Accusations are a must to be observed properly not only by the Board but by a nurse attorney. Any type of accusations can be defended, as long as there is a skilled nurse attorney ready to assist you during the hearing before the Board of Nursing. The Texas Board of Nursing has full jurisdiction regarding cases that may affect an RN or LVN’s license from suspension, disciplinary action or revocation.
One such incident happened to an RN manager. During the time of the initial incident, the RN was employed in a medical facility in Grapevine, Texas and had been in that position for only one month.
On or about October 28, 2015, the RN falsely documented telephone physician admission orders for her patient. Her conduct was deceptive, created an inaccurate medical record, and was likely to injure the patient in that the administration of medications and treatments without a valid physician’s order could result in the patient suffering from adverse reactions.
On or about December 12, 2015, while employed in the same medical facility in Texas and assigned as the Code Team Leader, the RN exceeded her scope of practice by extubating a patient, during a code blue, after the respiratory therapist intubated the patient but had not confirmed placement of the endotracheal tube.
Additionally, she attempted to intubate the patient an additional two times during the code, without any training or competency in performing intubation and airway management. Furthermore, the RN documented the code blue event on the Code Blue Record and omitted her two unsuccessful intubation attempts. Her conduct created an inaccurate medical record and may have contributed to the patient’s demise.
The RN was given the chance to defend herself to the Texas Board of Nursing. She states she transcribed the orders and left them at the desk while he was attending to other duties. The RN states she informed the primary nurse that she would call the physician to confirm which of the admission orders she wanted to continue with. She further states that the primary nurse faxed the orders and started to carry them out despite the fact that she was aware that the physician hadn’t been called yet. She also adds that this incident was peer-reviewed and the facility was working on changing their admission policy.
Regarding the second patient mentioned earlier, the RN states that the physician who was present said he hadn’t intubated in twenty years, the first respiratory therapist (RT) said he was not comfortable doing it, and the second RT asked the EMS personnel to do it but they refused, stating they were not qualified. The RN adds that the first intubation attempt occurred 8 minutes after CPR was started. She further states that the resuscitation effort was recorded by an LVN, but the recording was very poor and it did not show what rhythm the patient was in, nor does it mention the names of people who attempted intubation except for the nurse practitioner.
The Texas Board of Nursing then subjected the RN and her license into disciplinary action. The accusation would have been defended by an experienced and skilled nurse attorney, had the RN hired one. Hiring a nurse attorney for defense is applicable for any kind of accusation laid against an RN or LVN.
For more details and to schedule a confidential consultation, you must approach one of the most experienced nurse attorneys in Texas, Yong J. An. He has assisted numerous nursing license cases since 2006. You may contact him by calling (832)-428-567 if you wish to learn more information should you undergo accusations or any other case that may affect your license.