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An experienced nurse attorney has surely helped a lot of RNs and LVNs when it comes to cases that may lead to disciplinary action. Unfortunately, not all nurses were able to hire a nurse attorney as they underwent such cases. This incident that an LVN committed on January 23, 2017, was one of those examples.

At the time of the incident, the LVN was employed as a Staff in a detention facility in Dallas, Texas, and had been in that position for one year and eight months.

On or about January 23, 2017, the LVN’s care for her patient was inadequate and fell below the minimum standards of nursing practice, in that she failed to perform appropriate assessments or examinations and/or failed to document appropriate assessments or examinations, misinterpreted and/or ignored laboratory test results, incorrectly diagnosed the patient, failed to document the medical rationale for treatment, and prescribed testosterone and thyroid hormone in a manner that put the patient at risk of harm from complications attributable to high amounts of testosterone and thyroid hormone.

The LVN initiated high doses of testosterone and thyroid hormone for the patient despite initial lab values showing the patient’s testosterone and thyroid levels were within normal limits. She failed to document a medical rationale for her apparent diagnosis of testicular hypofunction, hashimotos, and ‘hypothyroidism. She initiated the dose for testosterone at 300mg weekly, a very high dose. The LVN failed to document the medical rationale for this therapy or dose when the patient’s testosterone levels were within normal limits. In addition, the LVN  failed to document the medical rationale for replacing the patient’s thyroid therapy, Synthroid, with a high dose of Nature-Throid when Patient2’s thyroid levels were within normal limits. Further, she failed to collaborate with a delegating physician and/or failed to document collaboration with a delegating physician.

The following incident and defense against the case caused the Texas Board of Nursing to place the LVN and her license into disciplinary proceedings. She would have sought assistance from a good nurse attorney to provide clarifications towards the case.

If you’ve ever done any errors or misdemeanor during your shift as an RN or LVN, and you wish to preserve your career and your license, an experienced nurse attorney is what you need. Nurse Attorney Yong J. An, an experienced nurse attorney for various licensing cases for 14 years, can assist you by contacting him at (832) 428-5679.