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Accurate and timely documentation of patient assessments and interventions is a critical aspect of nursing practice, ensuring comprehensive and continuous care for patients. Unfortunately, lapses in documentation can lead to potential risks to patient health and raise concerns about the nurse’s adherence to professional standards. Such negligence can have serious implications for patient safety and raise questions about the RN’s competency and adherence to proper protocols. To navigate these complex legal matters and protect the RN’s rights, a nurse attorney can provide essential legal expertise, ensuring a fair and thorough investigation while advocating for the RN’s best interests in addressing the allegations.

At the time of the initial incident, she was employed as an RN at a correctional facility in Dallas, Texas, and had been in that position for four (4) years and seven (7) months.

On or about September 2, 2020, through September 3, 2020, while employed as an RN at a correctional facility in Dallas, Texas, RN failed to document any assessments or interventions performed in the medical record of a patient. RN’s conduct resulted in an incomplete medical record and was likely to injure the patient in that subsequent care givers would not have accurate and complete information on which to base their care decisions.

On or about September 3, 2020, while employed as an RN at a correctional facility in Dallas, Texas, RN failed to notify the provider regarding the change in condition of the aforementioned patient, after RN was called to the room to assess the patient, who had a recent “HI” glucose reading; was found on the floor with feces on his clothes; was weak; and had low oxygen saturation requiring administration of supplemental oxygen. Subsequently, the patient was sent to dialysis before being returned to the medical unit due to altered mental status and labored respirations and was then transferred to the hospital by emergency medical services. RN’s conduct resulted in a delay in emergency treatment for the patient that was needed to prevent further complications.

In response to the first incident, RN states that she helped the other RN with this patient and performed an assessment, but she was not assigned to care for the patient, so the other nurse was responsible for documenting the patient. In response to the second incident, RN states that the other registered nurse approached her while she was busy with her own patients and stated that the patient’s glucose reading was “HI.” RN states that she reminded the nurse that he needed to inform the physician of the patient’s condition. RN states that around shift change, a call went out that the patient was on the floor, and all the nurses responded. RN states that other nurses were present when she arrived with the vital signs machine, and she assisted in cleaning and repositioning the patient.

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

However, without valid evidence to defend her side of the story, the RN lost the case. Furthermore, the RN failed to hire a Texas nurse attorney to help her with her case. Because of this, the Texas Board of Nursing disciplined the RN’s license.

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.