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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 what proper measures to take in facing cases.

At the time of the initial incident, she was employed as an RN at a medical facility in El Paso, Texas, and had been in that position for approximately two (2) years.

On or about April 11, 2020, while employed as an RN at a medical facility in El Paso, Texas, RN inappropriately documented that she completed an admission assessment for a patient. Additionally, RN admitted she “looked at” the patient during her shift but did not actually listen to the patient’s lungs or do a hands-on assessment. RN’s conduct created an inaccurate medical record and was likely to deceive other caregivers who needed complete information on which to base their care.

In response to the above incident, RN states the only part she didn’t assess was the patient’s lungs because he had a CPAP on at the time. While charting, she allowed herself to get distracted and clicked “clear” in the lung area, and didn’t realize she was in the wrong column. RN states she was told she falsely documented and documented in the wrong area because she charted in the column of 1833 and didn’t clock in until 1834.

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)(M) and 22 TEX. ADMIN. CODE §217.12(1)(B),(1)(C)&(6)(H).

The Texas Board of Nursing then subjected the RN and her license to disciplinary action. The accusation would have been defended by an experienced and skilled Texas Nursing Law Attorney, had the RN hired one. Hiring a Texas Nursing Law Attorney for defense is applicable for any kind of accusation laid against an RN or LVN.

For more details and to schedule a confidential consultation, you must approach one of the most experienced Texas Nursing Law attorneys, Nurse Attorney Yong J. An. He is an experienced nurse attorney who represented more than 200 nurse cases for RNs and LVNs for the past 16 years. You can call him at (832)-428-5679 to get started or to inquire for more information regarding nursing license case defenses.