For nurses, the Nurse Practice Act is the legal foundation of nursing practice. It describes your duties, establishes standards of care, and clearly defines the boundaries of your scope of practice.
When a nurse breaks the NPA, whether on purpose or by mistake, it can trigger serious consequences that immediately affect both your license and your professional career.
Practice Violation that Triggers Discipline
The Nurse Practice Act is typically enforced by the Texas Board of Nursing to protect the public by making sure nurses practice safely and ethically. These are the common practice violations that trigger discipline:
Practicing beyond your scope, like doing procedures, making diagnoses, or prescribing medications without the proper authority, clearly violates the NPA. Every nurse must work within their scope of practice to ensure patient safety.
Repeated medication errors, poor documentation, or unsafe practice demonstrate incompetence or unprofessional behavior.
Substance use or narcotics diversion are the common reasons nurses face discipline. This act raises concern about a nurse’s judgment and ability to provide safe care.
Falsification of records, like altering patient charts or making up data, breaks the ethical and legal standards of patient care.
Unprofessional conduct, like breaking patient confidentiality or showing unprofessional behaviors such as harassment or abuse.
Criminal convictions may be considered as violations, especially if they raise concerns about a nurse’s trustworthiness. This involves fraud, violence, or serious moral wrongdoing.
These violations are taken seriously because they can harm patients, reduce public trust, and weaken the integrity of the nursing profession. Depending on the severity of the violation, the TBON may impose a letter of reprimand, suspension, or revocation of license.
Intent vs. Outcome: Protecting Patients and Your License
In nursing, good intentions matter, but they don’t protect you from consequences. Actions meant to help a patient can still be violations if they go beyond your scope of practice or put patient safety at risk.
To protect their license, nurses should regularly review the Nurse Practice Act, as laws and standards of care can change. They must document accurately, stay within their scope of practice, and maintain professional boundaries to avoid disciplinary action. Nurses experiencing burnout should seek immediate support.
How Texas Nurse Lawyers Help Nurses with Violations
Violating the Nurse Practice Act can have lasting effects on your license and career. If you’re facing a potential violation, a nursing license defense attorney can provide guidance to protect your reputation.
At Texas Nurse Lawyers, we serve as advocates and guides, helping Texas nurses navigate the complex disciplinary process of the Texas Board of Nursing. We will explain your rights, assist with responses, and represent you in hearings or appeals to prevent mistakes that could make the situation worse.
Our team provides strategic and emotional support to reduce your stress, and we will help organize documentation and present your case in a way that demonstrates your skill and commitment to improvement.
Don’t face violations alone. Contact us today for a free consultation.







