The accuracy and completeness of medical records are of paramount importance in the healthcare profession. These records serve as a cornerstone for providing safe and effective patient care, ensuring that healthcare providers have access to the most up-to-date and precise information regarding a patient’s treatment. Any lapses in documentation can lead to misunderstandings, treatment errors, and potentially harm to patients. When healthcare providers are involved in incidents related to documentation inaccuracies, a nurse attorney’s expertise is invaluable. A nurse attorney advocates for the legal rights and professional interests of the LVN during any investigations or disciplinary proceedings.
At the time of the initial incident, she was employed as an LVN at a hospital in Odessa, Texas, and had been in that position for less than one (1) month.
On or about March 5, 2021, while employed as an LVN at a hospital in Odessa, Texas, LVN was accused of the following:
- LVN mistakenly documented that she administered Lacosamide to a patient at 1900 but LVN did not sign out the medication from the Controlled Substance Administration Record (CSAR), indicating it was not actually pulled for administration. LVN’s conduct created an incomplete medical record and was likely to injure the residents in that subsequent care givers would not have complete information to base their decisions for further care.
- LVN failed to document the source of Clobazam completely and accurately, which she administered to a patient at 8:00 pm, in the Medication Administration Record (MAR). LVN’s conduct created incomplete medical records and was likely to injure residents in that subsequent care givers would not have complete information to base their decisions for further care.
In response to the above incidents, Respondent states that she made inadvertent documentation errors which resulted from her severely limited orientation of only 4 days.
The above actions constitute 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)(C),(1)(D),(1)(M),(1)(P)&(2)(A) and 22 TEX. ADMIN. CODE §217.12 (1)(A),(1)(B),(4)&(6)(A).
However, without enough evidence to prove she’s not guilty, the LVN lost the case. This is the reason why the Texas Board of Nursing placed her LVN license under disciplinary action.
Do not be stressed or anxious if you find yourself in a similar situation as that of the LVN 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 17 years and represented over 500 nurses before the Texas BON. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-5679.