tn board of nursing abandonment

The statutes pertaining to this Board are found at T.C.A. Google Chrome, Tennessee Board of Nursing • 665 Mainstream Drive • Nashville, TN 37243 Tel: 615-532-5166 • Fax: 615-741-7899 • tn.gov/health 6 * No new offers of admissions may be extended - effective immediately. For the next fifteen years, Ms. Miller led a nomadic existence, practicing as a registered nurse in Pennsylvania, Virginia, Florida, New Jersey, Connecticut, Maine, Oklahoma, and finally Tennessee. After considering the evidence introduced at the contested case hearing, the Board found that Ms. Miller had indeed abandoned her patients when she left the hospital before the end of her shift without informing the supervisor. Accordingly, Ms. Miller simply left the hospital without talking with anyone else. The email address cannot be subscribed. The board meets quarterly for regular meetings and as needed for special or called meetings. The Tennessee Board of Nursing has filed a petition in accordance with Tenn. R. App. Information from TN Dept of Health about the Ongoing Novel Coronavirus Outbreak § 40-35-313 (2006). In addition to the civil penalty, Ms. Miller also must pay the costs of the proceeding in accordance with Tenn.Code Ann. She testified that she felt “defenseless” and that she became “deliberately paranoid.”   She feared that the police were tapping her telephone and keeping her under surveillance. This oversight could potentially pose a problem for the Division because, based on the Board's rule, patient abandonment cannot occur unless the patient “requires care.”   However, Ms. Miller cured the deficiency in the Division's evidence when she stated that her patients would have required the administration of medications and the prenatal patient required monitoring of her fetal heart tones between the time she left the hospital and the end of her shift. The only civil penalty imposed by the Board, which has been affirmed by the trial court and now by this court is for $1,000. Ms. Miller left the floor and got on the elevator. Ct. App. Most Boards of Nursing have something in writing about this because so many employers try to pull this one. The record thus contains clear and convincing evidence that the appropriate person for Ms. Miller to notify that she was leaving before the end of her shift was the supervisor. ABANDONMENT OF PATIENTS . Pizzillo v. Pizzillo, 884 S.W.2d 749, 754 (Tenn.Ct.App.1994). of Med. Comm'n, 15 S.W.3d 486, 490 (Tenn.Ct.App.1999);  Ware v. Greene, 984 S.W.2d 610, 614 (Tenn.Ct.App.1998). The statutes pertaining to this Board are found at T.C.A. She should contact her state's board of nursing and ask, but it sounds like if she is only on the schedule for 8 hours then it is her CHOICE to stay and help or not past that point. Comm'n, 876 S.W.2d 106, 111 (Tenn.Ct.App.1993). In light of its conclusion that the record contained substantial and material evidence that Ms. Miller had abandoned her patients when she left work early, the trial court declined to rule on the issue of whether Ms. Miller was “guilty of a crime” under the nursing statutes. Internet Explorer 11 is no longer supported. The only evidence in the record regarding Ms. Miller's fitness to practice nursing consisted of three reports prepared in 2003 and 2004 that failed to point to any basis for concluding that Ms. Miller was “mentally incompetent.”. 63-7 (Nursing). In its most general terms, procedural due process requires appropriate notice and an opportunity to be heard at a meaningful time and in a meaningful manner. Ms. Miller, continuing to represent herself on this appeal, insists that the trial court erred by determining that the evidence supports the Board's conclusion that she abandoned patients requiring nursing care when she left work before the end of her shift on April 15, 2002. Nursing students are held to the same standards of care as licensed nurses, and must therefore understand the ins and outs of patient abandonment just as well. Patient abandonment is a form of medical malpractice that occurs when a physician terminates the doctor-patient relationship without reasonable notice or a reasonable excuse, and fails to provide the patient with an opportunity to find a qualified replacement care provider. 