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It is a nurse’s duty to ensure patients are getting the proper treatment they need in a timely manner. They should also follow the physician’s order and no order should be missed. A missed order could harm a patient. Some RNs tend to miss orders and resulting in unnecessary harm to a patient. If this happens, an RN should be prepared in case he or she will be summoned by the Board for such conduct. An RN can hire a nurse attorney for this matter.

At the time of the initial incident, she was employed as an RN at a hospital in McAllen, Texas, and had been in that position for three (3) months.

On or about January 3, 2020, while employed as an RN at a hospital in McAllen, Texas, RN failed to follow the physician’s order for Enoxaparin in that she administered the medication to a patient at 1142 when the medication was ordered for every 24 hours and the medication was administered at 1617 the previous day. RN’s conduct was likely to injure the resident in that failure to administer medications as ordered by a physician could have resulted in non-efficacious treatment.

In response to the above incident, RN states the medication was being held until she received word from the physician that the patient wasn’t going into surgery. RN states her preceptor informed her that the doctor had advised that the patient was not going to surgery and RN could administer the medication. RN states she administered the medication shortly after. RN states her preceptor didn’t tell her when to administer the medication. RN admits her error; however, she adds that the time listed on the MAR was 1100, but it should have been 1600. RN states it was her duty to change the time on the MAR based on the previous shift’s administration, which she was not accustomed to doing. RN states that to her knowledge, none of the patients were harmed due to the errors. RN states she takes the incidents seriously. RN states she had a difficult adjustment to this facility in that it had several differences from her previous position in terms of procedures and her responsibilities as a nurse.

The above actions constitute grounds for disciplinary action in accordance with Section 301.452(b)(10),(12)&(13), Texas Occupations Code, and is a violation of 22 TEX. ADMIN. CODE §217.11(1)(A),(1)(B),(1)(C)&(1)(D) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B),(1)(C),(4),(6)(A),(6)(H)&(10)(B).

As a result, the Texas Board of Nursing decided to place her RN license under disciplinary action. It’s too bad that she failed to hire a nurse attorney for assistance, knowing that she had every reason to defend herself in the first place. Her defense would have gotten better if she sought legal consultation from a Texas nurse attorney as well.

So, if you’re facing a complaint from the Board, it’s best to seek legal advice first. Texas Nurse Attorney Yong J. An is willing to assist every nurse in need of immediate help for nurse licensing cases. He is an experienced nurse attorney for various licensing cases for the past 16 years and represented over 200 nurses before the Texas BON. To contact him, please dial (832)-428-5679 for a confidential consultation or for more inquiries.