Administrative Hearing

6 Inspiring Guidance for Nurses: Understanding the Journey to an Administrative Hearing

Office of Administrative Hearing Board of Nursing


As a nurse, receiving a notice letter informing you of an impending Office of Administrative Hearings (OAH) can be a deeply unsettling experience. But what exactly does this mean? It signifies that you are headed for a trial where you will be subjected to cross-examination, required to defend yourself against escalated charges. The laws, rules, and regulations governing nursing, particularly the Nurse Practice Act, fall under the purview of Administrative Law. This is a legal terrain that, unlike civil or criminal law, lacks many of the basic constitutional protections that we often take for granted.

1: The Peculiarities of Administrative Law

The Absence of Common Safeguards: Administrative Law is a complex realm where the fundamental constitutional protections we are accustomed to are conspicuously absent. There’s no right to a jury trial, no safeguard against double jeopardy, and no assurance of seeing all evidence, including potentially exculpatory information. Additionally, you have no inherent right to know the specifics of the accusations against you, no right to a speedy trial, and only limited due process. These deficiencies make Administrative Law trials stand out in a rather disconcerting way.

2: The Startling Reality

A Distinct Endpoint: In most other branches of the law, a judge’s decision is final unless overturned on appeal. However, the Administrative Court doesn’t adhere to this principle. Here, the Administrative Law Judge can merely offer a Proposed Decision that the Board of Nursing can choose to override. Even if you prove your innocence beyond a shadow of a doubt, the Board retains the power to disregard the verdict and impose life-altering consequences. This raises serious questions about the fairness and justice within this system.

3: The Imbalance in Administrative Law

Office of Administrative Hearings Nurses at a Disadvantage: When it comes to Administrative Law, nurses often find themselves at a severe disadvantage, contending with the formidable entity that is the Board of Nursing. This entity is unencumbered by external oversight, backed by extensive legal resources and legislative authority. A fundamental issue lies in the conflict of interest arising from the State Attorney General serving both as the Board’s defense attorney and the authority responsible for overseeing the Board’s actions. This setup severely limits oversight, as the Board operates as a sovereign agency.

4: The Importance of Seeking a Resolution

The Stacked Deck: Going to trial is a prospect no nurse relishes. In a trial setting, the odds are stacked against the nurse. The Board’s case is presented by more than one attorney, with the State Attorney General leading the charge. The Board also has the means to summon expert witnesses, which can be an expensive undertaking for the nurse. Furthermore, the Board has subpoena power and can call upon multiple witnesses. The legal battle is tilted in favor of the Board, making it paramount to explore alternative solutions before heading to trial.

5: Mediation: A Path to Resolution

Unearthing a Hidden Solution: Nurses often overlook a viable option available before proceeding to an Office of Administrative Hearings—mediation or Alternative Dispute Resolution. During mediation, you, your attorney, the Board attorney, a Board expert, and the Administrative Law Judge or Mediator sit around a table in an informal setting, offering an opportunity for a constructive dialogue. Mediation provides the nurse with a chance to present evidence and be heard, something that is often lacking in the formal legal proceedings.

6: The Power of Mediation

Real-Life Examples: Mediation can be remarkably effective in negotiating a resolution to contested Board of Nursing charges. Nurses have successfully used mediation to illustrate, with clear and convincing evidence, that allegations were baseless. Real cases demonstrate how nurses have presented evidence during mediation that exonerated them from charges, highlighting the importance of this alternative dispute resolution.
You may want to check out: California Board of Nursing: Relitigating Cases Adjudicated by Other States

Conclusion: A Call for Fairness

In a system where justice often appears elusive, mediation emerges as a beacon of hope. It offers nurses a platform to defend their actions, challenge false allegations, and reaffirm their dedication to patient care. Mediation is not just a legal strategy; it’s a plea for a system that reevaluates and reforms its approach, ensuring that nurses are not unjustly penalized. The power of mediation should not be underestimated; it provides nurses with a rare opportunity to be heard, clear their name, and reinstate their reputation. By embracing mediation, nurses can bypass the formidable hurdles of an inequitable system and stand up for the justice they rightfully deserve.

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