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Malpractice Insurance: Myths That Harm Nurses

Last Updated 12 21, 2011


insuranceDo you carry insurance on your home or car?  The answer, of course, is YES.  Yet many nurses fail to protect one of their most precious assets: their nursing career.

In these unsure financial times, it is even more crucial to protect one's career.  So why do most nurses choose not to purchase malpractice insurance? 

Nurses hear many myths from various sources that keep them from obtaining insurance to protect their license.  

It is important to examine these myths so that ALL nurses providing direct patient care will understand the importance of nurse malpractice insurance and will be represented properly in front of the Board in case a lawsuit is filed. 

Myth:  "Malpractice Insurance will increase my risk of being sued." 

Some nurses do not obtain personal malpractice insurance because they believe that it will make them targets for lawsuits.  This is not true

 

Unless the nurse voluntarily informs a potential Plaintiff that the nurse has malpractice insurance, the potential Plaintiff would not know whether the nurse had insurance or not.  The decision on who to name in a lawsuit is not based on whether the potential Defendants have malpractice insurance or not.  Whether a nurse has insurance is not usually found out until after the lawsuit has been filed and the parties are in the discovery phase of the lawsuit.

 

However, having malpractice insurance might keep a nurse in a lawsuit. Some attorneys will keep a defendant in a lawsuit if the defendant has insurance to pay for potential settlements or judgments. In the past, not having insurance benefited nurses because attorneys would drop nurses out of a lawsuit because the nurses did not have "deep" pockets and did not typically have malpractice insurance. So, if there was not much money available the nurse was dismissed.

 

Now, many attorneys will not dismiss any defendants from a lawsuit if there is potential to get any amount of money from them (plus nurses are being paid much more now).

 

The bigger issue with this myth is that it ignores the main reason nurses should get malpractice insurance – having a complaint filed against them with the Board of Nurses.  More and more complaints are being filed with the BON, so there is a greater likelihood that a nurse will face a complaint at some point in her/his career (some nurses may face more than one complaint depending on where they work).  Too many nurses find themselves having to agree to restrictions on their license because they do not have the financial resources to fight the BON. 

 

Insurance will cover legal fees and expenses and some even pay for time lost from work, lodging and meals.

 

Myth:  I am covered under my facility’s insurance.

 

What is that coverage?  What are the limits?  Is it enough coverage?  It is better to also have your own insurance so that you know the answer to these questions. 

 

If you work agency, your facility’s insurance will not cover you.

 

The facility’s insurance will not provide legal representation when the matter is referred to the Board of Nursing.  A big problem with using the facility’s insurance is that the loyalty is to the facility first and then to the nurse.  Another issue that has arisen lately is that if the hospital loses a lawsuit, the hospital may then sue the nurse to recover the damages.  In that case, the hospital is not going to pay for the nurse’s defense against its own suit.

 

Myth:  I don’t need insurance because I am a good nurse.

 

Good nurses get sued and they get reported to the Board of Nursing.  Paying for legal representation and expenses is very expensive.  Think about the freedom insurance provides for a nurse reported to the Board.  Not only does the nurse not have to worry about paying for an attorney, but a nurse is able to evaluate a settlement offer by the BON thoroughly without having to worry whether he or she can afford to take the matter to a hearing if the nurse does not agree with the settlement offer.

 

Obviously if a nurse loses a suit for damages in a malpractice case, the nurse is liable for the monetary award given to the Plaintiff.  Without insurance, even if the nurse is found not to be negligent, the nurse is still responsible for the attorney fees and expenses incurred during the trial.  The nurse has also missed work and employers do not usually compensate for the time missed.  So, a malpractice claim can be expensive even if the nurse is not found liable.

 

It is important for all nurses providing patient care to carry personal malpractice insurance.  When researching malpractice insurance carriers, the nurse should be sure to read the policy in order to determine whether license defense or regulatory defense is covered under the policy. 

 

The best policy allows the nurse to choose his/her attorney and does not limit the hourly rate charged by the attorney.  Some insurance companies limit the hourly rate and that can subsequently limit the selection of an attorney.  Nurses should research malpractice insurance in order to be fully informed of the types of policies and the various terms applied to insurance.

 

Click here to read more on Taralynn Mackay.

