Accurate documentation has a huge impact on a patient’s improvement in health recovery. Doing accurate and clear documentation is essential in nursing care. It is also in the clinical guidelines of nursing and is one of many responsibilities of nurses. Some nurses tend to disregard the guidelines of appropriate documentation and then later, regret it. So, if the Board summoned you, hire a nurse attorney for help in facing the Board.
At the time of the initial incident, she was employed as an RN with a pediatric home healthcare provider in Mission, Texas, and had been in that position for less than one (1) month.
On or about February 8, 2020, and February 13, 2020, while employed as an RN with a pediatric home healthcare provider in Mission, Texas, the RN submitted nursing visit notes for a patient without a caregiver’s signature. RN’s conduct created an incomplete medical record.
On or about February 8, 2020, through March 27, 2020, while employed as an RN with a pediatric home healthcare provider in Mission, Texas, the RN inaccurately documented who she received reports from and/or who she reported to, on multiple nursing visit notes for two (2) different patients. RN’s conduct created inaccurate medical records.
Another incident happened on or about March 6, 2020, and March 13, 2020, while employed as an RN with a pediatric home healthcare provider in Mission, Texas, the RN inaccurately documented start/arrival times on her nursing visit notes for a patient. RN’s conduct created an inaccurate medical record.
In response to the above incidents, RN denies that she falsified her documentation but admits there were some inaccuracies that were unintentional and claims that she was paid for all of the notes. RN adds that her notes would not have been accepted if they were incomplete.
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) and 22 TEX. ADMIN. CODE §217.12(1)(A), (1)(B),(1)(C),(4),(6)(A)&(6)(H).
The Texas Board of Nursing then subjected the RN and her license to disciplinary action. The accusation would have been defended by an experienced and skilled Texas Nursing Law Attorney, had the RN hired one. Hiring a Texas Nursing Law Attorney for defense is applicable for any kind of accusation laid against an RN or LVN.
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Nurse Attorney. Yong J. An has been defending nurses under various predicaments since 2006. If you wish to understand how nurse license defense works, contact Atty An at (832) 428-5679, you can also book an appointment to discuss matters in a more detailed manner.