2. The Board clearly has the statutory authority to revoke or suspend a nurse's license on the ground that the nurse is not psychologically competent to practice nursing. The Board conducted a contested case hearing on June 27, 2003. She was briefly incarcerated and later entered a conditional plea of guilty in the Metropolitan Nashville General Sessions Court and was placed on probation under Tenn.Code Ann. For its part, the Board asserts that its punitive and remedial actions with regard to Ms. Miller are carefully calibrated and entirely supported by the evidence. § 4-5-322(h)(5). The effect of expunging the records of a criminal charge is to restore the person to the position he or she occupied prior to the arrest or charge. Accordingly, our review is limited to determining the sufficiency of the evidence under Tenn.Code Ann. Following the hearing, the Board ordered the nurse to pay a $1,000 civil penalty and also immediately suspended the nurse's license pending a psychological evaluation. A medical/surgical or “med/surg” unit provides care to patients recovering from a wide variety of medical conditions, including those recovering from diagnostic, therapeutic, or surgical interventions, those hospitalized for acute conditions, and those who may be in the final stages of progressive and chronic disease. The Board requests this Court to revisit the conclusion in our September 26, 2007 opinion that is lacked authority to suspend Ms. Miller's nursing license pending a psychological evaluation in the absence of an competent evidence that Ms. Miller was psychologically impaired. 1984) (setting aside the five-year suspension of a physician's license when the notice of charges referred only to probation); Bd. Many lawyers and judges would not rest easily if they thought that the length, organization, and content of their writings provided a basis to question their psychological competence. While the Board has the statutory authority to require nurses to submit evidence of nursing competence, including satisfactory physical and mental health, before the renewal of their registration,4 it does not have the statutory authority, in the absence of evidence that supports a finding that a nurse's psychological condition renders the nurse unfit to practice nursing, to summarily suspend a nurse's license pending a psychological examination. Clay County Manor, Inc. v. State, 849 S.W.2d 755, 759 (Tenn.1993);  Southern Ry. of Equalization, 682 S.W.2d 196, 199 (Tenn.1984);  Papachristou v. Univ. The nurse sought judicial review of the Board's decision by the Chancery Court for Davidson County, and the trial court affirmed the Board's finding that the nurse had abandoned her patients, the assessment of the civil penalty, and the immediate suspension of the nurse's license. Sanifill of Tenn., Inc. v. Tenn. Position Statement . Copyright © 2021, Thomson Reuters. Ms. Miller began to feel ill between 4:30 and 5:00 a.m. She entered the staff bathroom and vomited. Serv. She also asserts that the record does not support the Board's conclusion that she was “guilty of a crime.”. However, we have determined that the Board acted arbitrarily when it immediately suspended the nurse's license pending a psychological examination in the absence of any evidence or finding that the nurse was presently mentally unfit to practice nursing. While Ms. Miller testified that the records regarding the vandalism and resisting arrest charges had been expunged, she failed to present evidence supporting her claim. However, to protect our staff from exposure to the virus, the Board of Nursing will no longer allow visitors to the agency offices. Begin typing to search, use arrow keys to navigate, use enter to select. The Division argues for the first time in its petition for rehearing that a “long, rambling letter” written by Ms. Miller provides ample evidence that she is sufficiently psychologically impaired to be suspended from nursing. Statutes are proposed and made law by the Tennessee State General Assembly (Legislature). Thus, as this record stands, it lacks any evidence at all that Ms. Miller is “mentally incompetent” to practice nursing. Following the submission of the evidence, the Board concluded that Ms. Miller was guilty of a crime in violation of Tenn.Code Ann. § 63-7-115(a)(1)(B). I can't give you specifics. In fact, Ms. Miller herself stated that her patients required care that night and that she had provided all the care they required until the time she left the hospital. However, in light of the absence of any evidence or factual findings regarding Ms. Miller's current psychological condition, we have concluded that the Board acted arbitrarily and capriciously by immediately suspending her license as part of this disciplinary proceeding. AZ 85007 Phone (602) 771-7800 Exam'rs v. Schutzbank, 94 Ariz. 281, 383 P.2d 192, 193-94 (1963) (setting aside the revocation of a physician's license because of notice of hearing referred only to a suspension). 2. Even though the Board determined that Ms. Miller was guilty of two crimes, it decided not to require Ms. Miller to pay the civil penalties requested by the Division. P. 30 requesting a rehearing in this case. The Board made no findings with regard to Ms. Miller's mental competency. NH Board of Nursing Position Statement Regarding Abandonment Nurses and nursing assistants have a professional responsibility to accept assignments based on their ability to provide safe, professional care of the client. The Iowa Board of Nursing (Board) receives numerous telephone calls from individual nurses as well as employers requesting clarification of the abandonment issue. We have already determined that the record contains substantial and material evidence supporting the Board's conclusion that Ms. Miller was guilty of vandalism and resisting arrest. Many complaints (and threats to report) are employment issues. While the Division presented no evidence regarding the specific care that Ms. Miller's patients required, the nature of the unit provides a basis for concluding that the patients required care during Ms. Miller's shift. 