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Medical Records should be documented with complete and accurate information of patients along with correct administered medications. Tampering or altering medical records is illegal and is a crime punishable with fines and jail time. By doing such, can mislead and can cause harm to patients. But if you are dealing with such accusations or complaints, it is best to seek help from a nurse attorney.

At the time of the initial incident, an RN was employed as a Registered Nurse at a hospital in The Woodlands, Texas, and had been in that position for seven (7) months.

On or about December 14, 2018, an RN incorrectly documented giving a patient 100 milligrams of Allopurinol. The Omnicell showed that this medication was not removed for this patient at this time. Additionally, the RN incorrectly entered a verbal order for D50 intravenous and removed it from the Omnicell. The RN was then notified that the correct order was for D5W intravenous. The RN’s conduct resulted in an inaccurate medical record, and exposed the patient to a risk of harm in that failure to administer medications as ordered by the physician could have resulted in non-efficacious treatment.

In response to the incident, the RN states that the Allopurinol was empty and the pharmacy technician had to get some from the pharmacy. The RN states that the pharmacy technician handed her the medication and informed her that she would add it to Omnicell and then take one out. The RN states that while in the Emergency Room she took the doctor’s orders, and states that when she pulled the medications up and when she went to confirm the medication it was not the dextrose fifty (50) percent, so she did not give it. The RN states that the doctor wanted dextrose five (5) percent in water (D5W), which was given to the patient.

Every violation has its consequence and as a result of the RN’s actions, the Texas BON sanctioned the RN and been subjected to disciplinary action. The RN could have received a different result if only he had hired or consulted a nurse attorney for this matter.

A nurse attorney is the one who can help an RN or an LVN with cases such as this. An RN should look for a skilled, reliable, and with lots of experience in handling and dealing with nurse cases. No one can beat a nurse attorney who is an expert in nurse cases.

Do you have questions about the Texas Board of Nursing disciplinary process? Contact The Law Office of Nurse Attorney Yong J. An for a confidential consultation by calling or texting 24/7 at (832) 428-5679 and ask for attorney Yong.