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It’s best to seek the help of a nurse attorney when facing different complaints and allegations. However, some nurses tend to face these results instead without thinking that nurse attorneys are always reliable for matters such as these.

On or about November 23, 2015, an RN from San Antonio failed to appropriately assess a mole on the upper back of a patient using the ABCDEs (asymmetry, borders, color, diameter, and evolving) of cancer screening. The mole was documented as multicolored, then monotone, 8-9 mm in diameter, with a history of increasing in size, and qualified to be biopsied using the measures of color, size, and evolving. Instead, the RN removed the mole from the aforementioned patient via cauterization. The patient subsequently was diagnosed with malignant melanoma.

The RN’s conduct was likely to injure the patient without the benefit of accurate and complete assessment information, from possibly unrecognized clinical changes, and deprived the patient of possible needed interventions.

The Texas Board of Nursing sent a letter to the RN regarding the issue so then she can have the chance to defend herself.

During the hearing, the RN states that she first saw the patient regarding a mole on his upper back that had been there for several years per the patient. She states that the patient-related that the dog had scratched it whereupon it bled. The RN indicates that she assessed the lesion for the ABCDE’s, and the mole didn’t look suspicious but gave the patient the option of a referral to a dermatologist to have it assessed, but the patient declined this, and also declined to have the mole biopsied.

The RN explains that the patient returned almost three (3) months later, she again assessed the lesion finding it 8-9 mm wide and raised 5-6 mm, monotone with smooth symmetric borders, no change in diameter or evolution from the prior visit, and not suspicious to indicate a biopsy, so he performed a cauterized destruction of the lesion. The RN   asserts that she would not remove any suspicious lesions and would instead refer patients with suspicious lesions to a dermatologist. She explains that if she deems a lesion benign, she discusses the option of removal, monitoring it or referral to a dermatologist. She adds that she has not routinely biopsied benign lesions but now she requires any lesion that is removed be sent to pathology or the patient will be categorically referred to a dermatologist.

However, she was not able to provide a good defense attorney for herself. Therefore, the Board of Nursing placed her RN license to a disciplinary action instead.

Any RN or LVN should never commit errors, negligence or misconduct in work as it may affect their performance, which may lead to further issues to the patients they are taking care of. Additionally, if you ever undergo cases such as this, it’s best to seek the assistance of a good nurse attorney as it could make the case better in your favor. Be sure to find a nurse attorney who’s experienced and knowledgeable in several nurse cases to ensure the best assistance possible.

If you also received a complaint regarding a case filed on 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 lawyers who helped various nurses in their cases since 2006. You may contact him 24/7 at (832) 428-5679 for more information or if you want to schedule a private consultation.