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Practicing outside the scope of license for a registered nurse, Failure to maintain an accurate healthcare information record, and Failure to maintain minimum standards of nursing

A State Board of Nursing (SBON) complaint can be filed against a nurse by a patient, resident, colleague, employer, and/or regulatory agency. Complaints are subsequently investigated by the SBON, with results ranging from no action against the nurse to revocation of the license to practice nursing. This case study involves a registered nurse, who was employed as the registered nurse for a home healthcare agency to provide case management and in-home nursing.

Total Incurred: Greater than $7,500

*Monetary amounts represent the legal expenses paid solely on behalf of the insured registered nurse.

Alleged improper prescribing of weight loss medication resulting in stroke

Medical malpractice claims may be asserted against any healthcare provider, including nurse practitioners as well as the practices that employ them. The insured in this case was a family nurse practitioner (FNP) who was employed by a weight loss clinic (“the clinic”). The FNP had been practicing for 10 years in the field of family practice and had been working at the clinic for several months at the time of the incident. The clinic was owned by a physician who also served as the medical director, but he was not involved in the care of patients or clinic procedures. The clinic’s weight loss program included prescribing phentermine, as well as behavioral modification and nutritional counseling. Phentermine is often the drug of choice due to its accessibility and cost-effectiveness as compared to the semaglutides, which may have health insurance coverage limitations.

Nurse Practitioner License Protection Case Study: Negligent Treatment and Care of an Infant, Resulting in Death

Nurse Practitioner License Protection Case Study with Risk Management Strategies

Presented by NSO

Nurse License Protection Case Study: Failure to accept only those nursing assignments that are commensurate with the nurse’s education, experience, knowledge, and abilities

A State Board of Nursing (SBON) complaint may be filed against a nurse by a patient, a patient’s family member, colleague, employer, and/or other regulatory agency, such as the Department of Health. Complaints are subsequently investigated by the SBON to ensure that licensed nursing professionals are practicing safely, professionally, and ethically. SBON investigations may lead to outcomes ranging from no action against the nurse to revocation of the nurse’s license to practice. Therefore, when a complaint is asserted against a nurse to the SBON, the nurse must be equipped with the resources to adequately defend the matter. Being unprepared may represent the difference between a nurse retaining or losing their license. This case study involves a registered nurse (RN) who had been working as a private-duty home health nurse for approximately eight months at the time of the incident.

Nurse Practitioner Case Study: Missed test result notification leads to delayed colon cancer diagnosis

Relying entirely on your employer’s medical malpractice insurance may be a mistake. For example, if a malpractice claim is filed against you and your employer, and your interests conflict with your employer’s, your employer’s insurance company is most likely going to back your employer. Or there may be serious gaps in your employer’s malpractice insurance. If multiple parties from your workplace are named as defendants in a malpractice lawsuit, your employer’s limits of liability may not adequately protect you, leaving you responsible for paying the difference. This medical malpractice case study and risk management strategies, presented by NSO and CNA, involves a family nurse practitioner (FNP) who was working in a physician-owned internal medicine office and almost made the mistake of relying on her employer’s insurance.

Nurse Practitioner Case Study: Missed test result notification leads to delayed colon cancer diagnosis

Relying entirely on your employer’s medical malpractice insurance may be a mistake. For example, if a malpractice claim is filed against you and your employer, and your interests conflict with your employer’s, your employer’s insurance company is most likely going to back your employer. Or there may be serious gaps in your employer’s malpractice insurance. If multiple parties from your workplace are named as defendants in a malpractice lawsuit, your employer’s limits of liability may not adequately protect you, leaving you responsible for paying the difference. This medical malpractice case study and risk management strategies, presented by NSO and CNA, involves a family nurse practitioner (FNP) who was working in a physician-owned internal medicine office and almost made the mistake of relying on her employer’s insurance.

Nurse Case Study: Alleged failure to appropriately resuscitate a PACU patient after a complex cosmetic surgery

Medical malpractice claims may be asserted against any healthcare provider, including nurses. This medical malpractice case study and risk management strategies, presented by NSO and CNA, involves a registered nurse (RN) who held a Bachelor of Science in Nursing degree.  At the time of this incident, the insured RN was working as an independent contractor for an ambulatory surgery center (ASC) specializing in cosmetic procedures. The facility was licensed and accredited by the American Society of Plastic Surgeons. The involved plastic surgeon was board certified. For 10 years prior to this incident, the RN had been a post-anesthesia care unit (PACU) nurse and worked primarily in post-anesthesia care.

Nurse Practitioner Case Study: Failure to diagnose and treat staph infection

This case study involves a family nurse practitioner (FNP) who was employed by an internal medicine practice.

Nurse Case Study: Deviation from the standard of care

This case involves a registered nurse working in an ambulatory surgery setting.

