Legal Documentation in Pressure Ulcer/Injury Cases

Legal Documentation in Pressure Ulcer/Injury Cases

Identification: MSNJ2205
Issue: March-April 2022
Volume: Vol. 31/No. 2
Credits (Post Test and/or Evaluation Required)
Available until 04/30/2024
  • 1.30 - CH


Learning Outcome:
After completing this education activity, the learner will be able to identify two ways in which healthcare leaders can improve care and mitigate claim risk related to pressure ulcer/injury.

Contact hours available until 4/30/2024.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online nursing continuing professional development evaluation. You will be able to print your NCPD certificate at any time after you complete the evaluation.

Disclosure of relevant financial relationships with ineligible companies (planners, faculty/speakers, reviewers, authors):

The author(s), editor, editorial committee, content reviewers, and education director reported no actual or potential conflict of interest in relation to this nursing continuing professional development article.

Commercial Support:
No commercial support or sponsorship declared.

Accreditation Statement:
This education activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and the Academy of Medical-Surgical Nurses (AMSN).

Anthony J Jannetti, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Anthony J. Jannetti, Inc. is an approved provider of continuing nursing education by the California Board of Registered Nurses, Provider Number CEP 5387.

This article was reviewed and formatted for contact hour credit by Michele Boyd, MSN, RN, NPD-BC, AMSN Education Director.


Credits Available

Legal Documentation in Pressure Ulcer/Injury Cases

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Kristi Bradley
4/23/22 3:15 pm

Each patient admitted into a care facility should have an individual turn schedule based on the skin condition and the medication regiment, and treatment plan.

Angie Machado
4/24/22 8:26 pm

This article provided great legal information in regard to caring for and preventing pressure injuries. This information will assist me in providing prudent care to my patients.

Valerie McFarland
4/26/22 9:32 am

Excellent article with valuable information about what research really says about how often patients should be turned to prevent pressure ulcers.

Rosemarie Hard
4/26/22 3:48 pm

This article provides great information on early skin assessment and documentation to protect oneself and ones institution in litigation. The RN together with PCT, WOCN and risk management can provide a plan for each individual patient according to their diagnosis, Braden score and mobility. RN documentation is key.

Trinh Ngo
4/30/22 9:06 pm

Great information on the litigation of PU/PI and other researches results on how often to turn patients.

Cecilia Nguyen
6/4/22 5:26 pm

great information

Alyssa Perez
6/27/22 12:28 pm

It is important to know exactly where to document this information.

Melvin Cruz
7/23/22 11:07 am

The proposition that skin breakdown occurs only when healthcare providers fail to provide pressure relief properly has caused needless litigation, generated unwarranted expense, and imposed unfair burdens on healthcare facilities and their staff. Although there are some cases where skin breakdown un - questionably resulted from inadequate care, a growing body of evidence suggests lesions may be unavoidable and not caused by poor care, but instead related to patients’ illnesses

Jiji Andrews
8/6/22 6:18 pm

Excellent article

Sandra Slonosky
8/22/22 12:24 pm

diligent skin care and proper documentation is very important. good article.

Lucille Carmeli Lorea
9/2/22 5:05 pm


Sandra Clark
9/14/22 8:16 pm

Document everything

Stephanie Hodgdon
9/17/22 7:12 am

I plan to share this article with my nursing students as a reminder of how important our assessment, documentation skills, and knowledge of policies and procedures are for health promotion for our patient and the integrity of our profession/license.

Tamera Hussey
11/21/22 8:30 am

This was a great article . It is important to assess the skin and do appropriate documentation, plan of care for each patient. We started a 4 eyes no surprise skin assessment for each patient upon admission and receiving internal transfer patients. Prevent is the key.

Elaine Spurlock
12/31/22 3:43 pm

This information brings to light the need for perfect documentation and early prevention. Educating patients and families as soon as the patient hits the floor. Prevention is better than litigation but if we get to that point, having the proper care documented showing all the care done is primal.

Van Bellew
2/15/23 11:24 am

Excellent article, even if an organization has measures and recommendations in place. I really like the recommendation of speech recognition for nurses to reduce documentation time.