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Recent Comments (there are 36 comments)

Well, this is all fine and dandy! But in this economy, with very (and I mean very) specific shift requirements (I can ONLY work nights), with extremely limited area experience in 30 plus years of nursing(22 in L&D, 13in Hospice), in the post_katrina world of New Orleans, i'm having trouble finding a full-time job or a part-time job which pays a living wage. This means I'm having trouble paying for car insurance. Malpractice looks like sooooooo much luxury to me. I don't own the house I live in, I have a lot of bills. So I lose case. What am i going to lose? (oh, did i mention, I'm still fighting PTSD and depression, and my perscriptions cost over $500/month. And I can't afford to rebuild the house I used to live in in New Orleans!) Malpractice insurance!? yeah right!!!

Posted By: Kathryn R on 6 07, 2010

I personally haven't been sued but two of my peers have and both were dismissed once the plantiffs discovered they were not insured. As far as wages go unless you have a rather large target available, by large I mean over $100,000 open for suit you will not be pursued. Good luck with that, most nurses I know are working from paycheck to paycheck.

Posted By: Mark D on 6 08, 2010

Is "affordable malpractice insurance" an oxymoron? How does one go about effectively shopping for such insurance other than blindly looking in the phone book or internet? Is there a rating system?

Posted By: Debbie M on 6 08, 2010

very poor way of looking at things. first i find it hard to believe you are a nurse and can't find a job paying a "living wage".

Posted By: Richard H on 6 08, 2010

Sounds horrible, Kathryn! I take it you can't rebuild your house in New Orleans because you didn't have the right....insurance. Does anyone know if a lawsuit goes against you if your future earnings can be levied? Is it time to move to greener (or smaller) pastures? Find more roommates? If I had to pay 500/mo for prescriptions, I'd have PTSD and depression for that alone, much less the house thing. One of the cheapest, easiest and healthiest ways I know of to build both physical as well as emotional health is to go high/all raw for awhile, and have plenty of greens. If you have a blender, pop in some fruit and some greens, maybe a few ice cubes, maybe a touch of honey if you need it sweeter, and drink about 1-2 quarts a day. The greens actually have protein along with calcium and tons of essential minerals and vitamins that you probably need to replenish with all the stress you've had. Start with lettuce, and work up through baby spinach, chard, kale, parsley, etc. Lots of recipes online for "green smoothies" if you want to follow it up. Getting rid of depression on a raw diet is pretty common...might save a significant on your meds each month if you enhance your diet the raw vegan way. Its not hokey. I've witnessed plenty of transformations in person, including diabetes reversal, and depressed people becoming thrilled with life again...cancer going away, arthritis going away, Crohn's disease going away, herpes outbreaks disappearing, edema decreasing.... You might enjoy: http://www.rawhealing.com/myrawstory.html http://www.welikeitraw.com/rawfood/raw-food-before-and-after-photos.html Supermodels on raw diets: http://www.pr.com/article/1055 http://www.youtube.com/watch?v=hm9oWWLHD9c Dr. Douglas Graham on protein in the raw diet: http://www.youtube.com/watch?v=LtGmT13r14w Raw Diet effective against Bipolar case http://www.vitalrecipe.com/view/58ffro4j6/arnold-s-way-raw-food-and-bipolar-disorder/ Dr. Gabriel Cousens, M.D. http://www.treeoflife.nu/home-index/ Boutenko Family - researched clinical effects of green smoothie consumption and energized the green smoothie movement http://www.rawfamily.com/ Rhio's remarkable story: http://www.rawfoodinfo.com/articles/art_rhiointbeautifulonraw.html Before and After pictures: http://www.beautifulonraw.com/raw_food_transformations_before_and_after.html http://www.alissacohen.com/ her book, Living on Live Food, complete, accessible book for the beginner. Your library, may have some raw food books on their shelves, and if they don't they should be able to obtain them (though it may take some time). My librarian said that they can get any title, pretty much, if you are willing to wait for it. But the internet is loaded with recipes, too. Even if you JUST do lots of green smoothies, but still eat some cooked food, you can expect more energy, more lightness in body and mind, as you replenish your body. You need some serious pampering!

Posted By: Laure H on 6 08, 2010

This is just an advertisement to get you to buy malpractice insurance.

Posted By: Milton D on 6 09, 2010

We were encouraged to purchase liability insurance during nursing school and my first policy in 1973 was $50.00/year. I have carried insurance all these years and my current policy is $107.00/yr. (Glad the pay scale didn't increase at the same rate!) Look at malpractice insurance company recommendations made by your professional organizations.

