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When a nurse is tending to the needs of a patient, it is just right to document every detail needed for the patient’s treatment and to notify the patient’s physician if ever there are changes in the health status of a patient. As to where the physician based their procedures on what approach will be used during the treatment. But if an RN or an LVN neglects, forgot, or even documents incomplete and inaccurate medical records, they could face disciplinary actions from the Texas Board of Nursing (BON) or much worse than that. That is why a nurse attorney is very important and is needed in fighting or dealing with any accusation or allegation cases filed against an RN or an LVN.

At the time of the initial incident, an RN was employed as a Registered Nurse at a hospital in Mission, Texas, and had been in that position for four (4) months.

An incident happened on about December 7, 2015, while employed as a Registered Nurse, the RN failed to notify the physician of the patient’s elevated Troponin levels. Additionally, the RN failed to ensure that a repeat Troponin level was obtained three (3) hours after the elevated level. The RN’s conduct deprived the physician of the necessary information needed to make medical decisions for further care.

On or about December 7, 2015, the RN inappropriately documented in her cardiac assessment that the patient’s blood pressure was normal. The RN’s conduct created an inaccurate medical record and unnecessarily exposed the patient to a risk of harm from complications of hypertension and tachypnea.

On or about December 7, 2015, the RN failed to notify the physician of the patient’s elevated glucose and creatinine levels. Additionally, the RN failed to document that the patient had a history of diabetes in the patient’s medical record. The RN’s conduct deprived the physician of the necessary information needed to make medical decisions for further care, created an incomplete medical record, and was likely to injure the patient in that subsequent caregivers would not have accurate information to base their decisions for further care.

In response to the incident above and to the reported misconduct, the RN denies any violations of the Nurse Practice Act. But still, this had put him in a bad situation. The Texas Board of Nursing will subject the RN to disciplinary action which may also put her license at risk.

However, she could have contacted a nurse attorney in order to receive assistance regarding the case, especially if the RN sincerely thinks of it as an accusation.

For more details or for a confidential consultation regarding accusations, it’s best to contact an experienced and the right nurse attorney for your case. Nurse Attorney Yong J. An is an experienced nurse attorney which helped RNs and LVNs defend against several cases since 2006. You can call him at (832) 428-5679 to get started or to inquire for more information regarding nursing license case defenses.