Defensive Documentation in Senior Care: Protecting Residents, Protecting Your License, Protecting Your Career

Purpose

The purpose of this course is to provide the foundations of defensive documentation for nurses working in senior care settings.

Learning Objectives

1. Explain why documentation is an essential component of resident care 2. Describe how documentation supports quality care, regulatory compliance, and resident safety 3. Explain the legal principle that " if it wasn't documented, it wasn't done" 4. Describe how documentation protects professional licensure and certification 5. Identify the characteristics of documentation that support defensible clinical decision-making 6. Explain the relationship between documentation, CMS compliance, and litigation risk

Criteria for Successful Completion

To receive continuing education credit for this program, you must complete the entire course, including registration, viewing the video program, taking the post-test and obtaining a score of at least 70% or better, and completing the program evaluation. If you do not score a 70% or better, you may take the exam again as many times as necessary to receive a passing score. When a score of 70% or better is achieved, you will be able to move forward to the evaluation and receive your certificate online.

Certifications

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