Home | LawSense Law for Nurses NSW | Managing Note-Taking and Documentation in the Digital and AI Age to Protect Your Legal Position

EVENTS: LawSense Law for Nurses NSW | Managing Note-Taking and Documentation in the Digital and AI Age to Protect Your Legal Position

November 26, 2024

Consultant Nevena Brown will be presenting a session at LawSense’s Law for Nurses NSW. Details include:

 

Key Principles and How Notes Have Been Used in Legal Proceedings

  • Outlining key law and principles to apply in note-taking and record keeping by nurses

Understanding how note/lack of notes has been used against practitioners in proceedings – case studies

  • Examining key aspects of notetaking to meet legal risk and avoid criticism by Courts
  • Understanding the extent of notes that should be taken in different circumstances

 

Emerging Options – Using AI to Generate Session Notes, Records and Plans

  • Exploring the emerging and potential role of AI in nursing practice, including
    • using AI for note-taking and record keeping
    • assessments and treatment plans
    • patient monitoring and testing
  • Identifying key risks:
    • privacy and data risks
    • accuracy/reliability
    • responsibility of the service/software provider versus the health service or nurse
    • obtaining informed consent
  • Understanding the application of existing law and regulation and potential reforms, including:
    • duty of care in use of AI
    • consent, privacy and confidentiality laws, including privacy reforms
    • copyright/intellectual property
    • contractual requirements in a platform’s terms of service
    • understanding The Artificial Intelligence (AI) Ethics Framework and application to nursing services
  • Exploring policy options for health services and what services have implemented to respond to emerging AI

 

Optimising Digital Record Keeping and Understanding Pitfalls

  • Reviewing the different types of records to assess, integrate or manage in record keeping systems:
    • paper records
    • records on electronic note-taking systems
    • notes or calendar entries on work or personal devices
    • other communication media including texts other electronic messages between staff and reports from external experts
  • Understanding the legal rights and obligations regarding messages on personal devices or apps or personal note-taking
  • Managing areas of potential legal exposure:
    • cutting and pasting from previous records
    • lack of integrated records/disparate records
    • records on personal devices
    • access permissions and protocols
    • storage and retention of records
  • Effectively managing storage or records and navigating obligations with online storage with third parties

 

For further information and to register, please visit: LawSense Law for Nurses NSW

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