Overdose can be accidental or intentional. An overdose occurs when a person or a patient takes more than the medically prescribed dose. In nursing care, it is the duty of the assigned nurse to see to it that the administered medication correctly coincides with the physician’s order of dosage. If an RN neglected such duty or made a mistake during her or his shift, a patient’s life will be at risk. However, if an RN is accused and being summoned by the Board, a nurse attorney will be such a great help on the case.
At the time of the initial incident, she was employed as an RN at a hospital in Mission, Texas, and had been in that position for four (4) months.
On or about December 15, 2019, while employed as an RN at a hospital in Mission, Texas, RN was accused of the following:
1. RN inaccurately documented verbal orders for Fentanyl 100mcg for Patient A in that the provider intended for the dosage to be 50mcg at the time and 50mcg later, if needed. RN’s conduct was likely to injure the patient in that subsequent caregivers would rely on her documentation to further medicate the patient.
2. RN inaccurately documented verbal orders for Promethazine 25mg for Patient B without provider authorization in that RN received the verbal order from a provider not assigned to the patient and who had not seen the patient. RN’s conduct was likely to injure the patient in that subsequent caregivers would rely on her documentation to further medicate the patient. In addition, RN’s conduct was likely to injure the patient in that the administration of medications without a valid physician’s order could result in the patient’s suffering from adverse reactions.
In response, RN states she received both orders verbally from one of the two Family Nurse Practitioners (FNP) working in her area. RN states she administered the Fentanyl as the FNP instructed. RN admits she did not realize the patient she ordered the Promethazine for was assigned to the other FNP until the other FNP approached her and advised her of her error. RN states no harm came to the patients. RN states she does not remember returning the medication.
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)(C)&(1)(D) and 22 TEX. ADMIN. CODE §217.12(1)(A),(1)(B),(4)&(10)(C).
A case was ultimately filed against her before the Texas Board of Nursing (BON). The said allegation was fatal to the RN’s capability to perform the essential functions and duties. Sad to say, the nursing defense attorney who handled her case was not able to properly defend her interests and rights before the Board. The Texas Board of Nursing (BON) found her guilty of the offense alleged in the complaint and decided to place her RN license under disciplinary action.
If you also received a letter from the Texas Board of Nursing regarding a case or complaint filed against you, you should hire a nurse attorney immediately before it’s too late. Texas Nurse Attorney Yong J. An is one of those dedicated nurse attorneys who helped represent more than 200 nurse cases for the past 16 years. You may contact him 24/7 at (832) 428-5679 for more information or if you want to schedule a private consultation.