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Documentations have been a signature specialty of a nurse attorney when handling cases for some nurses. However, some nurses tend to forget this fact because they really felt like they should be responsible even if they never intended to commit such an error. When the Texas BON summons you for cases of failure to make proper documentation, always seek an experienced nurse attorney to defend your license in court.

One such incident occurred to an LVN in Longview. On or about March 17, 2020, while employed as a Staff Nurse in a local hospital in Longview, Texas, LVN failed to accurately document a skin assessment on the medical record of a patient. LVN documented a skin assessment as “Within Normal Limits,” when this patient was admitted with a left toe amputation. LVN’s conduct resulted in an inaccurate medical record and was likely to injure the patient in that subsequent care givers would not have complete information on which to base their care decisions.

On or about April 8, 2020, while employed as a Staff Nurse in a local hospital in Longview, Texas, LVN failed to complete and/or document an intake/output assessment to include intake and output, and an incentive spirometry assessment in the medical record of Patient B, prior to leaving her work shift. LVN’s conduct resulted in an inaccurate medical record and was likely to injure the patient in that subsequent care givers would not have complete information on which to base their care decisions.

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) and 22 TEX. ADMIN. CODE §217.12(1)(A), (1)(B),(1)(C)&(4).

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

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 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.