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In healthcare settings, nurses are often confronted with challenging situations that require effective communication, de-escalation techniques, and utmost professionalism to ensure the safety and well-being of both patients and healthcare providers. However, there are instances when such situations escalate, leading to unfortunate outcomes like physical altercations. It is essential for nurses to be well-prepared to handle these scenarios appropriately, prioritizing the safety and dignity of all parties involved. A nurse attorney can be an invaluable resource in this situation. By engaging a nurse attorney, the nurse can navigate the complex legal aspects of the situation, potentially avoiding severe consequences while taking steps to prevent similar incidents in the future. Additionally, this process can contribute to a safer and more respectful healthcare environment for all patients and healthcare providers involved.

At the time of the initial incident, she was employed as an RN at a medical facility in Bryan, Texas, and had been in that position for approximately six (6) years and two (2) months.

On or about April 7, 2021, while employed as an RN at a medical facility in Bryan, Texas, RN failed to explore appropriate de-escalation techniques with a combative patient with confused mental status before a physical altercation took place in which RN hit the patient in the face after the patient grabbed RN and refused to let go of her hand.

In response, RN states that she entered the patient’s room when she heard the patient and the bedside nurse talking angrily in raised voices. RN states the patient was trying to get over the bed rail and they were trying to keep him in the bed. According to RN, the patient managed to get out of bed and pulled out his IV and blood was getting everywhere. She also states his chest tube was stretched across the bed and they kept telling him to sit down and that he was going to hurt himself and fall. RN tried to verbally de-escalate the situation. RN states he became very aggressive, started to run towards her coworker, and they called a Code Orange, which was hospital protocol for aggressive patients, visitors, or staff. Per RN, she attempted to help him sit down in a chair and was unsuccessful. RN states the patient grabbed her hand and squeezed extremely hard. She adds it was very painful and she asked him to let go and he refused. According to RN, he said, “I AM going to break it.” RN states she was very scared and believed he was going to break her hand. RN remembers striking him once and then other staff intervened to get the patient to let go of RN.

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

A case was ultimately filed against her before the Texas Board of Nursing (BON). The said allegation was fatal to the RN’s capability to perform the essential functions and duties. Sad to say, the nursing defense attorney who handled her case was not able to properly defend her interests and rights before the Board. The Texas Board of Nursing (BON) found her guilty of the offense alleged in the complaint and decided to place her RN license under disciplinary action.

If you also received a letter from the Texas Board of Nursing regarding a case or complaint filed against you, you should hire a nurse attorney immediately before it’s too late. Texas Nurse Attorney Yong J. An is one of those dedicated nurse attorneys who helped represent more than 500 nurse cases for the past 17 years. You may contact him 24/7 at (832) 428-5679 for more information or if you want to schedule a private consultation.