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Advanced LNC II : Issues in Acute & Critical Care


ALNC 620

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Course Information

OVERVIEW: this course continues in the study and analysis of nursing malpractice issues and cases more specifically related to clinical practice of various common issues in the delivery of acute care and critical care. Students will study common malpractice claims related to critical care practice and perioperative practice. Subjects covered include medical-surgical nursing, psychiatric nursing, as well as sub acute care and long-term care. Liability issues related to patient assessment and care planning are also examined. Students will also examine liabilities and cases related to advanced practice nursing. Course Code: ALNC 620. 45 hours of continuing education credit.

Instructor/Course Author:  Dominick L. Flarey, Ph.D, MBA, RN,BC, LNC-CSp.
Link to Resume

Prerequisite: You must have successfully complete the continuing education course ALNC 600: Advanced LNC I: Theories and Specialties, before you can enroll into this course.

TIME FRAME: You are allotted two years from the date of enrollment, to complete this course. There are no set time-frames, other than the two year allotted time. If you do not complete the course within the two-year time-frame, you will be removed from the course and an "incomplete" will be recorded for you in our records. Also, if you would like to complete the course after this two-year expiration time, you would need to register and pay the course tuition fee again.

TEXTBOOKS: There is one (1) required textbook for this course.

Nursing Malpractice (3rd edition). By: Patricia W. Iyer, RN, MSN, LNCC, and Barbara J. Levin. Lawyers & Judges Publishing Co., 2007. ISBN-10# 1933264209.

NOTE: this is a 1,400 page comprehensive textbook. It is the textbook that is used for all (4) of the courses in this continuing education program sequence.

Ordering Information:

You may order this text book online from Amazon.com

Link to order

You may also order this book directly from the publisher:

Publisher Website

Phone: 1-800-209-7109

Assignment/Exam: this course consists of the student developing a comprehensive Learning Portfolio. The learning portfolio is a study/guide format in which students respond to specific questions as they read/study the text materials. Upon completing the learning portfolio, you will turn it in to the American College of Legal Nurse Consulting for grading. This course also includes one objective-type examination, taken online. The objective examination will include materials covered in this course, as well as the materials covered in ALNC 600.

BOARD APPROVALS: AIHCP is an approved provider of continuing education by the Florida Board of Nursing and the District of Columbia Board of Nursing. CE Provider # 50-11975. The American Institute of Health Care Professionals, Inc. is a licensed Continuing Education Provider in the State of California, Board of Registered Nursing, Provider # CEP 15595. Access information

Online Classroom Resouces and Tools

* Message Boards: each specialty program has an area to "post" on the message board. Students may post messages at anytime. Posting allows students to converse with those in the same specialty practice and to discuss issues/course content etc. Instructions for posting are provided in the online classrooms.

* Chat Rooms: each specialty has it's own unique "chat room." Inside of the classroom there is a schedule for "chat time" with students in your specific specialty practice. Participating in "chats" is voluntary. The chat sessions are used as means for students to come together and discuss course content or anything related to the courses and/or certification specialty.

* Examination Access: there is link to take you right to the online examination program where you can print out your examination and work with it. All examinations are formatted as "open book" tests. When you are ready, you can access the exam program at anytime and click in your responses to the questions. Full information is provided in the online classrooms.

* Student Resource Center: there is a link for access to a web page "Student Resource Center." The Resource Center provides for easy access to all of our policies/procedures and additional information regarding applying for certification. We also have many links to many outside reference sites, such as online libraries that you may freely access.

* Online Evaluation: there is a link in the classroom where you may access the course evaluation. All students completing a course, must, without exception, complete the course evaluation.

* Faculty Access Information: you will have access to your instructor's online resume/biography, as well as your instructor's specific contact information.

* Additional Learning Materials: some faculty have prepared additional "readings" and /or brief lecture notes to enhance your experience. All of these are available in the online classrooms.


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Upon completion of this course, you will be able to:

1. Define and discuss the use of the nursing process in critical care.
2. Discuss criteria for critical care practice.
3. Review and understand standards of care for critical care.
4. Identify and discuss major sources of liability in critical care.
5. Identify and discuss trends that influence liability of critical care nurses.
6. Review screening criteria for critical care cases.
7. Discuss perioperative nursing and its legal theories.
8. Identify and discuss common nursing errors in perioperative practice.
9. Review and discuss postanesthesia liability issues.
10. Discuss and review screening criteria for perioperative cases.
11. Discuss the role and potential liabilities in nurse anesthesia practice.
12. Identify common sources of malpractice issues in anesthesia practice.
13. Review analysis of anesthesia cases.
14. Discuss critical factors related to postanesthesia care.
15. Define and discuss safety practices in the operating room.
16. Review methods of review of the medical record and anesthesia records.
17. Discuss scope of practice issues in nurse anesthesia practice.
18. Identify possible defense to malpractice claims.
19. Review forces today affecting psychiatric care practice.
20. Discuss expanding liabilities in psychiatric nursing.
21. Review and discuss standards of practice for psychiatric nursing.
22. Review screening processes for psychiatric nursing cases.
23. Discuss issues related to suicide cases.
24. Define and discuss the most common malpractice claims in psychiatric nursing.
25. Review sources of standards of care for medical-surgical nursing practice.
26. Discuss common factors contributing to malpractice claims.
27. Identify deviations from standards of care.
28. Discuss common defenses in medical-surgical malpractice claims.
29. Define and discuss subacute care and standards of practice.
30. Define long-term care and standards of practice.
31. Review screening of long-term care cases.
32. Discuss liability issues related to assessment & care planning.
33. Review and understand sources of liability in long-term care.
34. Review common defenses in long-term care claims.
35. Identify common standards for risk prevention.
36. Identify and discuss common managed care liability issues.


A brief abstract of content:

1. Use of the nursing process in critical care practice
2. Criteria for practice and standards of care in critical care nursing
3. Sources of liability in critical care practice.
4. Trends influencing liability issues in critical care
5. Screening critical care cases.
6. Perioperative standards of care and responsibilities
7. Historical development of perioperative legal theories
8. Nursing errors in perioperative practice
9. Postanesthesia care issues and liabilities
10. Same day surgery standards and liabilities
11. Screening perioperative malpractice cases
12. Risk management issues in perioperative practice
13. Potential sources of liability for nurse anesthesia practice
14. Analysis of malpractice claims in nurse anesthesia practice
15. Postanesthesia care, standards and liabilities
16. Safety issues in the operating room.
17. Policies and procedures for nurse anesthesia practice
18. Defenses in nurse anesthesia practice
19. Forces affecting psychiatric nursing care
20. Standards of care and common liabilities for psychiatric nursing practice
21. Screening psychiatric nursing malpractice cases
22. Litigating cases of patient suicide
23. Standards of care for medical-surgical nursing practice
24. Factors contributing to medical-surgical malpractice claims
25. Deviations from standards of care in medical-surgical practice
26. Common injuries in medical-surgical patient care
27. Defense issues in medical-surgical malpractice claims
28. Liability risks associated with sub-acute care
29. Screening long-term care cases
30. Liability issues associated with assessment and care planning
31. Sources of liabilities in long-term care
32. Scope of practice issues
33. Defense issues in long-term care malpractice claims
34. Managed care liability issues

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