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The accurate and timely assessment of patients is a cornerstone of nursing practice, ensuring the swift and appropriate delivery of care, especially in situations involving injuries or changes in condition. However, the incident involving an RN’s failure to perform a complete assessment after a patient’s fall and subsequent inaccuracies in documentation resulted in a delay in the diagnosis and treatment of an acute ankle fracture dislocation. In such challenging situations, a nurse attorney becomes an invaluable ally for RNs. A nurse attorney’s expertise is crucial in guiding RNs through the legal intricacies, safeguarding their rights, and formulating a robust defense strategy to address potential professional and legal consequences arising from lapses in patient care and documentation.

At the time of the initial incident, she was employed as an RN at a hospital in Carrollton, Texas, and had been in that position for thirteen (13) years and three (3) months.

On or about April 28, 2021, while working as an RN at a hospital in Carrollton, Texas, RN failed to perform a complete assessment, including assessment of injury site and palpation of pedal pulses, after she was notified that her assigned patient fell in the hallway. Specifically, RN was notified that the patient had a witnessed fall and a visibly rotated right foot. Additionally, RN inaccurately documented that the patient had a completely rotated right foot to ninety (90) degrees but could walk normally, then edited the documentation to reflect that the musculoskeletal system was within normal limits. The patient required a wheelchair after the injury. Furthermore, RN failed to ensure timely physician assessment and/or timely escalation of care when the physician did not arrive at the unit to assess the patient’s change in condition for approximately five (5) hours. Subsequently, the patient was later taken to the emergency department where she was assessed and found to have an acute ankle fracture dislocation. RN’s conduct resulted in an inaccurate medical record and was likely to injure the patient from a delay in treatment.

In response to the above incident, RN states that she recently was involved in a peer review and the committee determined her conduct did not expose patients or other persons to unnecessary harm and her continuing to practice nursing does not pose a threat of harm to patients or others. RN deliberately stated this without consulting with a nurse attorney first..

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)(D),(1)(M),(1)(P)&(3)(A) and 22 TEX. ADMIN. CODE §217.12 (1)(A),(1)(B),(1)(C)&(4).

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

Make sure that you will not make the same mistake as the RN mentioned above in her case before the Texas Board of Nursing (BON). Contact a Texas nurse attorney today who can provide you with a confidential consultation and evaluate your case and counsel you on the best steps to take. Texas Nurse Attorney Yong J. An is an experienced nurse attorney for various licensing cases for 17 years and represented over 500 nurses before the Texas BON. Contact Mr. An by calling or texting him 24/7 directly at (832) 428-5679.