"Well a few days have passed since the conference and I am just crashing now. What an incredible experience.!!! Well done is an understatement." - Community Health Nurse, BC
What is an LNC?
What is a Legal Nurse Consultant?
The Legal Nurse Consultant (LNC) is a licensed, registered nurse who performs a critical analysis of clinical and administrative nursing practice, healthcare facts and issues and their outcomes for the legal profession, healthcare professions, consumers of healthcare and legal services, and others as appropriate. With a strong educational and experiential foundation, the legal nurse consultant is qualified to assess adherence to standards and guidelines of healthcare practice as it applies to the nursing and healthcare professions.
What does a Legal Nurse Consultant do?
A Legal Nurse Consultant can provide invaluable input in just about every type of medical event or issue. LNCs provide an unbiased analysis of adverse events or contentious medical/legal situations. They provide general assessment and opinions on nursing care in medical malpractice cases; interpretation of medical records, assessment of physical injuries, and determination of future care and costs in vehicle, property and workplace personal injury cases; they provide opinion on rehabilitation and work issues in Occupational Health and Safety; they assess trauma and comment on injuries in criminal cases; they assess incidents and abuse in government or care facilities and much, much more.
The skills learned in this course can be applied in risk management, patient safety, nursing administration and quality assurance roles.
Minimally - the skills learned in this course will help you be a better nurse - and that is very valuable in itself.
Who is suitable for this work?
You must be a registered nurse, preferably with 8-10 years of clinical experience. You must be thorough in your analysis of the case facts and able to provide a completely unbiased assessment of the situation. You will need to have excellent written communications skills and good computer skills - especially word processing. Self motivation and the ability to work alone is key. You should be inquisitive and skilled at analysis.
Why would I want to be a Legal Nurse Consultant?
This work is fascinating and you will be upholding the standards of care. Imagine receiving a box of documents and a basic description of an adverse event. Your job is to determine exactly what occurred, how and why it occurred and to provide expert opinion on the issues that contributed to the adverse event and the resultant outcome.
You will continue to learn as you research standards of care and delve into the details of each case. Your opinion must be based on a thorough analysis of the case facts based on accurate knowledge of nursing standards of care and practices.
This work is very important. The outcome of the legal action or investigation can have a profound impact on the people involved. You will have the opportunity to use your nursing expertise to make positive changes in healthcare delivery.
Legal Nurse Consulting can be an excellent change to your career and your life. You will have flexibility with when (no shift work!) and where (at home!) you work. The pay can be significantly better than nursing wages.
What qualifications do I need to be a Legal Nurse Consultant?
Many of us have the critical asset to be an LNC; that is to be a Registered Nurse, in good standing with your professional association, with 8-10 years of experience. Thorough knowledge within a single area of clinical expertise can be helpful, but general nursing experience is also extremely useful. You must be well versed and confident in the standard of care applicable to your area of nursing expertise. You must be able to provide a thorough, unbiased, defendable opinion on the nursing care.
There is no minimum experience to qualify as an LNC, but your level of confidence in your practice will improve over time and your nursing opinion is more likely to be valued in the courts as you gain experience. At least 3 to 5 years of general nursing experience followed by 3 to 5 years in a clinical specialty area is ideal. If you have less experience, you CAN take the LNC course and build your business while you continue to gain clinical experience.
There is work for all kinds of nurses: Diploma, Bachelors, Master, PhD and all sizes and levels of hospitals and care facilities. Lawyers need advice from all types of nurses!
The most important education you need is solid clinical nursing experience – in any background. Lawsuits occur in all areas of medicine; acute care hospitals, outpatient/day surgery clinics, long term care facilities, telephone advice lines, school nurses, home care, community health, air ambulance and doctors’ offices and all types of personal injury.
Check out our Self Assessment to see if you have the qualities to be a Legal Nurse Consultant.
I'm just about to retire, and have several years of nursing experience. Is Legal Nurse Consulting a suitable option for me?
There is no doubt that your education and considerable nursing experience you will be valued. You are in a well respected position to provide opinions on standards of nursing care. Legal Nurse Consulting is a perfect career for this time in your life and will provide you with a whole new way to use all of your acquired nursing knowledge. Many of the cases you will be asked to review will have occurred 5-10 years ago (cases in the Canadian courts move very slowly!) when you would have still been practicing as a nurse and very qualified to speak to the standards of care. You may also choose to use your nursing experience and specialized LNC knowledge to provide much needed education to nurses on the medical/legal aspects of their care or to personal injury lawyers who require general nursing knowledge.
How much work is there in Canada?
There are published statistics of at least 960 medical malpractice cases against physicians each year in Canada. The statistics for nurses are not known. Commonly, each case has three sides that require expert opinion; the plaintiff, the doctors and the nurses. The lawyer for each 'side' of the lawsuit may require one or more nursing opinions on the standards of care. This equals 3-4000 expert nursing opinions required yearly. Many more cases, which may not make it to the trial or settlement stage, will require nursing opinion to determine merit.
The bulk of the work in Canada is in the medical malpractice area where LNCs provide education and opinion on adverse events that occur in the clinical setting. This area continues to grow - steadily - as lawyers learn more about the Legal Nurse Consultant role, and how they can contribute.
We believe that the Canadian situation will mirror the U.S. situation - albeit on a smaller scale. In the U.S., there are as many LNCs working in personal injury as there are in medical malpractice. Personal injury cases include slips and falls, traffic accidents, work place injuries and other events that occur outside of the hospital. In personal injury, LNCs provide information on some mechanics of injury, are injuries consistent with the event, care provided, long term impact and future care costs to the injured.
