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An experienced and skilled nurse attorney has surely helped a lot of RNs and LVNs when it comes to cases that may lead to disciplinary action. Unfortunately, not all nurses were able to hire a nurse attorney as they underwent such cases. This incident that an RN committed on January 29, 2011, was one of those examples.

On or about October 5, 2015, through October 6, 2015, an RN from El Paso failed to notify the physician of a patient and call a Rapid Response team when the patient experienced low blood pressure readings, elevated pulse, and elevated temperature. Blood pressure readings documented in the medical record during the RN’s shift include 63/45 mmHg, 73/40 mmHg, 82/40 mmHg and 84/52 mmHg. The patient was found by the oncoming shift to be hypotensive, and required transport to the intensive care unit (ICU) for treatment of the low blood pressure and septic shock.

The RN’s conduct exposed the patient to risk of harm by depriving the physician of vital information that would be required to institute timely medical interventions to stabilize the patient’s condition.

The Texas Board of Nursing has full jurisdiction over all cases regarding errors committed by an RN or LVN. Thus, she was called by the Board to defend against the case.

The RN states that the nurse aide reported to her a systolic blood pressure of 70mmHg with an oral temperature of 99 degrees. She states that when she assessed the patient, the patient was awake, alert and oriented, and the manual blood pressure reading at that time showed a systolic pressure in the 90s. The RN states that the patient told her that was her normal blood pressure, it always ran low. She states that she later found the patient with pill bottles in bed with her and had taken her home medication, so she told the patient that she needed a physician’s order for the home medications. She states that she paged the physician and spoke to the nurse on call to report “soft BP,” elevated white blood cell counts, and the patient’s request to take home medication.

The following incident and defense against the case caused the Texas Board of Nursing to place the RN and her license into disciplinary proceedings. She would have sought assistance from a good nurse attorney to provide clarifications towards the case.

If you’ve ever done any errors during your shift as an RN or LVN, and you wish to preserve your career and your license, an experienced nurse attorney is what you need. Nurse Attorney Yong J. An, an experienced nurse lawyer for various licensing cases for 14 years, can assist you by contacting him at (832) 428-5679.