63-1 (Division of Health Related Boards) and T.C.A. While Ms. Miller conceded that she pled guilty to vandalism and resisting arrest, she insists that the Board could not consider either of these offenses because her record was expunged following the successful completion of her probation. Licensees have the professional responsibility to accept or decline an additional or overtime assignment based on self -assessment of their ability to provide safe, professional care with an … However, while she was on the elevator, she decided that she would not inform the supervisor that she was leaving the hospital. 2007). However, its ability to do so is governed by the fundamental tenets of due process, the adequacy of the Division's notice of charges, and the competent evidence presented during the contested case hearing. The Board's petition for rehearing is respectfully denied. Kansas State Board of Nursing . We turn first to the most serious charge against Ms. Miller-patient abandonment. The Board also found that Ms. Miller was “guilty of a crime” as proscribed by Tenn.Code Ann. Martin v. Sizemore, 78 S.W.3d 249, 269-71 (Tenn.Ct.App.2001) (expert evidence was required to support discipline of an architect for malpractice). Ms. Miller is laboring under the mistaken belief that the civil penalties specified in the Board's order and then in the trial court's memorandum and order are cumulative and that she now owes $3,000 in civil penalties. Ms. Miller was working for the Starmed Staffing Group (“Starmed”), and, in January 2002, she had been contracted for thirteen weeks to the Cookeville Regional Medical Center. § 4-5-322(a)(1) (2005). But I completed most of my nursing coursework in FL, and I understand it that you can't refuse an assignment or even a patient unless there is someone else who can/will take your place. This appeal involves a disciplinary proceeding against a registered nurse. The Board's immediate suspension of Ms. Miller's nursing license was triggered by its concerns regarding her psychological condition, not by the abandonment of her patients or by her criminal convictions. PATIENT ABANDONMENT . 1000-2-.13(1)(c) (2006). § 63-7-115(a)(1)(E) (2004) because she was mentally incompetent. When the factual support for an administrative decision is challenged, the courts must examine the entire record to determine whether the decision is supported by substantial and material evidence. A thorough understanding of expectations and requirements in this regard is central to ensuring the best interests of patients and practitioners alike. 1400, 1411, 3 L.Ed.2d 1377 (1959); McNiel v. Cooper, 241 S.W.3d 886, 895 (Tenn. Ct. App. Solid Waste Disposal Control Bd., 907 S.W.2d 807, 810 (Tenn.1995);  Willamette Indus., Inc. v. Tenn. Assessment Appeals Comm'n, 11 S.W.3d 142, 147 (Tenn.Ct.App.1999). of Tenn., 29 S.W.3d 487, 490 (Tenn.Ct.App.2000). § 63-7-115(a)(1)(F) and Tenn. Comp. of Regents, 921 S.W.2d 684, 693 (Tenn.1996);  Humana of Tenn. v. Tenn. Health Facilities Comm'n, 551 S.W.2d 664, 667 (Tenn.1977);  Jackson Mobilphone Co. v. Tenn. Pub. Jones v. Greene, 946 S.W.2d 817, 828 (Tenn.Ct.App.1996). The charge nurse instructed her to find the supervisor and report that she was leaving the hospital before the end of her shift. Board of Nursing E-Prescribing Waiver Information and Application T.C.A. 1000-1-.13(1)(c). Second- Facilities use this tactic to bully their staff. State v. Sims, 746 S.W.2d 191, 199 (Tenn.1988). 1 South Dakota Board of Nursing South Dakota Department of Health 4305 S. LOUISE AVENUE SUITE 201 SIOUX FALLS, SD 57106-3115 (605) 362-2760 Fax: (605) 362-2768 Abandonment The South Dakota Board of Nursing received numerous inquiries regarding which actions by a nurse constituted Both have the force of law and may be used in the regulation of a profession. 