@the.legal.np: Everyone talks about documenting a refusal. Very few people teach how to document it. That’s why I use the REAL framework: 🩺 R = Risks Explained 🚑 E = Escalation Recommended 📋 A = Alternatives Discussed ✅ L = Learning Confirmed If a patient refuses your recommendation, don’t stop at “patient declined.” Chart the conversation—not just the refusal. Remember: documentation won’t prevent every lawsuit, but it can help demonstrate your clinical judgment and the care you provided. 📚 Save this for your next shift and share it with a clinician who needs it. ⚠️ Educational content only. These are example documentation concepts and should always be individualized to the patient, clinical situation, and your facility’s policies. #legalnp #nursepractitionerstudent #nursepractitioner #doctorsoftiktok #clinicnurse
RN here , at what point do we start to hold Aox4, perfectly capable of their down decisions etc . Im not an MD but this is not fair for an MD or any other providers
2026-07-06 00:03:24
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jsauer0294 :
Half of the issue of medicine n todays world is the litigious burden we have
2026-07-05 21:14:40
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Cassie :
My biggest issue is not how, but having time to do so! Lvl 1 trauma, magnet, has added SO much extra charting for nurses that we are barely able to fit in the minimum charting with the pt acuity, AND you are often penalized for staying late. I feel as though we are fully set up for failure.
2026-07-05 21:11:38
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Casey Clark :
Can you refuse vitals?
2026-07-06 03:00:56
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user8592186867489 :
So frustrating though because if their issue is outside of our scope and they refuse to go to ED, we shouldn’t be responsible for alternatives treatment options.
2026-07-05 21:29:24
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Matt Bowlby :
Key word here “practicing”
2026-07-05 20:46:00
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Over 40 Creator :
One thing I have learned is escalate everything
2026-07-06 16:54:51
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Frankie :
Bullshit, you think the people in this hospital got that decision or was it taken away from them for profit, how about my Kowalski was her mother’s wishes granted or did she kill herself because of healthcare workers, and let’s be real you’re not doing this video to protect patients you doing this video to protect healthcare workers to make sure they put down just the right wording so they don’t get in trouble which most times they won’t anyway because they’re protected by law healthcare is a scam. Healthcare workers are POS.
2026-07-05 22:07:10
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Nurstink :
They should add this to the curriculum of np school
2026-07-05 20:49:37
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TT Manytyz :
You should do the difference between refuse and declines. Often times people think declines is a nice way to say refused.
2026-07-05 21:10:37
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Nurse Amy (Nurse Amy) :
Love this - love you! You’re the best thing that I’ve seen in a loooong time - thank you !!!
2026-07-15 20:54:47
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Tibialis :
Everyone, just make a dot phrase for refusals and just cue this up to save you time outlining REAL.
2026-07-07 16:34:05
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Eric :
How would you handle someone that refuses to hear anything you want to say. They choose to leave without having a conversation.
2026-07-07 03:26:16
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Nurse Andrea Law :
OMG YESSSSSS! This cannot be emphasized enough!!! 💕
2026-07-05 20:11:12
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𝕀𝕤𝕝𝕒𝕟𝕕𝕍𝕚𝕓𝕖ℝℕ 🌴🩺💕 :
I LOVE YOUR VIDEOS THANK YOU SO MUCH 👏🏾🙏🏾💕
2026-07-05 21:09:09
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mb384id :
Such a simple and practical framework. Love it, thanks!
2026-07-06 18:02:33
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Lacrossbow :
How did you decide to get your JD after your nursing training?
2026-07-06 06:24:44
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GamER MD :
Excellent advice.
2026-07-05 19:53:38
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dr.trishmdtx :
Ambient scribes have been so helpful because my convo is documented.
2026-07-06 00:15:02
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thehighriskmidwife :
Love this acronym!
2026-07-05 20:44:38
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tguy32779 :
What if we’re in an acute care setting and there really isn’t further escalation? Let’s say they are refusing a surgery.
2026-07-19 16:11:23
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marc :
So glad I retired 2 years ago and since 2 years has passed so no one can sue me. Pathetic I have to think this way but it’s reality
2026-07-12 19:14:49
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Justis :
I’m a new grad nurse, and I just started in the ICU. I really want to ensure that my documentation is done correctly to protect myself and my patient. Do you have a video for documenting for new grad nurses or a video you’d suggest I watched to ensure that I am optimally prepared? I plan on purchasing you’re charting book
2026-07-09 14:23:07
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KGVibes80 :
How about also how to give the information to the patient doesn’t refuse?
2026-07-08 17:35:28
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Kyle Murphy31 :
I love your content but when I think too hard about it I feel so burnt out. Tonight I’m passing meds to 15 patients, if I go through this kinda process everytime one of them refuses a scheduled docusate I won’t finish med pass before 1am. Maybe the trick is identifying which meds are truly necessary and focusing on properly charting defensively on those refusals.
2026-07-19 12:14:38
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