Accurate documentation has a huge impact on a patient’s improvement in health recovery. Doing accurate and clear documentation is essential in nursing care. It is also in the clinical guidelines of nursing and is one of many responsibilities of nurses. Some nurses tend to disregard the guidelines of appropriate documentation and then, later, regret it. So, if the Board summoned you, hire a Lewisville nurse attorney for help in facing the Board.
At the time of the incident, RN was employed as an Emergency Department (ED) Staff Nurse with a health care provider in Lewisville, Texas, and had been in that position for eight (8) years and eight (8) months.
On or about November 5, 2018, while employed as an ED Staff Nurse with a health care provider in Lewisville, Texas, RN failed to completely and/or accurately document her assessments of a patient, including the patient’s oxygen saturation decrease and respiration increase. RN’s conduct could have created an inaccurate medical record.
In response, RN states that the patient was under close observation, and she spoke with the physician about his hypotension and lactic acid levels, asking if she should repeat the lactic acid. RN indicates that the physician said no that he knew the patient was very sick, and to continue the fluid bolus and get him to CT. RN relates that at the time he went for the CT, he was pending the completion of the last liter of fluid bolus ordered and had just received IV antibiotics. RN explains the patient’s blood pressures were still low but stable, his respirations were twenty-two (22) but un-labored, and obtaining accurate oxygen saturation was difficult due to the clubbing of his fingers and his movement. RN adds that if the fluid bolus had been completed with still no BP improvement, then she would have notified the physician again for additional orders.
The above actions constitute grounds for disciplinary action in accordance with Section 301.452(b)(13), Texas Occupations Code, and a violation of 22 TEX. ADMIN. CODE §217.11(1)(D).
The Texas Board of Nursing gave the RN sufficient time to defend the complaints filed against her. However, there was a failure on the RN’s part to find the right Lewisville nurse attorney to handle her case. The negligence of the RN/LVN license attorney led to the decision of the Texas BON to place the RN’s license under disciplinary action.
Equip yourself with the knowledge and expertise you need for a successful outcome by consulting a knowledgeable and experienced Lewisville nurse attorney. Texas Nurse Attorney Yong J. An is one of those dedicated nurse attorneys who helped represent more than 150 nurse cases for the past 16 years. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-4579 for a confidential consultation regarding any accusations from the Texas BON.