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Conducting inaccurate documentation could cause RNs to lose their hard-earned license. Such conduct could contribute to inaccurate and poor-quality care to patients. If an RN is in such trouble, ask a nurse attorney to help you fight against allegation cases.

At the time of the initial incident, she was employed as an RN at a hospital in Tyler, Texas, and had been in that position for nine (9) months.

On or about November 22, 2020, while employed as an RN at a hospital in Tyler, Texas, RN falsely and/or inaccurately documented in the medical record of a patient, that a consent form was received. Later, RN discovered there was no consent in the medical record after the patient was under anesthesia. Subsequently, the family member of the patient was located and signed the consent. RN’s conduct created an inaccurate medical record and exposed the patient to risk for treatment for which he did not consent.

In response, RN states she knew the informed consent form was missing when she reviewed the chart, she informed her preceptor and the surgical resident so it could be done, and then left for lunch. Upon her return, RN checked and saw that informed consent form had not been obtained and immediately notified the surgical team. After a written consent was obtained from the family, RN documented the presence of a valid informed consent as part of the pre-surgery time-out checklist.

The above action constitutes grounds for disciplinary action in accordance with Section 301.452(b)(10)&(13), Texas Occupations Code, and is a violation of 22 TEX. ADMIN. CODE §217.11(1)(A),(1)(B),(1)(D)&(1)(P) and 22 TEX. ADMIN. CODE §217.12 (1)(A),(1)(B),(1)(C),(4)&(6)(A),(6)(H).

However, without valid evidence to defend her side of the story, the RN lost the case. Furthermore, the RN failed to hire a Texas BON attorney to help her with her case. Because of this, the Texas Board of Nursing disciplined the RN’s license.

Do not be stressed or anxious if you find yourself in a similar situation as that of the RN mentioned above. All you need to do is to find the right RN/LVN license attorney who can help you in the case. Equip yourself with the knowledge and expertise you need for a successful outcome by consulting a knowledgeable and experienced Texas RN/LVN license attorney. Texas Nurse Attorney Yong J. An is an experienced nurse attorney for various licensing cases for the past 16 years and represented over 300 nurses before the Texas BON. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-5679.