Any type of accusation or negligence can be defended, as long as there is a skilled nurse attorney ready to assist you during the hearing before the Board of Nursing. The Texas Board of Nursing (BON) has full jurisdiction regarding cases that may affect an RN or LVN’s license from suspension, disciplinary action, or revocation.
At the time of the initial incident, an LVN was employed as a Licensed Vocational Nurse at a hospital facility in Carrollton, Texas, and had been in that position for approximately two (2) months.
On or about May 1. 2018 through June 12, 2018, while employed as a Licensed Vocational Nurse, the LVN’s conduct was likely to injure the patient in that the administration of Hydrocodone and Tramadol in excess frequency and/or dosage of the physician’s order could result in the patient suffering from adverse reactions.
Was on or about the 1st of March 2018 through June 12, 2018, while employed as a Licensed Vocational Nurse, the said LVN failed to document the administration of Hydrocodone and Tramadol for patients on the Medication Administration Record (MAR). The conduct of the LVN was likely to injure the patients in that subsequent caregivers would rely on her documentation to further medicate the patients which could result in an Overdose. Additionally. the LVN placed the hospital in violation of Chapter +81 1 Controlled Substances Act) of the Texas Health and Safety Code.
On or about May 1, 2018, through June 12, 2018, while employed as a Licensed Vocational Nurse, the LVN signed out Hydrocodone and Tramadol for patients but failed to follow the facility’s policy and procedure regarding wastage of the unused portions of the medications. The action of the LVN left medications unaccounted for, was likely to deceive the hospital pharmacy, and placed the pharmacy in violation of Chapter 481 (Controlled Substances Iel) of the Texas Health and Safety Code.
It was on or about May 2018 through June 2018, while employed as a Licensed Vocational Nurse, the said LVN failed 10 perform and document pain assessments pre and post narcotic medication administration for the patients. The LVN’s failure to perform and document a pain assessment was likely to injure the patient if the subsequent caregivers would rely on her documentation to provide ongoing Medical care for the patient.
On or about May 2018 through June 2018, while employed as a Licensed Vocational Nurse, the LVN misappropriated eighty-four (84) tablets of Hydrocodone APAP 5/325mg. thirty (30) tablets of Hydrocodone-Acetaminophen 10-325mg, and eight (8) tablets of Tramadol HCL 50mg from the patients belonging to the patients or facility thereof or failed to take precautions to prevent such misappropriation. The LVN’s action was likely to defraud the facility and patients of the cost of the medications,
On or about June 13, 2018, while employed as a Licensed Vocational Nurse, the said LVN pre-charted the administration of medications in the narcotic log book. Patients in that subsistent care divers would rely on her documentation to provide further Cilli.
In response to the incident that happened, the LVN asserts that she did not sign out or administer Hydrocodone or Tramadol in excess Frequency of the physician’s orders. It was explained by the LVN that she was doing the documentation by memory and that it didn’t reflect the proper timing, but that at no time did she sign out or administer the medications in the excess frequency of the physician’s orders. The LVN does admit she failed to properly document the administration of Hydrocodone and Tramadol. It was further asserted by the LVN that she did correctly administer those medications, but specifically denied that any of the listed medications were wasted, and therefore stated she did not fail to follow the facility’s procedures for wastage of the unused portions of the medications. As a result, the said LVN states that since she had indications, she had no need to waste the medications listed. The LVN added that there is no evidence that the medications listed were misappropriated. Additionally. the LVN mentioned that the Director of Nursing caused her to be tested for drugs, and that the list Has “non-positive“ (otherwise known as negative). The LVN states that there are no instances where the administration of medications in the narcotic logs was pre-charted. It was admitted by the LVN that there may be violations of the Nursing Practice Act and the Rules of the Texas Board of Nursing.
Because of this incident, the Texas Board of Nursing then subjected the LVN and her license to disciplinary action.
The accusation would have been defended by an experienced and skilled nurse attorney, had the LVN hired one. Hiring a nurse attorney for defense is applicable for any kind of accusation laid against an RN or LVN.
For more details and to schedule a confidential consultation, you must approach one of the most experienced nurse attorneys in Texas, Nurse Attorney Yong J. An. He has assisted numerous nursing license cases since 2006. You may contact him by dialing (832)-428-567 if you wish to learn more information should you undergo accusations or any other case that may affect your license.