Posted By: Kathy S on 6 10, 2010

Nurses Service Organization provides insurance for about $100 per year. I have my insurance through them and have for years.

Posted By: Pamela M on 6 10, 2010

We are being forced to do more with less and then being punished for the declining standards and suboptimal outcomes being seen everywhere. And it's only going to get worse. I think insurance is probably a good idea at this point.

Posted By: Mark J on 6 10, 2010

NSO also has a reduced rate if you are inactive....and if you can't find a job right now, maybe you could qualify.

Posted By: Laure H on 6 10, 2010

quite alot of nurses I have worked with don't use their married name on their lic. they used their maiden. [sorry, won't work for the guys] I asked one why. she said if sued her husbands assets would not be at risk and their house would not show up on an assest search by a lawyer. my bro in law is a lawyer,personal injury, the first thing they do is check if their are assets,no assests, no case. I worked agency for over 20 yrs. the one time I was involved in a case I was insured by the agency.I was treated very well.

Posted By: patti m on 6 11, 2010

I have malpractice insurance through NSO, and I only pay $100 per year. I do not trust my employer to help me out in the event of a lawsuit. Yes, times are tough, but they will get even tougher if you aren't employable as a nurse.

Posted By: Eron C on 6 11, 2010

The last thing you need is to worry about lawsuits. As our goverment refuses to pass tort reform, in order to allow us to practice without the constant fear of frivilous lawsuits. Remember, even if you don't make a mistake, there are those looking for a profit anyway they can...buy the insurance, you can make installment payments.

Posted By: Jan S on 6 11, 2010

Wow! Thank you Laure H. I was having some trouble with insomnia and, after reading your comment, decided to try the raw diet for past two days as a last resort. Today I didn't have to take a nap and am feeling pretty good, gassy, but good. Thank you again for all the good info and websites.

Posted By: San T on 6 11, 2010

I want to volunteer with my church and start a parish nurse program. I was advised not to even check blood pressures unless I have malpractice insurance. It is sad, I want to volunteer, but I have to pay $100 a year to volunteer. I have to sift through several insurance companies to determine which insurance company will best meet my needs - to volunteer!! Of course it would cover me at work as well.

Posted By: Elizabeth P on 6 11, 2010

What???????? If I am a nurse (LPN/Rn and only get paid, let us say $17/hour and then they take out money from my already lowly pay, what more is left of take home pay? I read an article that the reason that doctors earn so much money is to account for malpractice insurance. We nurses don't have the same luxury of "earning so much" money to account for malpractice insurance. I believe in what Mark D. who posted on 6/8, if you don't have insurance or assets the nurses will be dropped from the lawsuit. I wonder why I am even getting into nursing. This lawsuit stuff isn't getting me excited about Nursing. It really sucks!

Posted By: Connie C on 6 13, 2010

These comments were so helpful. I am a nurse for over 5 years with no insurance. I don't own a house, a car. No assets and pay my ex husband $500/month in support! So who's going to sue me if I don't have anything?

Posted By: Michele K on 6 14, 2010

I would agree--NSO is the way to go. Yes, it's another $100 to send to someone in the mail but it gives me peace of mind. Have always been supported by my employer but "better safe than sorry" is my motto.

Posted By: Cheryl S on 6 16, 2010

You are crazy if you are not carrying your own professional insurance. For a little less than $10.00 a month with NSO, you can protect yourself from losing a lot. When a facility is asking your to take care of six plus patients, you can not afford NOT to have addition insurance.

