Dealing with a case or any criminal case is never easy for a nurse to handle. Some RNs and LVNs missed their chances to get their license saved from revocation only because they weren’t able to hire any nurse attorney to defend them. These professionals can guarantee their clients that any complaints or any cases over them can be denied or resolved by the Texas Board of Nursing (BON) once you hire them for assistance.
An RN was employed as a licensed vocational nurse at a hospital in Cleburne, Texas, and had been in that position for approximately two (2) months.
On or about December 2016, to the present, the RN failed to adopt written policies for skilled nursing procedures, including but not limited to: wound care, and aseptic technique/infection control. The RN’s conduct unnecessarily exposed the patients to a risk of harm in that facility’s nursing staff would not have adequate resources to provide appropriate wound care or maintain infection control.
On or about July 1 8, 2020, and August 8, 2020, the RN failed to ensure that the Plan of Care(s) of the patient was reviewed and signed by the physician. The RN’s conduct unnecessarily exposed the patient to a risk of harm from unverified treatments and medications.
On or about July 1 8, 2020, and August 8, 2020, the RN failed to clarify the physician’s order for a normal saline and heparin flush for the aforementioned patient in that the Plan of Care(s) did not indicate the amount of flush to be used. The RN’s conduct created an incomplete medical record and was likely to injure the patient in that subsequent caregivers would not have complete information to base their decisions for future care.
On or about August 8, 2020, the RN performed a Resumption of Care assessment for the aforementioned patient after being discharged from the hospital but failed to reconcile her medication list. Additionally, the RN failed to update the Plan of Care to include the physician’s order for Rocephin 2G IV. The RN’s conduct created an incomplete and inaccurate 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.
On or about August 10, 2020, through August 22, 2020, the RN performed nursing visits for the aforementioned patient and documented that he administered “IV infusion therapy of antibiotic,” but failed to document the name and dosage of the antibiotic that was administered. The RN’s conduct 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.
On or about August 20, 2020, while employed as the owner, Director of Nurses (DON), and Administrator of Parker Health Care Services, Inc., Grand Prairie, Texas, the RN removed both caps from the lines of the heparin lock for the aforementioned patient and placed them on the bedside table. Additionally, the RN replaced the caps without cleansing them first. The RN’s conduct unnecessarily exposed the patient to a risk of harm from infection.
On or about August 20, 2020, the RN performed wound care for the patient but failed to cleanse the patient’s wound with normal saline, as ordered by the physician. Additionally, the RN falsely documented that he cleansed the patient’s wound with normal saline. The RN’s conduct created an inaccurate medical record and was likely to injure the patient in that failing to perform wound care as ordered by the physician could result in the patient suffering from adverse reactions.
In response, regarding the policies, the RN states the facility implemented IV policies but does not address the lack of wound care and aseptic technique/infection control policies. The RN admits the Plan of Care was not signed upfront. The RN does not address his failure to reconcile medications or update the Plan of Care. The RN admits that he did not routinely document the name and dosage of the antibiotic that was administered to the patient, but states the name and dosage of the antibiotic are found throughout the chart. The RN admits that he did take the caps off the heparin lines and place them on the table face up. Finally, the RN states he did provide wound care for the patient by pouring normal saline over the wound but states he did not touch the wound at the patient’s request.
The following incident and defense against the case caused the Texas Board of Nursing (BON) to place the RN and her license into disciplinary proceedings. She would have sought assistance from a good nurse attorney to provide clarifications for the case.
If you’ve ever done any errors or misdemeanors during your shift as an RN or LVN, and you wish to preserve your career and your license, an experienced nurse attorney is what you need. Nurse Attorney Yong J. An, an experienced nurse attorney for various licensing cases for 14 years, can assist you by contacting him at (832) 428-5679.