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Strategic Nursing Documentation 
Lobo Consulting Group, LLC
Strategic Nursing Documentation Expert, National Speaker, Author, Legal Nurse Consultant

Publication

Guilty or Innocent? Protecting Your License Through Proper Nursing Documentation is a book written by a nurse for nurses. 
Learn about documentation in an easy to read format. Fiction and non-fiction stories tell the truth about why nurses are in a serious state of transition. 

BSN Students are using this book to support their papers. Here is an except: 

One of the concepts emphasized  when I was in my pre-licensure nursing program was "if it wasn't documented, it wasn't done."  As an ADN, the responsibility that goes with this statement is an embedded indoctrination regarding the importance of documentation.  The changes in healthcare laws, the methods of medical reimbursement and even electronic documentation have us documenting how often we take a patient to the bathroom.  Rosale Lobo (2012) in her book Guilty or Innocent?: Protecting Your License Through Proper Nursing Documentation  states that documentation is the way we describe and defend the care we provide.  Our documentation must demonstrate a standard of care, support that care within our scope of practice, establish reimbursable care and be able to stand up to the judgement of federal and state guidelines as well as professional associations and your employer's policies and procedures.  I embrace the socialization of the RN-BSN process, but the awareness is both exciting and daunting.

References:  Lobo, Rosale (2012) Guilty or Innocent?:Protecting Your License Through Proper Nursing Documentation, PESI HealthCare - PHC Publishing Group; 1 edition (May 15, 2012). 


Part One - The serious strategic side of nursing documentation. Why is it important to have a strategic method of information management. Your nursing license is your business, protect it from litigation and regulation. Every successful business has a strategic plan, having a nursing license is like owning your own business. 

Part Two - The fictional stories take you through situations only another nurse would understand. The nursing student who wants to practice nursing, the sister from out of town, or the colleague who is computer illiterate. 

Part Three - Actual cases with actual deposition testimony that shows you what kind of questions an attorney can ask you.

Part Four - Resource for license protection

This book is a must read for all nurses






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Comments

    
"My name is Michael Johnson.  I am the Chief Nursing Officer for Edgewood Management Group.  We are a management company for several assisted living and memory care communities in the mid-west.  Recently I ordered copies of Rosale's book on documentation for the Quality Assurance nursing staff to read.  I have found the book to be immensely helpful for our team to strategize the companies nursing education and policies about documentation."
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