Objectives: By the end of this session nurses will be able to:

• Understand the legalities of medical record usage
• Apply Standards of Nursing Practice in reporting and documentation
• Recognize and prevent biased documentation (i.e. language, assumptions and labeling)
• Understand how biased documentation can negatively influence patience care
• Describe the purpose and protections of the Patient Safety and Quality Improvement Act (2005)

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Learning Outcomes:

• Upon completion of this session, ≥80% of participants, will self-report increase knowledge in recognizing valid advance care planning documents, applying them in clinical practice, and identifying appropriate decision-makers for patients lacking decisional capacity, as measured by post-activity evaluation.