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In this time of the pandemic, the real heroes are our brave nurses. However, they are aware that if they are not thorough while doing their job, they may face the possibility of being called to come in on a day off to correct charting, or face the fear that if they miss something, they could face disciplinary action. But no need to worry as there is someone who can help you with disciplinary issues if being summoned by the Board, a nurse attorney is always there to help any RNs and LVNs with their cases.

On or about February 17, 2019, while employed as a Registered Nurse in League City, the RN failed to verify and obtain consent for a blood transfusion for a patient prior to the administration of the blood transfusion. Subsequently, the provider obtained the patient’s consent for the blood transfusion on the following day. Her conduct was likely to injure the patient in that the administration of blood products without the patient’s informed consent jeopardized the patient’s personal autonomy.

On or about April 8, 2019, through April 9, 2019, the RN withdrew two tablets of Tramadol 50 mg from the medication dispensing system for a patient and administered the same to the patient, in an excess dosage of the physician’s order, which was for the administration of one tablet of Tramadol 50 mg. In addition, the RN inaccurately documented the administration of the medication in that she documented the administration of 50 mg of Tramadol at 22:26 and then documented another 50 mg of Tramadol as “not given” at 02:00 with the comment “was given earlier.” Her conduct was likely to injure the patient in that failure to administer medication as ordered could have resulted in non-efficacious treatment. In addition, her conduct also resulted in an inaccurate medical record and was likely to injure the patient in that subsequent caregivers would not have accurate information on which to base their decisions for further care.

In response to the incident, the RN states that the patient had received blood during the previous shift that day. She states that another registered nurse was present to verify the blood administration with her, and as she was quickly scrolling through the electronic documents, she thought she had seen a signature on the consent form. Further, the RN states that she removed two tablets of Tramadol 50 mg from the medication dispensing system to administer to the patient for a pain level of 7. She states that the original order was for one tablet of Tramadol 50 mg for a pain score up to 6. The medication dispensing system recorded that one tablet was removed. The RN states that the order was adjusted by the provider to be Tramadol 50-100mg for the patient’s rising pain score. She states that in the chaos of the shift, she failed to return to rectify the count in the medication dispensing system, which triggered an inaccurate drug count.

If you are a League City Nurse who has any disciplinary issues before the Texas Board of Nursing, please contact League City nurse attorney Yong J. An, call or text at 832 428 5679 or Nurse Attorney An has represented over 100 nurses before the Texas Board of Nursing since 2006.