Legal Nurse Consulting Blog
Expert perspectives on medical record review, healthcare litigation, and legal nurse consulting from Arlyn Fillmore, RN.
6 articles
Local anesthesia is often considered the easy part of a procedure, but it carries its own high-stakes risks. A real OR case illustrates how quickly Local Anesthetic Systemic Toxicity (LAST) can develop and why every clinician must be prepared to respond.

Medication errors are often the most clearly documented adverse events in healthcare. The harder part is knowing where to look when the error was never labeled as one.

These cases have a reputation for being hard to work. They do not have to be, if you know which documents to read and what patterns to look for.

They are not the same role, and using them in the wrong order wastes time and money. Here is how to think about the sequence.

Medical records are never neutral. They are timelines with gaps, patterns, and signals. Reading them correctly is the difference between a strong case and a dead end.

I spent over 20+ years as a surgical nurse before I found a way to keep fighting for patients outside the hospital. Here is how it happened.
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