Reminder: Register for Medical Record Workshop
Just a quick reminder that space is limited and only the first 15 people get the pre-registration rate. 4 hours of MCLE for $125 is a good deal! There are tickets left at the discounted…
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Mitigation: Psychiatric Symptoms
Mental health problems manifest in many ways. Depression, mania, addiction and psychosis have profound effects on behavior. Sometimes substance use and psychiatric disorders interact and amplify symptoms. Some psychiatric disorders are marked by poor insight.…
Pre-Registration Now Open
Pre-Register now for our Medical Record Review Workshop! We will make an official announcement with a flier next week but some people are anxiously waiting so we opened the official registration today. Check out our events page…
Chemical Restraints Nursing Homes
The following example is a true case scenario where administrators and staff in a Nursing Home inappropriately used chemical restraints, resulting in harm. In California, The Kern Valley Nursing Home used chemical restraint to control…
Mitigation: Substance Use
Early or heavy substance use can have a profound impact on an individual’s brain, with resulting changes in judgment and behavior. Substances can lead to acute impairment during periods of intoxication and withdrawal. Some substances…
DUI: What should you ask the phlebotomist?
Our Blood Draw Trial Questions are now available for purchase on our Square Marketplace. Click here to preview and purchase. The document is 9 pages long and includes questions on Hemolysis; Equipment Used; Medical History;…
Bipolar Patient Chemical Restraint
The following case scenario is an example of the use of chemical restraint for bipolar disorder: The staff of the mental health unit chose to medicate a patient, Mr. Big with Risperdal which was ordered…
MCLE Approved for Workshop
Great news! We have received 4 hours of MCLE approval for the Medical Record Review Workshop. Scheduled Workshops (more coming soon): East Bay Area – Feb 7th, 2015 Orange County – May 9th, 2015 More…
Mitigation: Immaturity
Some defendants are legally adults but are less-than-mature neurologically. Neurodevelopmental research tells us that brain maturation is not complete until mid-twenties. What are the implications of an immature brain? Impulsivity, poor judgment, decreased impulse control…
Verbal Abuse in Chemical Restraint
The following case scenario is an examples of the use of chemical restraint: Mr. Jones is a 65 year old man who is being evaluated in the emergency room after a fall with a possible…
Mitigation: Life Experiences
Among the life experiences that are linked to adult problems, childhood adversity is the best studied and has the most compelling data. In study after study, early life adversity is linked to medical, mental health…
Chemical Restraint Documentation/Medications
Documentation by caregivers is extremely important to avoid litigation when chemical restraint is used. The person’s competency to refuse care including medication should be evaluated and documented. The medications most commonly used for chemical restraint…
