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…
Read MoreQuestion: I have an independent foot care practice and have been using paper charting but am considering starting to chart in a Word document on my laptop. Is this appropriate? Answer: In every Canadian province or territory, there is legislation to protect the privacy of personal health information (PHI). These laws create obligations as to…
Read MoreFacts are central to any legal decision. Only once the facts of the matter have been determined by the court can the relevant law be applied, and a decision rendered. To determine the facts of a case, parties will submit evidence using rules and procedures that have been established through legislation and case law. The…
Read MoreElectronic medical records (EMR) are now common to most nursing practices. To protect the privacy of patients’ personal health information, nurses should be aware of the unique privacy issues related to the use of EMR. Privacy Risks Access An increasing number of privacy breach cases involve unauthorized and inappropriate access by employees into their employer’s…
Read MoreThe 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. Addressed below…
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