Following a facility’s policy and procedures is very important as well as doing proper documentation. If not done properly and accurately, it can put a patient in harm. Therefore, every RN should practice keeping accurate and complete medical records for documentation purposes. Inaccurate documentation can lead and can cause negative outcomes. If you are in such a situation, it is best to consult a nurse attorney to know what proper measures to take in facing cases.

At the time of the initial incident, he was employed as an RN at a healthcare facility in Abilene, Texas, and had been in that position for six (6) months.

On or about July 5, 2019, while employed as an RN at a healthcare facility in Abilene, Texas, RN withdrew two (2) Norco 5/325mg tablets, one (1) Zolpidem 5mg tablet, and four (4) Clonazepam 0.5mg tablets from the medication dispensing system for a patient but failed to document and/or accurately and completely document the administration of the medication in the patient’s Medication Administration Record (MAR) and/or Nurses’ Notes. RN’s conduct was likely to injure the patient, in that subsequent caregivers would rely on his documentation to further medicate the patient, which could result in an overdose. Additionally, RN’s conduct placed the hospital in violation of Chapter 481 (Controlled Substances Act) of the Texas Health and Safety Code.

In response to the above incident, RN states he was still learning the Meditech system and that it sometimes did not show up in the system after medications were scanned and administered.

The above action constitutes 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) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B),(1)(C)(4)&(11)(B).

However, without enough evidence to prove he’s not guilty, the RN lost the case. This is the reason why the Texas Board of Nursing placed his RN license under disciplinary action.

Do not be stressed or anxious if you find yourself in a similar situation as that of the RN mentioned above. All you need to do is to find the right RN/LVN license attorney who can help you in the case. Equip yourself with the knowledge and expertise you need for a successful outcome by consulting a knowledgeable and experienced Texas nurse attorney. Texas Nurse Attorney Yong J. An is an experienced nurse attorney for various licensing cases for the past 16 years and represented over 200 nurses before the Texas BON. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-4579.

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