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October Webinar: Documentation: Your Best Defence

Properly documenting patient encounters is both a legal and professional requirement that contributes to safe patient care and good clinical communications. Documentation has always been considered a critical nursing fundamental, but it has taken on increased importance in today’s ever-changing healthcare landscape. Learn about how documentation may be used in a legal context.  
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Ask a lawyer: Documentation of late entries

Question 1: Do late entries hold the same weight in court as multiple small timely entries? Answer: A late entry is one which is not made as soon as possible after an event has occurred. It is required when it is not possible to document at the time of or immediately following an event, or...
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Quality Documentation

The Canadian Nurses Protective Society (CNPS) frequently receives requests for information regarding documentation issues or concerns. Nurses working in all areas of patient care encounter issues related to documentation, whether in paper or electronic form. Quality documentation can be a nurse’s best defence in the face of a complaint, claim or legal proceeding.
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