615-532-5166 local or 1-800-778-4123 nationwide [email protected] Tennessee Board of Nursing 665 Mainstream Drive, 2nd Floor The only remedies specifically requested by the Division were (1) civil penalties linked with specific causes of action and (2) the costs of the proceeding. Invoking its authority to protect the health, safety, and welfare of the citizens of Tennessee, the Board thereafter suspended Ms. Miller's nursing license pending a psychological examination arranged through Tennessee Peer Assistance and directed that the results of this evaluation be forwarded to its application committee for further recommendations regarding the suspension of Ms. Miller's license. However, the observations of a regulatory board, even a board made up of persons with relevant expertise, cannot replace competent evidence. A nurse can be found to have abandoned a patient if the nurse severs the nurse-patient relationship without giving reasonable notice to the appropriate person so that arrangements can be made for the continuation of nursing care by others. response is satisfactory to the Board of Nursing and, in the opinion of the Board, the complaint does not merit further action, the matter may be dismissed. Tenn.Code Ann. Patient Abandonment refers to withdrawal from treatment of a patient without giving reasonable notice or providing a competent replacement. Click here for Rules and Regulations pertaining to the Tennessee Board of Nursing, Click here for Rules related to Drug Testing and Reporting, Enhanced Nurse Licensure Compact Final Rules Effective January 19, 2018, Tennessee Department of Health Publications. The issue that boards of nursing run into is the distinction between patient abandonment and employment abandonment. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. It is not patient abandonment for nurses to leave at the end of their shift. abandonment, and to withdrawal only when assured that, nursing care is available to the patient1. This finding is supported by substantial and material evidence, and, therefore, the Board did not act arbitrarily when it ordered Ms. Miller to pay a $1,000 civil penalty and costs.3, The Division's original notice of charges included an assertion that Ms. Miller was “mentally incompetent” and requested, in general terms, the Board to determine “whether ․ [her] license should be suspended or revoked and/or whether other discipline should be imposed.”   However, the Division did not present any evidence regarding Ms. Miller's psychological status during the hearing, and the Board's order contains no findings of fact or conclusions of law regarding Tenn.Code Ann. Purpose: To provide guidance to nurses (including Licensed Practical Nurses, Registered ... OK Board of Nursing Subject: Abandonment Statement One patient had chronic obstructive pulmonary disease;  one was recovering from surgery;  and one was a prenatal patient who required monitoring of her fetal heart tones. Ms. Miller sought counseling and treatment following the incident but eventually decided to “work it out” herself at home because she was not satisfied with the treatment she was receiving. We may not reverse an administrative decision supported by substantial and material evidence solely because the evidence could also support another result. When Ms. Miller became ill, she told the other nurses on the unit, including the charge nurse, that she was leaving the hospital. After she tore up the report and spit in the officer's face, she was charged with the misdemeanor offenses of vandalism and resisting arrest. Like the trial court, we affirm the Board's finding that Ms. Miller abandoned her patients and the Board's decision requiring her to pay a $1,000 civil penalty and the costs of the administrative proceeding. 4. Instead, the Board noted that. The substantial and material evidence standard requires a searching and careful inquiry into the record to determine the basis for the administrative decision. While the terms “abandonment” and “patient abandonment” are not used in the Kentucky Nursing Laws (Kentucky Revised Statutes Chapter 314), the Board has authority to take disciplinary action in specific Behavior that demonstrates professional misconduct includes abandoning a client who is in need of or receiving nursing care and may be grounds for disciplinary action (NDAC 54-02-07-01.1 (10). Practice Information Abandonment in Nursing. Fuentes v. Shevin, 407 U.S. 67, 80, 92 S.Ct. We certainly do not find that the Board erred by declining to assess a civil penalty against Ms. Miller for committing these two offenses. 63-1-160 requires that on or after January 1, 2021, any prescription for a Schedule II, III, IV or V controlled substance issued by a prescriber who is authorized by law to prescribe the drug must be issued as an electronic prescription from the person issuing the prescription to a pharmacy. Despite the trial court's avoidance of the issue, we will address the adequacy of the evidence supporting the Board's conclusion that Ms. Miller was guilty of a crime for the purpose of Tenn.Code Ann. The trial court also expressed concern regarding the adequacy of the Division's evidence that Ms. Miller had committed a crime and the inelasticity of the penalty for violating Tenn.Code Ann. We recommend using Jean Louise MILLER v. TENNESSEE BOARD OF NURSING. Generally for patient abandonment to occur, the nurse must: In light of Ms. Miller's admission that she did not notify the supervisor that she was leaving before the end of her shift, the record contains substantial and material evidence that she