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Following a facility’s policy and procedures is very important as well as doing proper documentation. If not done properly and accurately, it can put a patient in harm. Therefore, every RN should practice keeping accurate and complete medical records for documentation purposes. Inaccurate documentation can lead and can cause negative outcomes. If you are in such a situation, it is best to consult a nurse attorney to know the proper measures to take in facing cases.

At the time of the incident, RN was employed as a Psychiatric/Mental Health Nurse Practitioner at a medical facility in San Angelo, Texas, and had been in that position for seven (7) months.

On or about December 19, 2020, through April 30, 2020, while employed as a Psychiatric/Mental Health Nurse Practitioner at a medical facility in San Angelo, Texas, RN failed to document physical assessments and sexual history completely and accurately regarding contraceptive use related to the risks of Depakote and its teratogenic effects on a fetus, for the patient. RN’s conduct resulted in an inaccurate medical record and was likely to injure the patient in that subsequent care givers would not have accurate and complete information on which to base their care decisions.

In response, RN states she extensively counseled the patient on the risks Depakote posed to a fetus if pregnant. RN also states the patient signed an informed consent for treatment with Depakote and that the patient immediately stopped taking Depakote on confirmation of pregnancy. RN further states she did not adequately document the sexual history in the patient’s medical record.

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

However, without enough evidence to prove she’s not guilty, the RN lost the case. This is the reason why the Texas Board of Nursing placed her RN license under disciplinary action.

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 is experienced and knowledgeable in several nurse cases to ensure the best assistance possible.

If you also received a letter from the Texas Board of Nursing regarding a case or complaint filed on you, you should hire a nurse attorney immediately before it’s too late. Texas Nurse Attorney Yong J. An is willing to assist every nurse in need of immediate help for nurse licensing cases. He is an experienced nurse attorney for various licensing cases for the past 16 years and represented over 300 nurses before the Texas BON. To contact him, please dial (832)-428-5679 for a confidential consultation or for more inquiries.