Proper documentation has many purposes for patients, nurses, physicians and other care providers, and families. It is important for communication and continuity of care for the patient. When summoned by the board for documentation cases, you need the help of an expert nurse attorney to defend your case.

At the time of the incident, he was employed as an LVN at a rehabilitation center in Corpus Christi, Texas, and had been in that position for one (1) year and six (6) months.

On or about November 16, 2020, while employed as an LVN at a rehabilitation center in Corpus Christi, Texas, LVN failed to document that he assessed the right leg of the patient and found bruising to her shin. LVN’s conduct could have exposed the resident to the risk of harm in that subsequent caregivers would not have accurate and complete information on which to base their decisions for further care.

In response, LVN states that he was covering for another employee who had called out and was assigned to a different hall from the one that he usually works. LVN states that the day was unusually busy, and he started his shift taking over for a nurse who was completing paperwork for a fall that had occurred on the prior shift and he did not receive a detailed report from this nurse on all of the residents in the hall. LVN states that he was performing wound care on a resident when one of the aides stated that she had observed a bruise on the leg for the patient but was unaware of any falls. LVN states he checked incident reports for any falls for the resident and did not find any information. LVN states he went to the dining room where the resident was sitting in a wheelchair. LVN states that he spoke to the weekend supervisor regarding the resident’s leg and was told that it was the resident’s right leg. LVN states he pulled the resident’s pant leg up for observation and placed her right leg on his knee. LVN states that the resident was cooperative and calm, and he observed what he thought to be an old bruise. LVN states that he went to speak to staff that usually worked with the resident, but his attention was diverted by the arrival of a new admission, which required the remaining time on his shift. LVN states he gave a report to the oncoming nurse and completed his shift. LVN states that he left the facility and remembered he had not told the nurse about the patient, so he called the nurse and told him that he saw a bruise that looked like an old bruise, and to confirm if that was the case.

The above action constitutes grounds for disciplinary action in accordance with Section 301.452(b)(13), Texas Occupations Code, and is a violation of 22 TEX. ADMIN. CODE §217.11(1)(A)&(1)(D).

Because of this, the LVN was summoned by the Texas Board of Nursing to defend his side, but the LVN failed to hire a nurse attorney to help him with his case and without proper defense, the Texas Board of Nursing then decided to place his LVN license under disciplinary action.

If you also received a letter from the Texas Board of Nursing regarding a case or complaint filed on you, you should hire a nurse attorney immediately before it’s too late. 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 one of those dedicated nurse attorneys who helped represent more than 300 nurse cases for the past 16 years. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-5679 for a confidential consultation regarding any accusations from the Texas BON.