LNCC case studies
LNCC · Put your knowledge to work in context.
The Legal Nurse Consultant Certified (LNCC) credential is a professional certification for registered nurses who apply nursing expertise within the legal arena - reviewing medical records, analyzing standards of care, screening cases for merit, supporting discovery, and serving as expert or consulting witnesses. Candidates typically work for plaintiff or defense firms, insurers, government agencies, or as independent consultants, and most hold an active RN license with substantial clinical experience before sitting for the exam. The LNCC case studies are 5 cases and about 4,465 words.
1The Monday Affidavit: Merit Review Under a Ticking Notice Deadline
A plaintiff firm retains you 14 months after the event, in a state with a two-year statute of limitations and a 180-day pre-suit notice requirement. The client, a 78-year-old woman, had a hip hemiarthroplasty on March 3, was discharged to a skilled nursing facility on March 7, and developed a sacral pressure injury documented as Stage 3 on March 21.
866 words, about 4 min2The 11-Hour Gap and the Note That Contradicts the Surgeon
You are the LNC for the plaintiff in a postoperative hemorrhage case. The hospital produced 340 Bates-stamped pages in response to a request for the 'complete medical record.' Working through them, you find: (1) the PACU nursing notes run 1900 to 0600 with no entry across an 11-hour gap, though the patient was in the unit; (2) a 0600 nursing note reads 'resting comfortably, denies pain, no complaints,' while the surgeon's 0545 progress note documents 'diaphoretic, tachycardic to 128, Hgb 6.9, two units PRBC transfused'; (3) two medication administration entries carry a signature that does not match the user ID in the electronic record; and (4) an 'addendum' to the 0700 assessment shows an entry date 9 days after discharge with no original-entry timestamp.
883 words, about 4 min3Critiquing a $9.8 Million Life Care Plan
You are retained by the defense to critique a life care plan in a premises-liability case. The plaintiff, a 28-year-old ironworker, fell 22 feet and sustained a T4 ASIA A paraplegia and a moderate traumatic brain injury.
859 words, about 4 min4Deposition Week: A Clawed-Back Document and a Former Employer
You are the testifying expert for the plaintiff in a nursing home elopement case. A 79-year-old resident with dementia and a documented wandering history exited through a secured unit door that housekeeping had propped open, and was found 90 minutes later in a retention pond; he died.
908 words, about 5 min5One Consultant, Two Requests, and a Contingency Offer
As a solo legal nurse consultant, you accept a plaintiff engagement in a birth-injury case at 175 per hour. The engagement letter says you will 'review the records, prepare a chronology, and assist counsel' and is silent on testimony.
949 words, about 5 min