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The precision and accuracy in medication administration are paramount to ensuring patient safety and well-being. However, some RNs deviate from these standards, resulting in inaccurate documentation. Such discrepancies not only compromise the integrity of the patient’s medical record but also raise serious concerns about adherence to prescribed treatments. In such cases, the expertise of a nurse attorney becomes instrumental in addressing the legal and ethical implications surrounding medication administration errors and ensuring accountability for patient safety. A nurse attorney’s deep understanding of healthcare laws and regulations is crucial in navigating the complexities of such situations, providing essential support to RNs facing legal concerns and safeguarding the highest standards of patient care.

At the time of the initial incident, she was employed as an RN at a hospital in Edinburg, Texas, and had been in that position for three (3) months.

On or about January 25, 2021, while employed as an RN at a hospital in Edinburg, Texas, RN administered two (2) doses of Dilaudid 2mg to a patient, instead of Morphine 4mg as ordered by the physician. Additionally, RN incorrectly documented that she administered 4mg of Morphine to the patient even though RN signed out 4mg of Dilaudid on the Controlled Substance Administration Record (CSAR). RN’s conduct created an inaccurate medical record and could have injured the patient in that failing to administer medications as ordered by the physician could result in the patient suffering from adverse reactions.

Without consulting with a nurse attorney, RN responded and stated she received a verbal order for pain medication from the physician on duty. RN states that night was extremely busy with a nine to one patient ratio at the start of her shift. She was not able to chart on her patients until around 0300 or 0400. RN states when she charted on the patient in question, she was extremely fatigued, mentally drained, and inadvertently missed the discrepancy during her charting. RN further states when the pharmacy brought the error to her attention a week later, she told him she would speak with the provider, but she would not be seeing him for a few more days. RN claims she was told she did not need to make immediate contact with the provider or her lead nurse.

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)(D),(1)(M),(1)(P)&(3).

As a result, the Texas Board of Nursing decided to place her RN license under disciplinary action. It’s too bad that she failed to hire a nurse attorney for assistance, knowing that she had every reason to defend herself in the first place. Her defense would have gotten better if she sought legal consultation from a Texas nurse attorney as well.

So, if you’re facing a complaint from the Board, it’s best to seek legal advice first. Texas Nurse Attorney Yong J. An is willing to assist every nurse in need of immediate help for nurse licensing cases. He is an experienced nurse attorney for various licensing cases for the past 17 years and represented over 500 nurses before the Texas BON. To contact him, please dial (832)-428-5679 for a confidential consultation or for more inquiries.