Posted By: Jane N on 6 16, 2010

OT follow up on San T's comment above.... Glad it helped, San T. I've found it invaluable, as have many others. The gas is temporary - just means you have unexpelled debris in the colon, and the raw foods are uncovering it and shifting it and allowing the putrefying gas to escape. Raw eating takes very little energy to digest, and the body begins to expel other wastes with the excess energy. Over time, with lots of raw meals/raw days, you can get rid of a lot of that. Getting rid of that "cr*p makes people feel better, a common feeling after people go for high colonics as well as raw diets. As your colon cleans itself up, you will feel satisfied with less food as more nutrition can reach your bloodstream. If you go 100% raw all at once, you will probably experience stronger detox symptoms if you can't expel waste as fast as your body is "cleaning house." (Hence the use of enemas and colonics by raw food resorts - and their programs carefully include plenty of probiotics to replace the ones you wash out with enemas). Going raw for a few days a week is a great way for most people to experience tons of benefits without experiencing intense detox like the gassiness you mention. Some people give up when they get gas...such a shame. I've see these same people end up with surgery for gall bladder removal (two of them). That sounds a lot more inconvenient than pushing through a gassy phase. Sometimes a health challenge makes it totally worth the 3-4 days of fatigue and malaise of a full-on 100% raw detox (and I suggest including a heavy metal detox element like wheatgrass juice or NCD drops in the program - from personal experience) but most of us can start improving in SO many ways by adding a few meals or a few days of raw at a time, and increasing slowly as desired. Some eat raw for two meals a day, and cooked for the third meal. One thing seems sure: if you feel great on raw foods, you'll may find yourself less willing to accept how you feel on so many cooked foods...and the change to a high/all raw way of eating can come about slowly and naturally. There are elite athletes who have made the switch and found that their performance has improved dramatically, despite the fact that this diet flies in the face of conventional eating wisdom. And as I mentioned before, many have found their bodies cured of the incurable using this eating style. It frees up energy while providing superior nutrition. Common sense, really.

Posted By: Laure H on 6 18, 2010

I have a sneaky feeling that being broke isn't necessarily going to keep you off the target list (meaning someone needs to pay for the cost of defending you, which is huge). Should you count on your employer to foot the bill? An employer can fire you, after all. In these tight times, who know what they might not try. They may be having these discussions about malpractice premiums, themselves, for all we know. They aren't known for putting nurses' needs anywhere near the top, as a group. "Having nothing" may ALSO not get you off the hook is a judgment goes against you. There are still legal means for the person who wins the suit to attempt collections. http://www.washoelegalservices.org/lawsuit.htm Another page I saw involved someone whose pay was being garnished to cover medical bills. We have all heard of people having wages garnished for child support. The IRS likes to garnish wages and freeze accounts. I'm not saying it will happen, or that you should or shouldn't carry malpractice insurance. The truth is, you may never be involved in a suit, and you might pay malpractice all your professional life and never see a penny of benefit. Judge for yourself what kind of risk you can live with, but you should know what COULD happen before making that decision. Yes, they CAN come after your future. This will affect you and those you love, if it happens. It may affect family members you do not yet have. And as Jane N says, if you can accomplish peace of mind for less than $10/month, why not? And to put it into perspective, doctors pay a heck of a lot more in malpractice insurance...so much that some of them are leaving medicine. And Michele K - I'll be there are more than a few readers who would want to know how to AVOID a situation in which they may someday need to pay an ex HUSBAND or ex spouse of any kind the ridiculous sum of $500/month. Was he a freeloader who became accustomed to a life of luxury with you, and the courts allow him to stand on his own two feet, or were there mitigating circumstances? You might be able to save someone a little pain with the wisdom of your experience.

Posted By: Laure H on 6 18, 2010

I have been an RN for 26 years 3 years into my career I was working as a traveling nurse in L&D. At a hospital in florida[at the time lawsuit capitol of the U.S.] we had a a train wreck of a patient come in. If you can think of an Obstetrical nightmare she had it! She had no insurance no prenatal care so of course the MD on call was not interested in seeing or treating her. She developed emergent complications and required a c section. The baby was born with CP and she sued. Of course with all her obstetrical problems it could have been anything to cause the CP. The hospital the doctor the traveling nurse company I worked for and myself were named in the suit. we eventually settled out of court for millions which I did not want to do but had little choice in the situation. The hospital attorney told me after it was all over that if I had not had my own malpractice insurance I would not have been named along with all the others. This was over 20 years ago and things may have changed but I have not carried my own insurance since. I may change my mind. Also FYI because I was working with an agency and not an employee I was thrown to the wolves. I was brought before the BON [my malpracice insurance did not assist me with any of the attorney fees time lost at work or anything] My license was placed on probation for 2 years all for something I didn't do. The doctors cronies stood up for him [eventhough he was by reputation known as one of the worst doctors at the hospital and a few years after this not allowed to practice there anymore] He got off scott free. So new nurses beware don't think a doctor will back you up in a pinch. I got out of nursing for awhile but the regular pretty good paycheck lured me back. this incident really effected me and scarred my professional career.