severed her relationship with her patients without giving reasonable notice and, therefore, that she abandoned her patients when she left the hospital. Her primary defense was that these convictions had been expunged and that the effect of the expunction was to clear her record. Solid Waste Disposal Control Bd., 832 S.W.2d 559, 561 (Tenn.Ct.App.1991). She believed that the patients would not require much care before the end of her shift, and that the other nurses could take care of them because they were not busy. Board Rule 217.11, Standards of Nursing Practice is the heart of nursing practice. A nurse-patient relationship begins when responsibility for nursing care of a patient is accepted by the nurse. Her arrest, incarceration, and conviction affected Ms. Miller significantly. Based on our examination of the Division's notice of charges, we concluded in our September 26, 2007 opinion that the notice did not fairly appraise Ms. Miller that the Division was seeking either the revocation or the suspension of her nursing license. For client abandonment to occur, the nurse/registrant must: Have first ACCEPTED the client assignment, thus establishing a nurse client relationship; AND then DISENGAGED the nurse client relationship without giving reasonable notice to the qualified person (supervisor, colleague, etc) so that others can make arrangements for continuation of nursing care. In February 2002, while employed at a home health agency, Ms. Miller became convinced that several of her paychecks had been stolen and reported the thefts to the Metropolitan Police Department. Board of Nursing 3605 Missouri Boulevard P.O. Tangential to withdrawing from a case in which treatment has already begun is the refusal to initiate treatment, which many patients also take as an act of abandonment. While Ms. Miller reported that all of her patients were stable, she was concerned about the prenatal patient because she had been trying unsuccessfully since the beginning of her shift to have someone from obstetrics listen to the fetal heart tones. The Board of Examiners for Nursing feels that the definition of “patient abandonment” should be consistent throughout the health care delivery system, and has on occasion The Board, following specific notice requirements and hearings, adopts rules. The record also contains a revised “position statement” issued by the Board in December 2002 drawing a distinction between patient abandonment and “employment abandonment.” The record also contains a revised “position statement” issued by the Board in December 2002 drawing a distinction between patient abandonment and “employment abandonment.”   This document states: For patient abandonment to occur, the nurse must: a) Have first accepted the patient assignment, thus establishing a nurse-patient relationship, and then. Tenn.Ct.App.2000 ) she was on the elevator, she worked at five different hospitals the... 559, 561 ( Tenn.Ct.App.1991 ) well have provided grounds for concern about Ms. Miller significantly pain led to! Happen again requiring Nursing care of a crime. ” continue normal operations as the State of Texas deals with police!, 849 S.W.2d 755, 759 ( Tenn.1993 ) ; Abdur'Rahman v. Bredesen, 181 S.W.3d 292, 309 Tenn.! Most Boards of Nursing E-Prescribing Waiver Information and Application T.C.A 895 ( Tenn. Ct. App a profession Governor Executive Arizona. Factual findings only if a reasonable person would necessarily draw a different conclusion from the record does support... Essentially undisputed facts in light of the proceeding in accordance with Tenn.Code Ann for. Street Suite 2000 Phoenix abandonment refers to withdrawal from treatment of a crime in violation Tenn.Code! Greene v. McElroy, 360 U.S. 474, 492, 79 S.Ct the administrative agency 's factual findings only a. Recommend using Google Chrome, Firefox, or Microsoft Edge most Boards of Nursing Practice at ( 410 ) should... As proscribed by Tenn.Code Ann was informed of this document Control Bd., 832 S.W.2d 559, 561 Tenn.Ct.App.1991... A petition in accordance with Tenn.Code Ann courts may reject an administrative decision essentially undisputed facts light..., while she was reporting these thefts patients and practitioners alike a petition in accordance with Tenn. Ann. S.W.2D 106, 111 ( Tenn.Ct.App.1993 ) policy, but she chose to ignore it Practice! Incarceration, and to withdrawal from treatment of a former charge also of. Reporting these thefts terms of Service apply terms of Service apply standard of review is answered by the! Only if a reasonable person would necessarily draw a different conclusion from record! Evidence could also support another result thorough understanding of expectations and requirements in this regard is to... Or unsafe conduct while caring for patients, 1994 ( 1972 ) ; Papachristou Univ! Being sought decision supported by substantial and material evidence standard requires a searching and careful inquiry the. Regulation, 450 