Nurse Practitioner Case Study: Failure to warn patient of dangers of testosterone treatment

This case study involves a Family Nurse Practitioner (FNP) who owned an adult wellness clinic, which specialized in hormone replacement for both male and female patients, as well as weight management. The FNP employed the collaborating physician, an OB/GYN, front office staff and two licensed practical nurses.

Nurse Practitioner Case Study: Untimely management of a behavioral health patient and failure to order the appropriate medication

This case study involves a psychiatric mental health nurse practitioner (PMHNP) insured by NSO who was employed at a behavioral health/detoxification facility (“facility”).

Nurse Case Study: ICU Charge Nurse allegedly failed to monitor a critical patient and escalate treatment

Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. This case involves a registered nurse working in the Intensive Care Unit (ICU) as a Charge Nurse.

Nurse Case Study: Failure to ensure a safe environment and failure to utilize translator services

Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. This case involves a registered nurse working in an acute care setting.

Nurse License Protection Case Study: Administering medication without an order

Nurses and License Protection Case Study with Risk Management Strategies

Presented by NSO

Nurse Malpractice Case Study: Administering improper, excessive medication dose and disregard of medication safety

Nurse Medical Malpractice Case Study with Risk Management Strategies

Presented by CNA and NSO

Nurse Malpractice Case Study: Administering improper, excessive medication dose and disregard of medication safety

Nurse Medical Malpractice Case Study with Risk Management Strategies

Presented by CNA and NSO

Nurse Practitioner Case Study: Failure to recognize, diagnose and treat cancer

Nurse Practitioners and Medical Malpractice Case Study with Risk Management Strategies

Presented by CNA and NSO

Nurse Practitioner License Protection Case Study: Failure to obtain authority to prescribe under state scope of practice

Nurse Practitioners and License Protection Case Study with Risk Management Strategies

Presented by NSO

Nurse Case Study: Failed to perform a nursing assessment on a patient at high risk for a cardiovascular accident

This case study involves a nurse working as an occupational health nurse.

Nurse Practitioner Case Study: Failure to properly monitor a patient on a medication that can cause organ failure

Defendant is a Nurse Practitioner working at a college infirmary.

Nurse Case Study: Improper administration and monitoring of Mitomycin

The defendant in this case is a nurse.

Nurse Case Study: Wrongful delegation of patient care to unlicensed assistive personnel

Our insured was a registered nurse (RN) employed by a home healthcare agency. She was with a patient when she received a telephone call from a certified nursing assistant (CNA) who was employed at the same agency.

Nurse Case Study: Alleged failure to assess and monitor teen patient’s pulmonary status

A male patient in his mid-teens arrived at his pediatrician at 5:11 p.m. with complaints of difficulty breathing.

Nurse Practitioner Case Study: Failure to follow-up on lab results

This case study involves a nurse practitioner in private practice setting.

Nurse Practitioner Case Study: Family NP allegedly failed to assess and monitor patient, resulting in death

A female in her late 70s was a long-term patient of our insured nurse practitioner (NP) and of the family practice where the NP worked.

Nurse Leader Case Study: Failure to perform appropriate hiring practices

Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. This case involves a registered nurse working as a director of nursing in a rehabilitation/skilled nursing facility setting.

Nurse Leader Case Study: Failure to perform Director of Nursing duties in a competent manner

A State Board of Nursing (SBON) complaint can be filed against a nurse by a patient, resident, colleague, employer, and/or regulatory agency.

Nurse Practitioner Case Study: Failure to counsel patient on risks of noncompliance

This case involves a family nurse practitioner (NP), her business (a women’s health clinic), and employees that specialized in gynecology and hormone therapy.

Nurse Video Case Study: Failure to assess and monitor

This video case study focuses a 49-year old male who was experiencing rectal pain and bleeding. 

Nurse Practitioner Case Study: Failure to Diagnose

Failure to diagnose is the most frequent malpractice allegation asserted against nurse practitioners. It accounts for 32.8% of all malpractice claims against nurse practitioners, according to the Nurse Practitioner Claim Report: 4th Edition. Failure to diagnose cancer and failure to diagnose infections account for 50% of failure to diagnose allegations.

Nurse Practitioner Case Studies: State Board of Nursing matters involving allegations of a non-clinical nature

Advanced Practice Registered Nurses and License Protection Case Studies with Risk Management Strategies, Presented by NSO

Nurse Video Case Study: Failure to assess and monitor

Failure to complete nursing assessments or adequately monitor patients are some of the most frequent malpractice allegations asserted against nurses. They account for a combined 12.7% of all malpractice claims against nurses, according to the Nurse Professional Liability Exposure Claim Report: 4th Edition. These claims most often involved nurses working in areas of high patient acuity, such as the ED, ICU, and PACU.

Failure to Follow-Up on Diagnostic Test Results Contributes to Patient Death

Nurse practitioners (NPs) face a multitude of malpractice risk exposures in their profession, including diagnosis-related issues.