During a meeting to discuss the adoption of clinical pathways a nurse expresses concerns about legal problems associated with their use
Which options reflect provider responses to the use of clinical pathways that can result in legal problems? Select all that apply. 1. Nurses document most of the variances.
2. The provider does not follow the clinical pathway and does not document the variance.
3. Negligent care is provided, even though the pathway was followed.
4. The pathway does not represent evidence-based care.
5. Care is delivered based on the pathway, not the individual.
2, 3, 4, 5
Explanation: 1. Nurses document most of the variances because they have the most contact with the patient. This is not a legal concern.
2. Any care that varies from the pathway should be documented in a variance.
3. Following the pathway does not relieve the provider from the responsibility of providing quality care.
4. Pathway developers have been named in liability cases.
5. The pathway should be followed, but should be individualized to the patient.
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