HIGH RISK AREAS FOR LITIGATION. Maneuvering the Maze Preventing Disaster Angie Szumlinski, LNHA, RN-BC, RAC-CT, BS Erica Holman, LNHA, MSW HealthCap Risk Management Services. LEARNING OBJECTIVES. Identify internal causes of increased risk and preventive interventions to address risks.
HIGH RISK AREAS FOR LITIGATION
Maneuvering the Maze Preventing Disaster
Angie Szumlinski, LNHA, RN-BC, RAC-CT, BS
Erica Holman, LNHA, MSW
HealthCap Risk Management Services
REASONS FOR INCREASED RISK
Failure to adequately assess and document resident conditions
Common documentation issues
Medical information not updated to reflect
RESIDENTS WITH HIGH ACUITY
WHY DO WE ACCEPT HIGHER ACUITY
- Pressure sores
Lack of assessment and supportive
documentation the most common reason
Pressure Sore Risk
(Follow the RAI process and recommendations)
i.e., Braden, Norton Scale.
All cases are real, only the identities of the parties have been changed to protect the innocent!
orders for physical and occupational therapy.
MDS nurse documented that Mrs. Prafo had an
unstageable pressure sore on her left heel.
mention of a pressure sore on the heel upon admission.
no treatment record was initiated.
facility, was generally independent with ambulation
and refused assistance from staff.
performed a head-to-toe assessment on Mr. Femur.
held for 23 hour observation and was returned to the
nursing center the following morning with a diagnosis of contusion to the right hip.
rotation, lengthening of the right leg and an increase in the level of pain.
declined the facility relocated her to another unit
within the center.
the family was notified.
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