMS), has issued regulations covering their use including a recent final Guidance Document on the use of restraints in 2008. The new three-part Medcom series with the working title Restraints in Healthcare provides nurses and other healthcare professionals with the information they need to comply with Joint Commission and CMS guidelines, and is designated for a minimum of 1.5 hours of continuing nursing education. Program titles for this series are: Restraints: Legal Considerations and Patient Rights Restraints: Alternatives to Restraints Restraints: Safe Application of Restraints OVERVIEW: This program will provide learners with a basic understanding of the legal and regulatory issues surrounding the use of restraints in healthcare settings.

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      Restraints: Safe Application of Restraints

      Product code: M252C    Copyright © 2008
          

      SERIES OVERVIEW: Over the past decade a number of deaths have been attributed to improper use of restraints or seclusion. The concern has become so great that the Joint Commission has issued a sentinel event alert on the subject, and the Centers for Medicare and Medicaid Services (CMS), has issued regulations covering their use including a recent final Guidance Document on the use of restraints in 2008. The new three-part Medcom series with the working title Restraints in Healthcare provides nurses and other healthcare professionals with the information they need to comply with Joint Commission and CMS guidelines, and is designated for a minimum of 1.5 hours of continuing nursing education. Program titles for this series are: Restraints: Legal Considerations and Patient Rights Restraints: Alternatives to Restraints Restraints: Safe Application of Restraints OVERVIEW: The purpose of this program is to provide nurses with guidance on the safe application, use and monitoring of restraints when alternatives have proven ineffective.

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      Victims of Abuse and Neglect: Meeting Identification and Reporting Standards DVD

      Product code: 78771        

      This comprehensive video addresses the JCAHO standards related to victions of abuse and neglect, actually demonstrating for the viewer methods to meet JCAHO compliance requirements!! Your staff will learn: . Key factors that lead to abuse/neglect victim identification during assessment processes . The signs and symptoms of different types of abuse and neglect . Healthcare provider reporting requirements for abuse/neglect victims . Types of information that will be requested and examined during your next JCAHO accreditation survey related to identification, reporting and management of abuse/neglect victimsIncluded in the Victims of Abuse and Neglect - Meeting Identification and Reporting Standards Video and accompanying workbook: . An outline of each of the JCAHO standards related to abuse/neglect victim identification, reporting and management and a comprehensive description of what your facility must do to achieve compliance with each of the standards . Complete guide to identification of abuse and neglect related to: . Domestic abuse . Elder abuse/neglect . Child abuse/neglect . Maternal fetal abuse (chemical dependency/use by mother . Characteristics of abusers . Characteristics of victims . Overt and covert signs and symptoms of abuse . Reporting requirements for healthcare providers . Reporting issues: "Good faith" reporting Reasonable cause Safeguards Liability Importance of, and requirements for< utilizing abuse/neglect identificaiton crteria Allegations versus objectivity Safeguarding evidentiary material Resource provision to victims Documentation requirements Surveyor focus areas during accreditation visit Surveyor interviews with staff and patients

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