A complaint to a State Board of Nursing (SBON) can be initiated by various individuals or entities, including patients, family members, coworkers, employers, or other regulatory bodies such as the Department of Health. Once a complaint is filed, the SBON conducts an investigation to determine whether the nurse involved is adhering to standards of safe, ethical, and professional practice. The outcomes of these investigations can vary widely—from no disciplinary action to full revocation of the nurse’s license. As such, nurses facing SBON complaints must be prepared with appropriate resources and support to respond effectively. A lack of preparation could mean the difference between maintaining or losing licensure. This case study focuses on a registered nurse (RN) who had been employed in the Emergency Department of a large regional hospital for over a decade at the time of the incident.