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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 LVN 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.

On or about August 25, 2020, while employed as an LVN at a medical facility in Longview, Texas, and caring for a PACU patient, LVN failed to completely document an assessment including pulse check and movement of extremities of the patient post vascular procedure, and failed to document physician notification and communication regarding the patient’s continued need for airway management including jaw thrust and trumpet, and oxygen at ten (10) liters per minute via mask to keep oxygen saturation above ninety-five (95) percent. LVN’s conduct resulted in an incomplete medical record and could have injured the patient from subsequent care decisions made without the benefit of accurate and reliable information.

In response, LVN states that she does admit to her inadequate documentation. LVN reports that the patient’s bedside was busy, and she was unable to always reach the computer to document due to an ongoing in-service which blocked her access to the computer. LVN states that she intended to complete the documentation after the patient was transferred.

The above actions constitute 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)&(3)(A) and 22 TEX. ADMIN. CODE §217.12 (1)(A)&(1)(B).

The Texas Board of Nursing gave the LVN enough time to defend the complaints filed against her. However, there was a failure on the LVN’s part to find the right RN/LVN license attorney to handle her case. The negligence of the RN/LVN license attorney led to the decision of the Texas BON to place the LVN’s license under disciplinary action.

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 one of those dedicated nurse attorneys who helped represent more than 300 nurse cases for the past 16 years. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-5679 for a confidential consultation regarding any accusations from the Texas BON.