Posted By: Jill S on 6 24, 2010

IN THESE TIMES, ITS BETTER TO BE SAFE THAN SORRY. THERE ARE PEOPLE OUT THERE JUST WAITING FOR ANY REASON TO SUE. ITS SAD, BUT NURSES WORK SO HARD TO GET THEIR DEGREES AND LICENSE AND THE FIRST ONES THEY LOOK TO BLAME ARE NURSES. SO YES, I WOULD RATHER PAY THE FEE, AND PRAY EACH DAY THAT MY DAY IS SAFE.

Posted By: ANNLEE L on 6 29, 2010

To Kathryn R: break my heart! And maybe get out of nursing! If things are SO bad for you, how can you be a caring nurse? Find another job!

Posted By: Ilene M on 7 07, 2010

A great place to get it is www.proliability.com. Great service and excellent rates.

Posted By: Ann S on 8 26, 2010

Most times the hospital/agency is sued for what the employee (RN, LPN) did or did not do, the hospital has to most money, then they sue every physician - they get plenty of money thay way. IF they can show a bunch of nurses missed something they can get more money....I've been and LNC for 12 years and rarely saw a nurse singled out.

Posted By: Deb D on 2 23, 2011

For Richard above judging the nurse from New Orleans, this was such a callous comment to make. Here in Northeastern Ohio, try to find a full-time nursing job in any facility. Does he think he is right in judging any human being if he has not walked in their shoes? How sad.

Posted By: Ellen B on 2 24, 2011
How much does it cost for a nurse to buy malpractice insurance though? In unsure financial times it's hard to make the sacrifice to pay for the insurance just like it's hard to pay for the malpractice.
Posted By: Leslie L on 6 07, 2011
How much does it cost for a nurse to buy malpractice insurance though? In unsure financial times it's hard to make the sacrifice to pay for the insurance just like it's hard to pay for the malpractice.
Posted By: Leslie L on 6 07, 2011
How much does it cost for a nurse to buy malpractice insurance though? In unsure financial times it's hard to make the sacrifice to pay for the insurance just like it's hard to pay for the malpractice.
Posted By: Leslie L on 6 07, 2011
It's true that a liability policy can be rather costly, but the cost of not getting it can exceed it by hundreds times. It's all about taking chances but unfortunately we live in the country where you can get sued without even doing anything wrong. So getting a nursing malpractice insurance should be considered as an absolutely necessary expense and get deducted from the nurses' salary.
Posted By: Maria S on 7 11, 2011
If you do not have any assests, there is nothing to take but you could lose your license!
Posted By: Sally M on 7 25, 2011
I am a newly licensed LVN and opted to buy the insurance. For me it was about $10 a month. While I paid for it before recieving even a first paycheck. I know that if I struggle to come up with 10 bucks a month, I surely don't have extra 1,000's lying around to pay in case of an issue. I don't count on anyone or any organization to go to bat for me in a pinch. As nurses we have bosses, but ultimately we work for ourselves when it comes to protecting our license. Plus, as a married person, I have to take into consideration our joint assets and savings, not just mine.
Posted By: Jane D on 7 26, 2011
I have previously worked several years with a trial lawyer that litigated malpractice cases. Many nurses might be surprised to know that the fact that you have malpractice insurance is probably the most important consideration a plaintiff's attorney considers when s/he decides whether or not to specifically include an individual in a lawsuit. So in actuality, the fact that you don't have malpractice insurance is usually what prompts them to dismiss the individual from the case on not include them in the first place. You have to make up your own mind as to whether you want to pay the premium for piece of mind but it is the insurance money, or lack thereof, in just about any civil case that is the driving force for a plaintiff's attorney.
Posted By: Lion- O on 12 12, 2011
SO by having the "bait" insurance for piece of mind you are attracting the "vulture attorney" vs the "shark attorney" that represents you, because you are going to have to shell out all kinds of money time and nerves defending yourself. Whether you are wrong or right. Hummmm......
Posted By: nursey gurl k on 2 06, 2012
Why are some nurses judging another one's circumstances? I don't get it. That is why nursing is not evolving as it should be. Too much backbiting. There are many nurses (with experience) unable to secure employment today. Plus, things are changing. NO ONE has your back in a hospital. Hospitals are going after nurses and they are losing their license if they speak UP FOR THE PATIENT. Things are a changing people. There are also more desperate people out there willing to sue anyone for anything. What about your potential for future earnings? Yep.
Posted By: suki L on 3 03, 2012
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