What leads to Litigation & BON Reporting?

• Abuse or Boundary Violations.

• Impairment/Diversion and Fraud.

• Practice Errors with Medications being the most common.

– Not questioning or clarifying unclear orders

– Decimal point/math errors – Omission of medication/not reporting abnormal labs

– Not reporting changes in condition in a timely fashion.

– Medication is given but, was not documented.

– Poor communication with patient and/or family.

– Lack of patient/family teaching.

As a supervisor, you can be held responsible for subordinates’ actions if they could have been avoided by training, policies, staffing, etc.