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The Texas Board of Nursing (BON) is known to be very strict when it comes to all actions of nurses, which is why a nurse attorney is needed when attending hearings before the Board. The Texas Board of Nursing does not allow those who wish to exceed the scope of their practice as an RN or LVN.

At the time of the initial incident, an RN was employed as a Registered Nurse at a hospital in Fort Worth, Texas, and had been in that position for one (l) year and one (1) month.

On or about February 23, 2019, while employed as a Registered Nurse, the RN administered  Ativan and Phenergan IV push to the patient without waiting an appropriate amount of time between the administration of the medication to account for drug potentiation. The RN’s conduct could have subjected the patient to over-sedation.

On or about February 24, 2019, while employed as a Registered Nurse, the RN  administered Pain Medication, Ativan and Phenergan IV push on an as needed basis but failed to document assessment data to substantiate the reason for administering the medications and the amount to be administered in the patient’s medical record. The RN’s conduct resulted in an incomplete medical record, and could have injured the patient in that subsequent caregivers did not have accurate and complete information on which to base their decisions for further care

In response, the RN stated that she administered Phenergan 25 mg IVP and waited 1-2 minutes and administered pain medication 4 mg IVP slowly for 1-2 minutes then again waited 1-2 minutes before administering Ativan 25 mg IVP slowly over 2-5 minutes by only pushing .25 ml between every 1-2 minutes.

In addition, the RN stated the medication was given as ordered by the physician, and medication that was required to be diluted such as Phenergan was diluted and administered to the patient’s safety concerning treatment and further care of the patient.

As a result, the Texas Board of Nursing decided to sentence her RN license to disciplinary action to ensure that she would never commit such acts again. The Texas Board of Nursing has full jurisdiction over all cases that may affect the RN license. The strictness of the Board also ensures that nurses will only commit to the duties they are assigned in order to guarantee accurate and excellent performance in all hospitals throughout the state of Texas.

The case would have yielded a different result if the RN was able to hire a nurse attorney. So if you also have the same cases or concerns, it’s best to contact Nurse Attorney Yong J. An for further details. You may contact him at (832) 428-5679 to get a schedule for a confidential consultation.