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Accusations are stressful issues for an RN or LVN, except when a nurse attorney assists you against the case. The Texas Board of Nurses is responsible for all hearings against RNs and LVNs undergoing a case that may revoke, suspend or only discipline their license. Take note that nurse attorneys can also defend a nurse’s license against any form of accusations.

An instance of this type of accusation occurred on or about February 14, 2016.  While  employed  in a Healthcare Service Center in San Antonio, an LVN exceeded  her licenced vocational nurse scope of practice and inappropriately provided telephonic medical triage to unlicensed direct  care  staff providing services  to  a patient, who  was  described  as moaning as if in pain.   The on-call  registered nurse was not contacted, and approximately eight hours later, the patient expired. The LVN’s conduct was likely to injure the patient from ineffective treatment.

In response to the accusations against her, the LVN states that she followed as-needed (PRN) medication procedures per facility policy. She states that she  received  a  telephone  call  from  Direct  Care  Staff  (DCS)   at  a  group  home,  while the LVN  was  asleep,   stating   that  the  patient   was  moaning   as  if  he  was  hurting.

The LVN further states that she asked the DCS if the patient had any gas suspension that day and she was told no.  She states that she asked the DCS questions  regarding the patient’s last bowel  movement and temperature.  She also adds that DCS replied  that the patient had  one  small,  soft  and  formed  bowel  movement, and  a temperature of 97.1  degrees. The LVN states  that the DCS  asked  her if she could  administer his medication for gas. She states  that  she reminded  DCS  that  there  were  current  medication orders  for simethicone  suspension  and  Tylenol  for pain just  as  the  hospital  was  administering.

She states that the patient was not having new onset medical issues, but having gas build-up with abdominal  discomfort since the original bowel resection. The LVN further states that she informed DCS that if the medication regimen did not work, to please call the nurse for additional  instruction.  She  states that she failed to ask DCS if she had tried calling the on-call RN.

The Texas Board of Nursing then decided to subject the LVN and her license into disciplinary proceedings. The said proceedings shall ensure the safety of the patient, along with a better future for the LVN’s career. However, she should contact a nurse attorney in order to receive assistance regarding the case, especially if the LVN sincerely thinks of it as an accusation.

For more details or for a confidential consultation regarding accusations, it’s best to contact an experienced nurse attorney. Yong J. An is an experienced nurse attorney which helped RNs and LVNs defend against several cases since 2006. You can call him at (832)-428-5679 to get started or to inquire for more information regarding nursing license case defenses.