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Nicole G. Andrews

  • Profile
  • Credentials
  • Representative Experience
  • Practice Areas

Although she maintains a diverse litigation practice, Nicole’s expertise lies in the realm of civil litigation, with a primary emphasis on medical malpractice defense. She also dedicates her attention to premises liability and product liability cases. Her unique strategy involves translating intricate ideas and concepts into understandable terms for the jury’s benefit. Nicole’s interaction with clients involves a personalized and cooperative approach to address their challenges and queries. This commitment to collaboration remains a cornerstone bolstered by the integration of secure online tools that enable clients to stay engaged in the litigation’s progression.

With nearly 28 years of extensive litigation experience, Nicole has assumed the role of lead counsel in safeguarding hospitals, nurses, and physicians across a diverse spectrum of cases. Her portfolio includes the successful management of complex cases. These include maternal and fetal injuries during labor and delivery, instances of neurological harm, paralysis, complications arising from drug overdose, respiratory depression due to conscious sedation procedures, incidents involving pulmonary embolism, limb loss cases, allegations of sexual misconduct within hospital premises, aortic dissection claims, and cases involving sepsis, among others.

Due to her extensive background in handling cases from inception to resolution, Nicole is regularly sought after to deliver lectures and provide guidance to healthcare professionals on a range of topics. These areas include proper documentation practices, compliance with HIPAA regulations, potential pitfalls of social media usage, the importance of following the proper chain of command, exercising critical thinking skills in caring for patients, and the repercussions of being reported to Texas’ licensing boards. Nicole has shared her expertise with diverse audiences, including physicians, hospital administrators, risk management personnel, and nurses across different units. Her presentations focus on effectively caring for patients to prevent litigation.
Furthermore, Nicole counsels clients across a diverse spectrum of issues. These include adherence to HIPAA regulations, addressing concerns related to Physician and Nursing Peer Reviews, establishing and shaping Policies and Procedures, conducting Root Cause Analyses, and managing Sentinel Events.

Nicole has effectively resolved more than ninety percent of her claims through successful negotiations. Cases that did not reach resolution before trial concluded either with defense verdicts or settlements well below the initial demands. Her experience encompasses a multitude of high-profile cases, among them a notable instance involving a patient who alleged substantial harm to an infant during labor and delivery. Nicole’s client was eventually dismissed from the lawsuit.

Throughout her career, Nicole has achieved equitable settlements in cases involving extraordinarily high claims for damages. Through meticulous groundwork, assertive strategies, and skillful negotiation tactics, she has consistently delivered exceptionally favorable outcomes for her clients. These very clients commend Nicole for her candid and truthful assessments, adept understanding, and clear articulation of intricate matters, as well as her capacity to efficiently resolve and reach settlements for valid claims while minimizing legal expenses.

Educational Background

  • University of Houston Law Center, J.D., 1994
  • University of Houston, B.A., cum laude, 1988


  • State Bar of Texas, 1995
  • United States District Courts for the Southern District of Texas

Publications and Presentations

  • Multiple presentations regarding nursing documentation, chain of command issues, and the impact of social media and technological advances in healthcare and litigation (2013, 2015, 2017, 2018, 2021, 2022)
  • Presentation on medical malpractice litigation – How Improper Documentation, Chain Of Command, BNP, And Social Media Do’s And Don’ts Can Affect A Case (2010, 2013, 2017)
  • Tort Reform Presentation to Medical Staff Physicians (2009)
  • Pitfalls of Electronic Documentation, Improper Documentation, Late Entries By Health Care Personnel (2008; 2012; 2014; 2019)
  • Nurse Education Week; Mock Trial Demonstration (2008)
  • Documentation Issues, Informed Consent, and Hospital Response (2008, 2015, 2018, 2022)
  • Chain of Command, Electronic Documentation, Meditech, and Litigation (Conroe Regional Medical Center, 2007)
  • Nurse Education Week; Preparing for Litigation–The Importance of Documentation When Giving Depositions (2007)
  • Documentation Issues and Medical Records (East Houston Regional Medical Center, 2005; Conroe Regional Medical Center, 2006; Bayshore Medical Center, 2007)
  • Examples of Excellent, Good, Fair, and Bad Documentation (The Woman’s Hospital of Texas, 2004)


  • Texas Bar Association
  • Houston Bar Association
  • Greater Houston Society for Healthcare Risk Managers
  • Defense Research Institute
  • Child Advocacy Program
  • Texas Associationof Defense Counsel
  • Secured a non-suit for the labor and delivery department of a major provider in the Texas Medical Center against claims involving the birth of a baby with a congenital deformity.
  • Secured dismissal of a labor and delivery case of a hospital provider against claims involving significant birth injuries associated with the delivery.
  • Obtained a defense verdict at trial involving a fall from a hospital bed resulting in lumbar damage.
  • Secured a non-suit in a multi-million-dollar lawsuit involving blindness in triplets following treatment for Retinopathy of Prematurity.
  • Secured non-suit of a multi-million lawsuit involving neurological injuries to a minor being treated for a cardiac condition.
  • Obtained a summary judgment of allegations brought against a hospital for claims of false imprisonment of a trespasser.
  • Obtained a favorable settlement in second week of trial in adult brain/neurological damage based on improper nursing care.
  • Secured dismissal of hospital on courthouse steps in a serious, high-profile case regarding allegations of improper care.
  • Secured a directed verdict at trial involving an infectious process to patient’s arm, which ultimately led to arm amputation.
  • Successfully defended slip and fall cases on hospital property that were ultimately dismissed or settled for nominal value.
  • Obtained a summary judgment of allegations brought against a hospital for negligent credentialing.
  • Second chaired trial in a products liability case during first year of practice.