Have any of you ever had a documentation lecture done by a lawyer? There is no such thing as good enough when it comes to lawyers. They will use anything and everything against you if that is what it comes to. They really like to use the argument "Well if you did A wrong, how do we know you did B right?". An example "If you can't even spell diazepam, how do we know you know how to recognize the names of the medications you are authorized give?"
Yes, I am aware that is a logical fallacy, but it is the tactic they use. And it works. If they can make someone look bad because of one thing, they can cast the person in a bad light overall. A good lawyer can turn a misspelling into you being an uneducated, negligent, inattentive provider who isn't thorough and doesn't care about anything. I am not exaggerating, though it may sound like it.
We had a lawyer come in do a lecture, and then we did some scenarios where real reports were presented and the person who wrote it had to defend it to the lawyer. It wasn't pretty, she ate us all alive. She got you so flustered going over abbreviations, medical words, spelling, grammar and handwriting that you were upside down and sideways by the time she finished, and these weren't even cases where there was something you had to actually defend yourself against.
Never ever misspell the names of diseases, medications or people. Even if it means you have to spend 20 minutes looking up how to spell things correctly.
Something to keep in mind, especially if you work for a big company, is that your reports could be subpoenaed without you ever hearing a peep about it. Our company QI/QA person advised us that reports are subpoenaed frequently by lawyers on fishing expeditions, and that the provider never hears about it unless it goes to court, or they were found to have violated policy/protocol.