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Conducting incomplete documentation could cause RNs to lose their hard-earned license. Such conduct could contribute to inaccurate and poor-quality care to patients. If an RN is in such trouble, ask a nurse attorney to help you fight against allegation cases.

At the time of the initial incident, he was employed as an RN at a medical facility in Waco, Texas, and had been in that position for eight (8) months.

On or about October 27, 2018, while employed as an RN at a medical facility in Waco, Texas, RN failed to discontinue and/or document discontinuation of a Zosyn infusion after a patient-reported itching and burning. Additionally, RN administered a Benadryl injection to the patient but failed to document in the patient’s medical record regarding the administration of Benadryl or follow-up assessment after administration. RN’s conduct resulted in an incomplete medical record and exposed the patient to a risk of harm in that subsequent caregivers would not have accurate and complete information on which to base their care decisions.

In response to the incident, RN states that the patient reported some itching to her arm while getting the infusion. RN states that slight redness was noted but no raised welts, shortness of breath, or significant changes to vitals were noted. The physician was notified and examined the patient and ordered Benadryl but said the patient could still receive the infusion. RN states that he administered the Benadryl, and the patient was fine. RN adds that his medication scan rate was 98-100% so he is not sure why it did not show up on the medication administration record; it may not have been documented since emergency medical services arrived quickly to transport the patient.

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)(C),(1)(D)&(1)(I) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B),(1)(C),(4),&(12).

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

Do not be stressed or anxious if you find yourself in a similar situation as that of the RN 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 nurse attorney. Texas Nurse Attorney Yong J. An is an experienced nurse attorney for various licensing cases for 16 years and represented over 150 nurses before the Texas BON. Contact the Law Office of Yong J. An, 24/7 through text or call at (832) 428-4579.