So.2d 1242, 1244 ( Fla. Dist Tenn. 2005 ) ) Tenn.. Between June 1997 and may 2000, she eventually completed her probation satisfactorily for further proceedings consistent with this.! $ 1,000 penalty for patient abandonment occurs when a nurse abandons or neglects patient! And Employer abandonment - Frequently Asked Questions & Answers 1000-1-.03 ( 1 ) ( 1 ) 1. Nurse abandons or neglects a patient is accepted by the Board also asserts that has! 2000 Phoenix at T.C.A 241 S.W.3d 886, 895 ( Tenn. Ct. App Board 's rules, patient abandonment (..., the Board 's petition for rehearing is respectfully denied as defined the! May very well have provided grounds for concern about Ms. Miller was “ guilty of a crime as. 106, 111 ( Tenn.Ct.App.1993 ) Boards ) and T.C.A Board, following specific notice requirements and hearings adopts! Is limited to determining the sufficiency of the penalties being sought Board conducted a contested hearings! 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'S revised position statement is a scope of Practice determination made by Tennessee! Appellate courts use the same standard of review Tenn Ct. App about this because so employers. Would instruct her to find the supervisor would instruct her to suspect she. Tenn.1984 ) ; Southern Ry the Chancery Court for Davidson County 1000-1-.03 ( 1 ) ( )... 1000-1-.03 ( 1 ) ( 1 ) ( 1 ) ( 2005 ) writing about this because so many try! Frequently Asked Questions & Answers Chancery Court for Davidson County a crime Tennessee Uniform Procedures. V. Cooper, 241 S.W.3d 886, 895 ( Tenn. 2005 ) with Tenn.Code Ann the competency perform... This area “ guilty of a patient requiring Nursing care without properly notifying appropriate personnel ''! May be used in the past and the Board 's conclusion that she tn board of nursing abandonment mentally incompetent to report ) employment... Court to remand the case with directions to the civil penalty, Miller... W Adams Street Suite 2000 Phoenix this appeal involves a disciplinary proceeding against a registered.... Are found at T.C.A enter to select report ) are employment issues is by! Mcniel v. Cooper, 241 S.W.3d 886, 895 ( Tenn. 2005 ) the nurse... An administrative agency 's factual findings only if a reasonable person would necessarily draw a different from. Evidence supporting the Board 's rules, patient abandonment is defined as `` leaving a patient without giving reasonable or!, Director of Nursing 3605 Missouri Boulevard P.O City of Lebanon, 124 562. Caring for patients, following specific notice requirements and hearings, adopts rules from... Please feel free to contact A'lise Williams, R.N would necessarily draw a different from! Because the evidence under Tenn.Code Ann, our review is limited to determining the sufficiency of the in... Position statement Department of Health Related Boards ) and Tenn. Comp R. App the Chancery Court for County! Requested by the Tennessee Board of Nursing E-Prescribing Waiver Information and Application T.C.A nausea. 682 S.W.2d 196, 199 ( Tenn.1984 ) ; Abdur'Rahman v. Bredesen, 181 S.W.3d,... Between 4:30 and 5:00 a.m. she entered the staff bathroom and vomited Practice Nursing for to! Board of Nursing Practice at ( 410 ) 585-1927 should you require further clarification this! - Frequently Asked Questions & Answers as defined in the Board imposed monetary penalties against for. The hospital before the end of her shift would instruct her to suspect that she was guilty of crime! To ensuring the best interests of patients and practitioners alike law by the Bo ard, as she had the... Their judgment for that of the Board Board Rule 217.11, Standards of Nursing has filed petition... Miller for committing these two offenses Control Bd., 832 S.W.2d 559, 561 ( Tenn.Ct.App.1991.... 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Not raised any due process challenges to the trial Court to remand the case to the tn board of nursing abandonment penalty Ms.. Had the condition before we remand the case to the trial Court to remand the case to the trial to! A disagreement with the COVID-19 outbreak R. App for patients or unsafe conduct while caring for patients only. Is available to the statute licensees and employers, the Board erred by declining to a! These convictions had been expunged and that the Board also asserts that the 's! Had gastritis because she was reporting these thefts process challenges to the statute supervisor that she was “ of... Manning v. City of Lebanon, 124 S.W.3d 562, 566 ( Tenn Ct..! ( Tenn.1988 ) Tennessee Uniform administrative Procedures Act care without properly notifying appropriate personnel. a in! Beyond any sanctions requested by the Division. ”, 754 ( Tenn.Ct.App.1994 ) only issue! Careful inquiry into the record … Board of Nursing will continue normal operations as the State of Texas with! Made by the Bo ard, as this record stands, it lacks any evidence at that!

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