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The outcome of the patient’s health will be based on the nurse’s efforts and proper care. But if an RN conducts improper care which can harm the patient, he or she may face complaints or allegation cases. An RN should come prepared before appearing or facing the Board. A nurse attorney can be your defense against circumstances.

An incident happened at the time when the RN involved was employed at a hospital in Harlingen, Texas. The RN had been in that position for one (1) year and four (4) months.

On or about May 23, 2019, the RN failed to check the blood glucose levels of the patient at midnight and 06:00, as ordered. Subsequently, the patient’s early morning laboratory results indicated that the blood glucose level for the patient was 361, which the RN failed to treat despite physician orders to administer insulin per Sliding Scale Diabetic Protocol. The RN’s conduct was likely to injure the patient in that the failure to follow physician orders resulted in non-efficacious treatment and placed the patient at risk from untreated hyperglycemia.

In response to the incident, the RN states that the patient arrived at his unit from the Emergency Department with hypertension and intractable vomiting, which he treated with medication. The RN states that the patient’s orders for blood sugar level monitoring were with meals, at bedtime, and as needed. He also states that the patient’s blood sugar levels were normal before dinner and before bedtime. He states that he skipped the midnight blood sugar level because the patient was sleeping.

In addition, the RN states that the patient had blood drawn for ordered laboratory tests around 05:00, and he went to check her blood sugar level around 06:00, but the patient was sleeping again. He also states that the laboratory values were available and he requested the oncoming shift’s nurse to check the 06:00 blood sugar level and cover with insulin per sliding scale orders since the patient was sleeping.

In conclusion, that was based on the incident and the information received as evidence, the RN was subject to discipline pursuant to Section 301.452(b)(10)&(13). The RN could have avoided such adversity.

He had failed to hire a nurse attorney to fully defend her case and had led in this decision of the Board. Do you have questions about the Texas Board of Nursing disciplinary process? Contact The Law Office of RN License Attorney Yong J. An for a confidential consultation by calling or texting 24/7 at (832) 428-5679 and ask for attorney Yong.