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A home health nurse thought she was helping her patient, but her actions ultimately led to probation with the state board of nursing.
In this episode, I (Kati Kleber, MSN RN) sit down with my husband, licensed clinical counselor John Kleber, to walk through a real NSO case study involving a nurse who crossed professional boundaries, practiced outside her scope, and failed to document critical aspects of care. Step by step, we break down what happened, where the nurse's intentions and actions diverged, and how small decisions compounded into some serious professional consequences.
We talk:
✅ How good intentions can still result in board discipline
✅ Where professional boundaries were crossed, and why that matters legally
✅ What "practicing outside your scope" actually looks like in real life
✅ How documentation gaps can become your biggest liability
✅ Why informal care and "just helping out" can carry serious risk
✅ Practical guardrails to protect your license, your patients, and yourself
This episode is especially important for home health nurses, new grads, travel nurses, and anyone practicing with a high degree of autonomy. If you've ever wondered how nurses end up before the board (and how to make sure it doesn't happen to you) this conversation is for you.
🔗 Resources & Links:
🎧 Follow & Subscribe:
If this episode gave you something to think about, follow FreshRN wherever you listen to podcasts, and share it with a nurse friend who might need it too!
By Kati Kleber, MSN RN4.7
346346 ratings
A home health nurse thought she was helping her patient, but her actions ultimately led to probation with the state board of nursing.
In this episode, I (Kati Kleber, MSN RN) sit down with my husband, licensed clinical counselor John Kleber, to walk through a real NSO case study involving a nurse who crossed professional boundaries, practiced outside her scope, and failed to document critical aspects of care. Step by step, we break down what happened, where the nurse's intentions and actions diverged, and how small decisions compounded into some serious professional consequences.
We talk:
✅ How good intentions can still result in board discipline
✅ Where professional boundaries were crossed, and why that matters legally
✅ What "practicing outside your scope" actually looks like in real life
✅ How documentation gaps can become your biggest liability
✅ Why informal care and "just helping out" can carry serious risk
✅ Practical guardrails to protect your license, your patients, and yourself
This episode is especially important for home health nurses, new grads, travel nurses, and anyone practicing with a high degree of autonomy. If you've ever wondered how nurses end up before the board (and how to make sure it doesn't happen to you) this conversation is for you.
🔗 Resources & Links:
🎧 Follow & Subscribe:
If this episode gave you something to think about, follow FreshRN wherever you listen to podcasts, and share it with a nurse friend who might need it too!

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