Medical Records should be documented with complete and accurate information of patients along with correct administered medications. Tampering or altering medical records is illegal and is a crime punishable with fines and jail time. By doing such, it can mislead and can cause harm to patients. But if you are dealing with such accusations or complaints, it is best to seek help from a nurse attorney.

At the time of the incident, she was employed as an RN with a hospice care provider in Carrollton, Texas, and had been in that position for three (3) days.

On or about July 21, 2020, while employed as an RN with a hospice care provider in Carrollton, Texas, RN inaccurately documented a Bereavement Assessment and RN Initial Assessment for a patient, dated June 3, 2020, in that she was not hired by the facility until July 17, 2020 and completed the documentation for admission. In addition, RN documented incorrect information received from a previous nurse for the RN Initial Assessment. RN’s conduct resulted in an inaccurate medical record and was likely to injure the patient in that subsequent care givers would not have accurate information on which to base their care decisions.

In response, RN states she began the quality assurance process upon her hire and was told to correct the incomplete admissions. RN states the previous nurse entered the admission assessment into Kinnser and the Bereavement assessment was on paper in a folder. RN states the software accepted her signature with the date the documentation was previously submitted.

The above action constitutes grounds for disciplinary action in accordance with Section 301.452(b)(13), Texas Occupations Code, and is a violation of 22 TEX. ADMIN. CODE §217.11(1)(D).

The evidence against the RN was strong. At the same time, she was not able to properly defend her case in court. As a result, the Texas Board of Nursing placed her nursing license under disciplinary action.

Avoid the similar thing from happening on your end. Make sure to find the right defense attorney in case a complaint will be filed against you before the Texas Board of Nursing (BON). For more details or for a confidential consultation regarding accusations, it’s best to contact an experienced Texas nurse attorney. Texas Nurse Attorney Yong J. An is an experienced nurse attorney who represented more than 300 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.