There are also insurance companies, risk management companies, government agencies and Long Term Care Facilities that require expert opinion on the standards of care. Some law firms in Canada are now hiring ‘in house’ Legal Nurse Consultants as well.
Using the US as a guide, we estimate that there are 40,000 nurses trained as LNCs (22,000 by one facility alone), so far!
The rate of pay for LNC's in Canada ranges from $50 to $250 an hour depending on your nursing qualifications/experience and your experience as a Legal Nurse Consultant.
Is Legal Nurse Consulting recognized by the Canadian Nursing Association?
Legal Nurse Consulting has recently been formally recognized as a subspecialty of nursing by the American Nurses Association (after 25 years and 40,000 nurses!). In that same spirit, the Legal Nurse Consultants Association of Canada (www.LNCAC.ca) was formed with this as an eventual goal. There is progress being made - in 2011 the CNA awarded the LNCAC with 'Emerging Group' status - an important step as Legal Nurse Consulting progresses in Canada.
Your value as a Legal Nurse Consulting is recognized by a growing number of lawyers (who will be your clients) and you will be able to work and earn a significant income while we strive towards national recognition. As a Registered Nurse, all of the time spent working as an LNC may count towards practice hours with your provincial licensing and registration body.
Will I have to go to trial? I'm scared to death of being on the witness stand!
The good news is that, in Canada, approximately 90% of medical/malpractice lawsuits settle ‘out of court’ and never proceed to trial. Your written nursing opinion will be one of the very valuable tools that lawyers use in their settlement negotiations. However, you need to be prepared for the possibility that you will be asked to attend trial as an expert witness with most cases you review. While there is no doubt that this is a challenging experience, it also presents significant learning opportunity!
An entire day of the Introduction to Legal Nurse Consulting conference is spent preparing you for your role as an expert witness in court. A nurse/lawyer explains the language and definitions of the legal system while discussing the expectations of the nurse expert witness. A half day is spent in a mock trial - with top practicing lawyers, a judge, a court clerk and 2 expert witnesses putting on a mock malpractice trial. This will be a valuable exposure to the experience of ‘being on the stand’. You will have the opportunity to ask questions and experience, first hand, what a trial looks like.
How should I best proceed through your courses?
CanLNC Education has a growing suite of Legal Nurse Consulting education options.
The Online version of Introduction to Legal Nurse Consulting provides the basic, core education required to do the work of a Legal Nurse Consultant. That is, examining\analysing medical records and providing opinion on the nursing care provided. We introduce the role of the Legal Nurse Consultant, discuss the various types of litigation that the LNC could be involved in, educate on legal terms and processes, and outline in detail how a case proceeds from the initial phone call from a lawyer looking for opinion, to the probable outcome of a written expert opinion. This course is suitable for anyone wanting to pursue the work of a Legal Nurse Consultant or anyone involved in adverse case analysis.
The Introduction to Legal Nurse Consulting face to face course takes this one step further. In the first two days, the course covers the same content as the online course, but in a different method - using presentations by Legal Nurse Consultants enhanced with group discussions with other nursing professionals. The discussion can be interesting, with surprisingly different views on the same event.
The last two days of the face to face conference are Legal Day and Business Day - with day three presented completely by lawyers including a half day of legal definitions and discussion on the legal process. The second half is a very valuable experience for the Legal Nurse Consultant - a mock trial with two top lawyers 'battling it out' on the same case that the first two days (or the online course) have analysed. It is a very valuable experience for the LNC to learn about court and the importance of the accuracy and defence of the opinion in their written report. Day four - Business day - covers 'how to start a business in Canada', 'how to market you business', some practical steps you can use to get yourself going in Legal Nurse Consulting. There is some very interesting discussion on actual cases that CanLNC has handled. And, of course, the exam is written on this last day.
The Advanced Legal Nurse Consulting course focuses on advanced report writing skills, discusses actual medical legal cases and their outcomes and includes some interesting point/counterpoint discussion by two top Legal Nurse Consultants.
The Online Introduction to Legal Nurse Consulting course is geared to all nurses wanted to work as Legal Nurse Consultants, or nursing professionals that want to do adverse event analysis.
The Introduction to Legal Nurse Consulting course is geared to provide all the information and education needed for nurses who want to work as independent Legal Nurse Consultants - providing opinion on adverse events for medical malpractice or personal injury lawyers.
The Advanced course is geared towards LNCs who have previous education or experience with Legal Nurse Consulting and want to advance their skills in medical record analysis and written opinion report writing.
I understand that CanLNC provides opportunities through CanLNC Experts. How much work can I expect to get?
That's right - we do have another arm of our company that subcontracts LNCs to lawyers. CanLNC - through our company CanLNC Experts - has been providing opportunities to Legal Nurse Consultants since 2005. With our excellent reputation providing nurses (and physicians) to law firms, we continue to have a growing demand for LNCs. When we get requests our priority is always to try to find an LNC that has taken our courses.
It is impossible for CanLNC Experts to predict the type and number of requests that we will get. And it is important to note that ultimately, the lawyer will choose which nursing expert to retain. Although we do our very best to find work, there is no guarantee that we will have work for you once you've signed onto CanLNC Experts. We encourage you to pursue your own business while we continue to look for opportunities to get you started in your new career as an LNC.
Where can I get more information?
Check out the American Association of Legal Nurse Consultants at www.aalnc.org. They are an excellent resource for information on Legal Nurse Consulting.
You can also contact us by emailing us at info@CanLNC.ca. We're happy to answer your questions!