Conducting incomplete documentation could cause RNs to lose their hard-earned license. Such conduct could contribute to inaccurate and poor-quality care to patients. If an RN is in such trouble, ask a nurse attorney to help you fight against allegation cases.

At the time of the incident, she was employed as an RN at a nursing home and rehabilitation facility in Garland, Texas, and had been in that position for three (3) months.

On or about November 16, 2019, while employed as an RN at a nursing home and rehabilitation facility in Garland, Texas, RN failed to document her assessment of the right lower leg for a resident when she was notified by a nursing aide that the resident had a bruise. In addition, RN failed to notify the provider regarding the resident’s change in condition. Subsequently, the said resident was transferred to the hospital for a right lower leg fracture. RN’s conduct resulted in an inaccurate and incomplete medical record and placed the resident at risk in that subsequent caregivers would not have accurate and complete information on which to base their decisions for further care. Additionally, RN’s conduct resulted in a delay of care and placed the resident at risk of complications related to an untreated fracture.

In response, RN states that during the early morning hours of November 16, 2019, a nursing aide informed her that the resident was attempting to guard her leg and would moan when the area was touched. RN states that she assessed and noted slight bruising and warmth to the right lower shin area with palpable pulses. RN states that she and the nursing aide repositioned the resident and she asked the nursing aide if she knew what might have happened or received any information in the report. RN states that the nursing aide responded, “no.” RN states that her attention was diverted by another resident who fell and required immediate assistance. RN states that the computer system was unavailable for a period of time for maintenance and the remainder of her shift was very busy. RN states that she, unfortunately, forgot to follow up regarding the resident’s leg, and she is truly sorry.

The above actions constitute grounds for disciplinary action in accordance with Section 301.452(b)(10)&(13), Texas Occupations Code, and is a violation of 22 TEX. ADMIN. CODE §217.11(1)(A),(1)(B),(1)(D),(1)(M),(1)(P)&(3)(A) and 22 TEX. ADMIN. CODE §217.12(1)(B),(1)(C)&(4).

A case was ultimately filed against her before the Texas Board of Nursing (BON). The said allegation was fatal to the RN’s capability to perform the essential functions and duties. Sad to say, the nursing defense attorney who handled her case was not able to properly defend her interests and rights before the Board. The Texas Board of Nursing (BON) found her guilty of the offense alleged in the complaint and decided to place her RN license under disciplinary action.

If you also received a letter from the Texas Board of Nursing regarding a case or complaint filed against you, you should hire a nurse attorney immediately before it’s too late. Texas Nurse Attorney Yong J. An is one of those dedicated nurse attorneys who helped represent more than 300 nurse cases for the past 16 years. You may contact him 24/7 at (832) 428-5679 for more information or if you want to schedule a private consultation.