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Documentations have been a signature specialty of a nurse attorney when handling cases for some nurses. However, some nurses tend to forget this fact because they really felt like they should be responsible even if they never intended to commit such an error.

At the time of the initial incident, she was employed as an RN at a hospital in Temple, Texas, and had been in that position for five (5) years and eight (8) months.

On or about August 25, 2020, while employed as an RN at a hospital in Temple, Texas, RN failed to document the assessment of vital signs, oxygenation, and/or pain of a patient who experienced symptoms, including perineum pain, not relieved by oral pain medications, vaginal pressure, and blood clots on her first postpartum day. Subsequently, the patient underwent surgery for a vaginal hematoma. RN’s conduct created an incomplete medical record and was likely to injure the patient in that subsequent caregivers would rely on her documentation to provide additional care.

In response, the RN states she checked on the patient at approximately 1405, saw clots in the toilet, and assisted the patient back to bed. At approximately 1420, RN checked again, and the patient was back in the bathroom complaining of pressure, pain like she needed to have a bowel movement, and dizziness like she might pass out. RN observed more clots in the toilet, helped the patient to bed again and put the patient on the blood pressure monitor and pulse oximeter. RN felt an abnormality during a manual vaginal exam and manually removed more clots. RN states she notified the charge nurse and physician who then determined the patient required surgical intervention. RN states the patient was taken for surgery within an hour of the time the physician arrived.

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)(A),(1)(B)&(1)(D).

However, without enough evidence to prove she’s not guilty, the RN lost the case. This is the reason why the Texas Board of Nursing placed her RN license under disciplinary action.

Do not be stressed or anxious if you find yourself in a similar situation as that of the RN mentioned above. All you need to do is to find the right RN/LVN license attorney who can help you in the case. 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 an experienced nurse attorney for various licensing cases for 16 years and represented over 150 nurses before the Texas BON. Contact the Law Office of Yong J. An 24/7 through text or call at (832) 428-4579.