In nursing care, nurse visits and a complete and accurate medical record, in a timely manner, bring positive outcomes on the health improvement of a patient. Failure to timely document with incorrect and inaccurate health information of a patient means poor outcome. This shows that accurate documentation of health information has a huge impact on a patient’s recovery. However, if an RN improperly executed such a task in nursing care, the Board may put the RN into disciplinary action with suspension or revocation of license. If this happens, it is better to seek help from an expert nurse attorney.
At the time of the incident, she was employed as an RN at a school in Texarkana, Texas, and had been in that position for four (4) years and three (3) months.
On or about November 1, 2019, while employed as an RN at a school in Texarkana, Texas, RN failed to completely and accurately document events after a patient presented to the clinic with a suspected allergic reaction, including, vital signs, oxygen saturation, parental communications, nursing assessment, and reassessment and the patient’s response to nursing interventions. RN’s conduct created an incomplete medical record and was likely to injure the patient in that subsequent caregivers would not have accurate and complete information on which to base their care decisions.
In response to the above incident, RN states, on arrival at the clinic, the patient’s breath sounds were clear with no wheezing, saturations were normal, and there were no signs of either shortness of breath, labored breathing, swelling, or hives. RN further states she called EMS over the objections of the patient’s parents.
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).
A case was ultimately filed against her before the Texas Board of Nursing (BON). The said allegation was fatal to the RN’s capability to perform the essential functions and duties. Sad to say, the nursing defense attorney who handled her case was not able to properly defend her interests and rights before the Board. The Texas Board of Nursing (BON) found her guilty of the offense alleged in the complaint and decided to place her RN license under disciplinary action.
If you also received a letter from the Texas Board of Nursing regarding a case or complaint filed against 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 attorneys who helped represent more than 200 nurse cases for the past 16 years. You may contact him 24/7 at (832) 428-5679 for more information or if you want to schedule a private consultation.