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Nicole G. Andrews

  • Profile
  • Credentials
  • Representative Experience
  • Practice Areas

While she enjoys a general litigation practice, Nicole specializes in civil litigation, primarily medical malpractice defense. Other areas of practice that Nicole focuses on are premises liability and products liability. Her approach to cases is to make complex concepts accessible to the jury. Clients’ issues and concerns are approached personally and resolved collaboratively. Client collaboration remains a focus, with new secure internet tools to keep the client involved in the litigation process.

Nicole has nearly 27 years of experience as a litigator and has served as lead counsel in the defense of hospitals and nurses in a broad range of cases. Among many others, she has handled matters involving maternal and fetal injuries during labor and delivery, neurological damage, paralysis, drug overdose, respiratory depression as a result of conscious sedation procedures, pulmonary embolus, loss of limb, sexual misconduct in the hospital setting, aortic dissection, decubitus ulcers, and sepsis.

Her practice covers all phases of defense of health care liability claims, including discovery, witness preparation, expert retention, pretrial matters, motion practice, settlement negotiations, and trial. Many of these cases involve large document production against aggressive, well-financed plaintiff’s counsel.

As a result of her experience in litigating cases from start to finish, Nicole is frequently called upon to lecture and advise health care providers regarding issues relating to documentation, HIPAA violations, the dangers of social media, failure to go up the chain of command, and the effects of being reported to Texas’ licensing boards. She has presented and lectured to physicians, hospital directors, risk managers, floor nurses in a variety of units, and charge nurses on the defense of medical malpractice claims.

In addition, Nicole advises clients on a wide variety of matters, including HIPAA compliance, Physician and Nursing Peer Review matters, implementing and formulating Policies and Procedures, Root Cause Analysis, and Sentinel Events.

Nicole has successfully negotiated over 90 percent of all her claims to resolution. Those that did not resolve prior to trial ended in defense verdicts or settlements significantly below the demand. She has worked on numerous high-profile cases, including one involving a patient who claimed serious injury stemming from an improperly repaired episiotomy; Nicole’s client was ultimately dismissed from the case.

Over the years, Nicole has also secured reasonable settlements in matters seeking exceedingly high damages. With her thorough preparation, aggressive approach, and keen negotiations, she has obtained highly favorable results for her clients. These same clients praise Nicole’s frank and honest evaluations, quick grasp of and ability to communicate complex issues clearly and concisely, and ability to resolve and settle legitimate claims with minimal legal costs.

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)
  • All day case 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)
  • Tort Reform Presentation to Medical Staff Physicians (2009)
  • Pitfalls of Electronic Documentation, Improper Documentation, Late Entries By Health Care Personnel (2008)
  • Nurse Education Week; Mock Trial Demonstration (2008)
  • Documentation Issues, Informed Consent, and Hospital Response (The Woman’s Hospital of Texas, Spring 2008)
  • 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, Fall 2005; Conroe Regional Medical Center, Spring 2006; Bayshore Medical Center, Fall 2007)
  • Examples of Excellent, Good, Fair, and Bad Documentation (The Woman’s Hospital of Texas, Fall 2004)


  • Texas Bar Association
  • Houston Bar Association
  • Greater Houston Society for Healthcare Risk Managers
  • Defense Research Institute
  • Child Advocacy Program
  • 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
  • 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
  • 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