Risk and Documentation in the Correctional Setting

Written and electronic documentation in the medical record is an important part of delivering healthcare. Nurses working in the correctional setting have all the same accountability for delivering and documenting care as those working in traditional settings along with some unique risks and liabilities that need attention.

This is a video-style course with text content located at the end of the chapter.​

Objectives

Upon conclusion of this course, the participant will be able to:

  1. Outline the purpose and process of healthcare documentation.
  2. Describe standard documentation principles as they apply to the unique correctional setting.
  3. Explain the liability risks of under and over documentation in this specialty.

Curriculum


Chapter 1: Introduction

Chapter 2: Purposes of Documentation

  • Documentation Principles
  • Process of Documentation
  • Chapter 2 Check Point
  • ADDITIONAL RESOURCE: Medical Record Management Video
Chapter 3: Documentation Pitfalls
  • Special Tips for EMR Documentation
  • Faxes and Emails 
  • Chapter 3 Check Point
  • ADDITIONAL RESOURCE:  Nursing Documentation Video
Chapter 4: Under and Over Documenting
  • Reducing Legal Risk with Documentation
  • Summary
  • Chapter 4 Check Point
Chapter 5: Text Content

Chapter 6: References

Price: $10.00

Contact Hour: 1

Course Author

Lorry Schoenly

Lorry Schoenly, PhD, RN, CCHP-RN is a nurse author and educator specializing in the field of correctional health care. She provides consulting services to jails and prisons across the country on projects to improve professional nursing practice and patient safety. 

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