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In the following case (Holmes v. Louisiana State Board of Nursing, 156 So. 3d 183 (2014)), an RN learned the hard way about her board’s decision-making authority.

Mary Ann Holmes obtained her license as an RN in Louisiana in 2010. She landed a job at a nearby medical center. Unfortunately, Holmes did not get along with her co-workers and many refused to work with her. She allegedly yelled at co-workers, was generally rude and behaved in an “insubordinate manner,” according to court documents. This behavior continued even though she was counseled about it.

Many patient complaints also were lodged against Holmes. Patients said they “felt insecure” about her care.