Accurate and detailed documentation of patient encounters is a crucial responsibility for nurses, as it forms the foundation of healthcare records and aids in providing effective and continuous patient care. However, instances of inappropriate documentation can raise significant concerns about the quality and integrity of patient records. Such discrepancies in documentation can have serious implications for patient care and may lead to questions about the RN’s conduct and adherence to professional standards. When faced with allegations related to improper documentation, seeking the guidance of a nurse defense attorney is essential to navigate the legal complexities, protect the RN’s rights, and ensure a fair and thorough investigation into the matter.
At the time of the initial incident, she was licensed as an RN at a medical facility in Laredo, Texas, and had been in that position for three (3) months.
On or about April 15, 2020, while working as an RN at a medical facility in Laredo, Texas, the RN inappropriately documented her patient encounter for the patient, including a physical exam. Later, the RN reported that she did not have time to see the patient. RN’s conduct also created an incorrect entry in the medical record, upon which other caregivers could have relied for subsequent care of the patient.
In response, the RN reported she never intended to falsify medical records; all the information in the note was obtained from the nurse through a verbal report. RN reported she intended to transcribe a phone encounter and it was never meant to be placed in the chart, nor was the encounter billed.
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)(D)&(4)(A) and 22 TEX. ADMIN. CODE §217.12 (1)(A),(1)(B),(1)(C),(6)(A)&(4).
The Texas Board of Nursing then subjected the RN’s license to disciplinary action. An experienced and skilled nurse attorney would have defended the accusation, had the RN hired one. Hiring a nurse attorney for the defense would be beneficial when facing any allegations from the Texas BON.
If you ever face a situation where the state board summons you, it is essential to have the right support to defend your license. A nurse attorney can provide you with the required expertise and guidance to ensure a successful outcome. It is recommended to consult a knowledgeable and experienced Texas RN license attorney to equip yourself with the necessary knowledge and legal strategies to handle the situation effectively. Texas Nurse Attorney Yong J. An has been an experienced nurse attorney for different licensing cases since 2006 and represented numerous nurses before the Texas BON. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-5679.