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Adhering to the scope of practice is a fundamental responsibility for nurses, ensuring patient safety and upholding the standards of ethical and professional conduct. However, there are unfortunate instances where these boundaries are breached, and such actions can have serious consequences for both the patient and the nurse involved. Such actions may result in legal consequences and pose significant risks to the nurse’s career. In these challenging circumstances, a nurse attorney can provide essential legal counsel and support, guiding the RN through the investigation process, and advocating for the best possible outcome while ensuring the nurse’s rights are protected throughout the proceedings.

At the time of the initial incident, he was employed as an RN at a hospital in Fort Hood, Texas, and had been in that position for one (1) year and four (4) months.

On or about February 6, 2021, while employed as an RN at a hospital in Fort Hood, Texas, RN exceeded his scope of practice by administering a saline placebo instead of Dilaudid 1 mg that was ordered for a patient. Additionally, RN laughed about only giving saline and stated he drew it up to look like Dilaudid to “see what he does.” RN’s failure to administer medications as ordered by the physician could have resulted in the patient suffering pain unnecessarily, which could have prolonged his recovery period.

In response, RN states the patient’s call light went off and he requested more Dilaudid. RN states at that time he also noticed that the patient’s maintenance IV fluid was hardly dripping, so before getting the pain meds, he returned to his room with a saline flush and flushed the IV line. According to RN, the patient, after seeing such, fell asleep almost immediately and kept on sleeping for another 2 hours or so without any pain medication administration. RN explained to the physician on duty that the patient might be ready for discharge and that his pain is under control without him having to administer any narcotic. RN added that he believed the patient must have thought he gave him Dilaudid while he was flushing his line. RN admits he did chuckle while relaying this information to the doctor, and to his surprise, the physician got extremely angry. Additionally, the physician stated he deceived the patient and that he should have given the pain med as ordered.

The above actions constitute grounds for disciplinary action in accordance with Section 301.452(b)(10),(12)&(13) Texas Occupations Code, and is a violation of 22 TEX ADMIN. CODE §217.11(1)(A),(1)(B),(1)(C),(1)(M)&(1)(N) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B)&(4).

However, without enough evidence to prove he’s not guilty, the RN lost the case. This is the reason why the Texas Board of Nursing placed his RN license under disciplinary action. 

Do not be stressed or anxious if you find yourself in a similar situation as that of the RN mentioned above. All you need to do is to find the right RN/LVN license attorney who can help you in the case. Equip yourself with the knowledge and expertise you need for a successful outcome by consulting a knowledgeable and experienced Texas RN/LVN license attorney. Texas Nurse Attorney Yong J. An is an experienced nurse attorney for various licensing cases for the past 16 years and represented over 300 nurses before the Texas BON. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-5679.