In July 2009, the Joint Commission amended eight of the eleven standards on Record of Care (also known as the documentation chapter). If you aren't incorporating these changes into your forms, assessment tools and documentation, you could lose Joint Commission accreditation.

In this 90 minute audio conference, nurse attorney Sue Dill Calloway will tell you what you need to know to be compliant with the new requirements in RC.01.01.01; RC.01.02.01; RC.01.03.01; RC.01.05.01; RC.02.01.01; RC.02.01.03; RC.02.01.05; RC.02.01.07; RC.02.03.07; and RC.02.04.01.

Learning Objectives:

• Describe what TJC requires to be documented regarding verbal orders and history and physicals.
• Discuss how TJC required elements should be incorporated into hospital forms and documents.
• Recall that the hospital is required to audit its medical records.
• Discuss why the medical record must contain a summary list for each patient receiving continuing ambulatory care services.
• List what needs to be documented if restraint or seclusion is used.

Target Audience:

• Nurse Educators
• Nurses and Nurse Managers
• Risk Management Professionals
• Compliance Officers and Hospital Legal Counsel
• Quality Improvement Directors
• Joint Commission Coordinators
• Patient Safety Officers

Level: ALL Levels

Meet Your Expert!

Sue Dill Calloway is a nurse attorney and medical legal consultant. She is also the Director of Hospital Patient Safety and Risk Management for the Doctors Company. She has been a medico-legal consultant for more than 25 years. She has presented many educational programs for nurses, physicians, and other health care providers. Some of the topics include: nursing law, HIPAA medical record confidentiality, Joint Commission issues, CMS issues, medication/medical errors, documentation, pain management, federal laws for nursing, patient safety, and other similar topics.

Sue earned her MSN in nursing, summa cum laude, and JD with honors from Capital University in Columbus, Ohio.

Continuing Education:

Participation:

Each listener participates in the continuing education activity by listening to the audio conference and completing the online post test and evaluation.

Accreditation Statement:

AHC Media is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Credit Designation:

This activity has been approved for 1.5 nursing contact hours using a 60-minute contact hour.

Provider approved by the California Board of Registered Nursing, Provider # 14749, for 1.5 Contact Hours.

Sponsor:

The sponsor of this educational activity is AHC Media.

The information provided in AHC Media audio conferences does not, and is not intended to constitute medical diagnoses or legal advice. Individual tracer methodology outcomes cannot be guaranteed. Opinions, references and links provided by our speakers are provided for your convenience and do not represent our endorsement of such opinions, products or services.

Recorded: April 7, 2010