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Maintaining accuracy and precision in medication administration is an essential aspect of nursing practice, ensuring patient safety and optimal care. However, there are instances when errors occur, raising concerns about a nurse’s competence and adherence to professional standards. Such incidents can have severe implications for patient well-being and prompt inquiries into the nurse’s actions and judgment. To navigate these legal complexities and protect their professional rights, a nurse attorney can offer invaluable legal guidance and support, ensuring a fair investigation while advocating for the nurse’s best interests throughout the process.

At the time of the incident, he was employed as an RN at a healthcare facility in Brownsville, Texas, and had been in that position for five (5) years and six (6) months.

On or about February 2, 2020, while employed as an RN at a healthcare facility in Brownsville, Texas, RN inappropriately administered an unknown dosage of Morphine to a patient. Specifically, the patient had a two (2) milligram dose of morphine ordered. RN drew up four (4) milligrams and administered more than the ordered two (2) milligram doses. When the patient notified management of the increased dosage, RN stated that he administered more than the ordered two (2) milligrams, but less than the four (4) milligrams. Additionally, RN falsely documented the actual dosage of Morphine that he administered to the patient in the patient’s medical record. RN documented that he administered two (2) milligrams and wasted (2) milligrams. Subsequently, a Rapid Response was called the following morning for the patient when she became hypotensive. RN’s conduct resulted in an incomplete medical record and was likely to injure the patient from an increased dosage of pain medication given without the benefit of physician’s expertise.

In response, RN states that he knowingly administered three (3) milligrams of morphine, not two (2) milligrams as prescribed. RN states that this was an error in judgement. RN states that the patient came up from the post op unit shortly after shift change. RN states that he looked briefly at the patient’s orders before she was transferred up to the floor and saw that she had been receiving a lot of pain medications and that four (4) milligrams was ordered for her. RN states that they had a computer network issue on the unit that evening so to withdraw any medications, he had to do a manual override on the Pyxis. RN states that the patient requested pain medications and he went to pull some of her ordered morphine. RN states that he remembered it being four (4) milligrams, so that was what he pulled from the Pyxis. RN states that when he scanned the medication, he got a pop-up that the orders had changed, and now it was ordered as two (2) milligrams. RN states that the patient stated how much pain she was in and how the reduced dosage would be insufficient. RN states that the patient had been tolerating four (4) milligram doses all evening and her vitals were good. RN states that he then made the bad decision and asked if she would like a “little more” than the ordered dose. RN states that with the patient’s full knowledge and consent, he proceeded to draw up three (3) milligrams, and administered it to the patient. RN states that he then again made a bad decision and wasted the remaining one (1) milligram of morphine and documented it as two (2) milligrams. RN states that he was questioned and he admitted his error in professional judgement. RN states that he should have not deviated from the order and he had never done so before and certainly will never do so again.

The above actions constitute 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)&(3)(A) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B),(1)(C),(4),(6)(A),(10)(B)&(10)(C).

Unfortunately, the Texas Board of Nursing found him guilty of his deeds. His RN license was subjected to disciplinary action. He did not hire a skilled Texas nurse attorney to fully defend his case which led to this decision by the Texas Board of Nursing.

Do you have questions about the Texas Board of Nursing disciplinary process? Contact The Law Office of Texas Nurse Attorney Yong J. An for a confidential consultation by calling or texting 24/7 at (832) 428-5679. Texas Nurse Attorney Yong J. An is an experienced nurse attorney who represented more than 300 nurse cases for RNs and LVNs for the past 16 years.