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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, 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 initial incident, he was employed as an RN with a home health care services provider in Richardson, Texas, and had been in that position for ten (10) months.

On or about January 2, 2020, while employed as with a home health care services provider in Richardson, Texas, RN falsely documented physical assessments on Skilled Nursing Visit Notes for three (3) different patients while performing telephonic visits due to inclement weather. Additionally, RN falsely documented a physical assessment on a Recertification Skilled Nursing Visit Note for another patient. RN’s conduct was deceptive, created inaccurate medical records, and was likely to injure the patients in that subsequent caregivers would not have accurate information to base their future care decisions.

In response, RN states that the Administrator called all the nurses and told them that due to inclement weather, all visits performed outside of Richardson should be telephonic. RN states he had one recertification visit that was time-sensitive, so he called the clinical supervisor and asked her what to do. RN states he was instructed to complete his visits telephonically but claims he was never told that he was supposed to use a different type of visit note. RN states he filled out the usual OASIS and Skilled Nursing Note forms. RN states he did not intend to falsify his documentation and states he used his previous knowledge of the patients for reference in documenting his assessments. RN states he feels this situation was caused by a lack of training.

The above actions constitute grounds for disciplinary action in accordance with Section 301.452(b)(10)&(13), Texas Occupations Code, and a violation of 22 TEX. ADMIN. CODE §217.11(1)(A),(1)(B)&(1)(D) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B),(1)(C),(4),(6)(A)&(6)(H).

The evidence against the RN was strong. At the same time, he was not able to properly defend his case in court. As a result, his nursing license was placed under disciplinary action.

Avoid a 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 200 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.