Teleseminar Transcripts Package
Spring 2009

Special Price: $107 for all 7 transcripts of the Spring 2009 teleseminars. Save $272!

Sharpen your skills in a convenient way by reading the transcripts of the Spring 2009 teleseminars. You’ll receive over 100 pages of transcripts in a convenient downloadable PDF file. Our seven experts will inform you, hone your knowledge, and let you in on some surprising information that will strengthen your skills.

Some of the highlights of each program are listed below.

Medical Malpractice Topics

After the Fall
by Barbara Levin BSN LNCC ONC

• How do you define a fall?
• Is an assisted fall really a fall?
• How many falls occur each year?
• How much money does the Centers for Medicare and Medicaid pay out each year because of falls?
• What are some of the ways that a nurse could identify somebody who is at risk for falls?
• Is there one standard falls risk assessment that facilities should be working towards implementing?
• When you have got a high risk population on a nursing unit, what are some of the strategies useful for reducing the risk of falls?
• What are the benefits of hourly rounds?
• Why do older people tend to have poor outcomes after a fall has occurred?
• What are the financial consequences for falls that occur in hospital settings?
• How does documentation affect the analysis of liability after a fall occurs?
• What are facilities doing to modify the environment to make it safer?
• What is the role of a sitter?
• What are the common types of fractures?
• How does the type of fall affect the fracture that results?
• Is there any outside window that the surgeon can wait before it becomes too late to attempt a surgical closure of a fractured hip?
• How are closed reductions performed?
• What are some of the postoperative risks following surgery for fractures? Aren’t these “never events”?
• Could you comment about some of the controversies regarding surgical site infections?
• Could you comment about pressure sores developing in people who've had surgery to repair a fracture?
• Are you seeing less use of Foley catheters in patients after they have had hip fractures repaired?
• One third of patients who suffer a serious fracture die within a year. Why?

Death by IV Catheter: Air Embolism and IV Catheter Related
Sepsis
by Susan Masoorli RN

• How long have air embolism issues been of concern?
• What are air emboli?
• Can they be detected by diagnostic testing?
• What are some key ways in which air can get into the system?
• How do those mechanisms relate to the standard of care?
• Why do manufacturers offer Luer slip devices if these are more dangerous?
• How do holes get into IV tubing?
• What precautions should be followed when a central catheter is removed from the vein?
• What is an occlusive dressing?
• What should the patient be instructed to do during central catheter removal?
• What emergency equipment should be at the bedside when a patient has a central catheter in place?
• What are nurses expected to do if a confused patient is trying to pull out lines?
• What are the symptoms of an air embolism?
• How quickly can a patient die of an air embolism?
• Is there any way to get the air out?
• In the cases that you’ve been involved in as an expert, what has been the outcome for the patients who have gotten air in their system?
• What types of catheters are considered high risk for air emboli?
• What factors have to be present for an air embolism to occur?
• What are the key legal issues that seem to come up in establishing the negligence or the defense aspects of a particular air embolism case?
• Are air embolism cases difficult for the plaintiff to win?
• How common and costly are air embolism cases?
• What is the impact on the patient of getting sepsis from an IV catheter?
• Is it difficult to establish liability with a catheter related infection?
• What key step in IV catheter insertion is not commonly employed?
• What does “stop the line” mean?
• How costly are IV catheter related infections?
• Are there ways to increase compliance with hand washing?
• What is an easier aspect of liability to prove related to IV catheter sepsis?
• What are some classic symptoms that would be seen in somebody who is developing sepsis from an IV catheter?
• Which two groups of patients are at high risk for problems caused by removal of PICC lines?
• Which two central catheter insertion sites have the highest risk of infection?
• What are your recommendations for avoiding IV catheter-related sepsis?
• From the liability perspective, if an attorney has a case involving an IV catheter line, what suggestions would you provide to the attorney who is trying to determine if there is indeed liability associated with that catheter-related sepsis?

Death in Seclusion or Restraints
by Wanda K. Mohr PhD APRN FAAN

• How many people die in seclusion or restraints each year?
• Is there an impact on patients who watch another patient being restrained?
• What are a few myths associated with restraints?
• What are the conditions that cause people to die while in restraints?
• How are you defining restraints- a product sold from a catalog or the act of preventing someone from hurting themselves or others?
• What does the term “seclusion” mean?
• What keeps a patient within a seclusion room?
• What types of places within healthcare use the types of restraints that we have been discussing?
• How often are leather restraints used at this time?
• What entities regulate the use of restraints?
• What type of training should be available for staff using restraints?
• What group of healthcare providers typically does not get trained on using restraints?
• Why would restraints be used in a public school?
• What are the alternatives that are available to the staff when a patient needs to be restrained?
• Do staff behaviors come into play in some of the injuries that you have seen in dealing with restraints?
• What is a common staff behavior that affects the outcome of restraining a patient?
• What would the ideal milieu look like to structure the environment or the interactions in such a way that the escalation wouldn’t occur?
• What are the financial costs associated with a restraint episode?
• How does the psychiatric illness of the patient affect the ability of the judge, jury or arbitrator to identify with the patient?
• What are the psychological, sequelae or effects of being restrained or observing somebody who is being tied down or brought down to the floor?

Business Topics

Refocusing Your Business in Tough Times
by Patricia Bemis RN CEM

• What is the one-stop shop and how does that applies to being in business?
• How does “stick to the knitting” apply to doing business differently and trying new things?
• What formula do you use for pricing services?
• What strategies can be used by business people to cope with the changing economy?
• What suggestions can you offer on focusing on personal relationships or business relationships with our client base?
• Do you see changes in terms of how people are interested in being treated or connected with?
• What is the biggest point to remember when using email?
• How can we build relationships through email?
• What is the best way to preserve a relationship with an unhappy client?
• What suggestions do you have for building relationships through the websites?
• What suggestions do you have for using technology to refocus your business?
• How do you use ACT! and logmein.com to improve your efficiency?
• How can a virtual assistant be effectively used by a small business?
• What are your thoughts on the utility of blogging?
• What is a squeeze page on a website and how do you use it?
• How can a mastermind group help a business owner?
• How can surveys be used to improve one’s performance?
• Can you comment at all about using surveys and interacting with clients?
• How can you use champion customers to sustain your business?

Legal Topics