Law 3101A/B Lecture Notes - Lecture 8: Endangerment, Vancouver Coastal Health, Uberrima Fides
Document Summary
Health prac have discretion in what they record. The driving force in record keeping is (cid:374)ot the la(cid:449), (cid:271)ut (cid:396)athe(cid:396) the patie(cid:374)t(cid:859)s t(cid:396)eat(cid:373)e(cid:374)t (cid:374)eeds. The record should contain sufficient detail and be organized in a manner that would allow a third party to recreate what the health prof. observed and though, what they did, and why that approach was adopted. Info should allow other health prof to step in and take responsibility for the patient continuality of care. If the patie(cid:374)t(cid:859)s (cid:272)li(cid:374)i(cid:272)al (cid:374)eeds a(cid:396)e (cid:271)ei(cid:374)g (cid:396)e(cid:272)o(cid:396)ded the(cid:455) (cid:449)ill (cid:271)e ade(cid:395)uatel(cid:455) used fo(cid:396) legal pu(cid:396)poses: a brief synopsis of your findings. The record should permit a continuity of care: the legal importance of record keeping policies and practices, record keeping are a greater benefit in avoiding and addressing problems that generate litigation. First reason to keep good record keeping practices will assist practitioners in responding to demands to testify and provide info to patients and litigants.
