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Analyze the concepts of alteration of records, retention of records, ownership of the medical record, access to
medical records, and computerized charting
Compare and contrast charting by exception to traditional charting
Differentiate types of professional liability insurance policies available commercially to professional nurses
Identify issues to be considered when deciding between individual coverage, group coverage, and employersponsored coverage
Summary:
Medical records ensure that communications concerning individual patients will be available to health care
Professional Development Exercises :
Read the case study presented at the end of Chapter 9 (Guido, p. 185-186).
Did the lack of documentation in the admitting nurse’s assessment and notes affect the ultimate outcome of
this case?
Was there negligence on the part of the nursing staff in the care of this patient?
What could the nurse have done differently to facilitate a different outcome in this case?
How would you decide this case?
Using the sample professional liability insurance policy (Guido, p. 193-194), locate the various provisions:
Limits of liability
Declarations
Deductibles
Exclusions
Reservation of rights
Covered injuries
Defense costs
Coverage conditions and supplementary payments
Did you have difficulty finding some of the sections? Would this be a policy that you would consider purchasing
for your own liability coverage? Why or why not?
Sample Solution
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