Question

An auditor is advising a nurse about possibly inadequate or inappropriate docs that could be involved in a malpractice suit. What type of docs are likely to cause probs in malpractice cases? Select all that apply

a. Failed to document latex allergy
b. Documented pt's complaint about care by using pt's remarks in quotes
c. Charted meds that pt claims he did not receive
d. Documented amount of IV fluid, but no assessment of IV site
e. Clustered info obtained from physical assessment
f. Recorded verbal prescription using brand-name meds

Answer 1

Documents that can cause problems in malpractice cases include failure to document latex allergy, charting medications that the patient claims they did not receive, and documenting the amount of IV fluid without assessing the IV site.

Step-by-step explanation:

The type of documents that are likely to cause problems in malpractice cases include:

• Failed to document latex allergy: This could lead to a patient experiencing an allergic reaction to latex without the medical team being aware of the allergy.
• Charted meds that pt claims he did not receive: This discrepancy between the documented medication and the patient's claim could suggest medication errors or negligence.
• Documented amount of IV fluid, but no assessment of IV site: This could indicate inadequate monitoring of the patient's condition, potentially leading to complications or harm.