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The Texas Board of Nursing (BON) has the jurisdiction to hear and decide cases involving the practice of professional nursing in Texas. Any RN or LVN found guilty of violating the state laws and regulations may be subjected to a disciplinary case if not properly defended by a nurse attorney. 

At the time of the initial incident, an RN was employed as a Registered Nurse (RN) at a health facility in Fort Worth, Texas, and had been in that position for five (5) years and five (5) months. 

On or about December 24, 2020, while employed as a Registered Nurse, the said RN failed to administer Zosyn to a patient at 0400, as ordered by the physician. A full bag of Zosyn was discovered on the IV pole and was not spiked. Additionally, the RN falsely documented that she administered Zosyn to the patient, in the patient’s medication administration record (MAR). The behavior of the RN was likely to injure the patient in that failing to administer antibiotics as ordered by the physician could result in non-efficacious treatment. Additionally, the RN’s action created an inaccurate medical record and was likely to injure the patient in that subsequent caregivers would not have accurate information to base their future care decisions. 

It was on or about December 26, 2020, while employed as a Registered Nurse, that the said RN failed to administer Zosyn to a patient, as ordered by the physician. A bag of Zosyn was discovered on the IV pole and was not spiked. Additionally, the RN falsely documented that she administered Zosyn to the patient at 0526 in the patient’s medication administration record (MAR). Further, after the day shift nurse discovered the error, The RN spiked the bag of Zosyn and scanned it as given at 0705, but failed to retime the medication in the MAR. The RN’s conduct was likely to injure the patient in that failing to administer antibiotics as ordered by the physician could result in non-efficacious treatment. Additionally, the conduct of the RN created an inaccurate medical record and was likely to injure the patient in that subsequent caregivers would not have accurate information to base their future care decisions. 

On or about December 28, 2020, while employed as a Registered Nurse, the said RN falsely documented that she removed lidocaine patches from the patient in 2007 in that the day shift nurse found several lidocaine patches on the patient. The RN’s action created an inaccurate medical record and unnecessarily exposed the patient to a risk of harm from complications associated with increased absorption of lidocaine, including overdose. 

It was on or about December 29, 2020, while employed as a Registered Nurse, that the said RN failed to administer Zosyn to a patient, as ordered by the physician. The oncoming shift nurse discovered a full bag of Zosyn on the IV pole and the tubing was clamped. Additionally, the RN falsely documented that she administered Zosyn to the patient at 0300 in the patient’s medication administration record (MAR). The behavior of the said RN was likely to injure the patient in that failing to administer antibiotics as ordered by the physician could result in non-efficacious treatment. Additionally, the conduct of the RN created an inaccurate medical record and was likely to injure the patient in that subsequent caregivers would not have accurate information to base their future care decisions. 

On or about January 4, 2021, while employed as a Registered Nurse, the RN failed to administer Unasyn to the patient as ordered by the physician. The day shift nurse discovered a full bag of Unasyn to be connected to the primary tubing and the IV tubing was clamped. Additionally, the RN falsely documented that she administered Unasyn to the patient at 0635 in the patient’s medication administration record (MAR). The conduct of the RN was likely to injure the patient in that failing to administer antibiotics as ordered by the physician could result in non-efficacious treatment. Additionally, the RN’s conduct created an inaccurate medical record and was likely to injure the patient in that subsequent caregivers would not have accurate information to base their future care decisions. 

In response to the incident that happened, regarding the incident on December 24, the said RN admits the Zosyn was not given because she did not unclamp the secondary tubing due to inattention and heavy polypharmacy. Regarding the incident on December 26, it was stated by the RN that the carrier fluid was running at 10ml/hr, and stated she did unclamp the secondary tubing and the Zosyn was running for approximately 30 minutes. In addition, she indicated that the drip was slow and the time for the secondary on the pump was over; however, the Zosyn was not complete. Regarding the lidocaine, the RN asserts that the patient asked her to come back later to remove the patches; however, the said RN forgot to return to the patient’s room. Regarding the incident on December 29, the RN admits she made a 3C error. Regarding the Unasyn, the RN mentioned that she was trying to help the oncoming shift nurse by starting the 0700 medication and that upon entering the patient’s room, the patient needed assistance to the restroom which resulted in the RN forgetting the 3C rule once again.

With all the incidents, the RN failed to properly present and defend her case against the court with help from a nurse attorney. She was disciplined warning to suspension of her nursing license for violating Texas Board of Nursing regulations.

Nurse Lawyers: a lifeguard to nurses facing allegations from the board.

Arm yourself with a credible and capable defense counsel before facing the BON and responding to an accusation thrown at you. Seeking the assistance of a skilled Texas nursing attorney for more details or a confidential consultation about allegations is crucial.

Texas nurse lawyer Yong J. An has represented RNs and LVNs in more than 300 malpractice litigation cases and has more than a decade of experience. Get a consultation now, reach him at  (832) 428-5679. Consult with Texas nurse attorney Yong J. An today if you have any questions about your disciplinary process by calling or texting him at (832) 428-5679 day, night or on weekends.