The Texas Board of Nursing (BON) is the government agency that has jurisdiction to hear and decide administrative cases involving RN and LVN in Texas. It is also the agency that is responsible for overseeing the practice of professional nursing all over the state of Texas. Any RN or LVN who is guilty of violating state laws and issues from the Texas Board of Nursing (BON) may be subjected to penalties or fines if not properly defended by a nurse attorney. As a matter of fact, the RN license and LVN license can even be suspended or revoked.
At the time of the initial incident, she was employed as an RN with a staffing agency on temporary assignment at a hospital in Abilene, Texas.
On or about June 13, 2015, RN documented that she administered Novolin-R 2 units to Patient Number 10041918 at 2136 and 2151, in excess of the physician’s order. RN’s conduct created an inaccurate medical record and was likely to injure the patients in that subsequent caregivers would rely on her documentation to provide ongoing medical care for the patients
In response, RN states that the patient was not given two doses of insulin; the medication was documented twice in error.
On or about June 13, 2015, and June 14, 2015, RN did the following:
1. RN’s documentation on Medication Administration Records (MARs) for Patient A for Dilaudid to the patient was inaccurate, in that the pharmacy records for withdrawal from the medication dispensing system at the time of the documented administration did not correspond to the physician order, RN’s conduct created an inaccurate medical record and was likely to injure the patients in that subsequent caregivers would rely on her documentation to provide ongoing medical care for the patients.
2. RN failed to document the administration of Enoxaparin to Patient A, as ordered by the physicians. RN’s conduct was likely to harm the patients in that failure to administer medications as ordered by the physician could result in non-efficacious treatment.
In response, RN states that the patient was given Dilaudid in error after it was DCed and Morphine started; RN notified the physician and received an Order for the Dilaudid for the patient after the error was realized. RN also states that she did not see the order for Levaquin on the chart or MAR. RN further states that she began a temporary contract on 6-4-2015. On June 5, RN received brief instruction from an IT employee and worked one shift that same day with a preceptor and received assistance with the EMR. On the morning of June 6, she canceled shifts on 6-6-15 and 6-7-15 because of inadequate orientation but was assured she would be trained and agreed to return on 6-12-15 and received additional 1.5 hours training and worked a precepted second shift 6-12-15. On 6-13-15 she worked her third shift and requests for assistance were reported to the house supervisor together with medication errors.
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)(C),(1)(D),(1)(M)&(3) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B),(1)(C),(4),(5),(6)(A),(6)(G),(6)(H),(8), (10)(B),(10)(C),(10)(E) & (11)(B).
However, without valid evidence and an expert nurse attorney to defend her, the RN’s license to practice nursing in the State of Texas was revoked.
The accusation would have been defended by an experienced and skilled Texas nursing attorney, had the LVN hired one. Hiring a Texas nursing attorney for defense is applicable for any kind of accusation laid against an RN or LVN.
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 has helped more than 150 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.