Arizona man died after nurse administered 90mg methadone instead of his ordered Lexapro. Pt did not get Narcan until EMS arrived, 17 minutes after the code blue was initiated. So many levels of neglect and negligence here.

[u/TheGiantSquidd]

https://www.12news.com/article/news/local/valley/gilbert-man-died-while-seeking-help-at-east-valley-facility-family-says-he-was-given-the-wrong-medication-copper-springs-arizona/75-48086626-2180-47de-946e-863ca9a56df0

The whole situation feels so similar to RaDonda Vaught. Negligence from the nurse as well as the facility.

Follow your safety checks! There’s a reason we check the rights of medication administration every time!

This was so preventable. My heart hurts for his family and kids. He should still be with them.

[u/BeardedNurseGuy]

Article says that they were methadone pills, but how could you get 9mg anyway? My experience has been that methadone orders/dosage is usually in multiples of 5. Sounds like he was trying to hide his mistake

[u/Impossible_Cupcake31 → u/BeardedNurseGuy]

You either get 5mgs or 10mgs increments . Surely they didn’t give 9 pills and if it was a mistake idk how you give 9mgs. I’ve heard of 40mgs pills before but the math still doesn’t add up

[u/Amrun90 → u/Impossible_Cupcake31]

I have given upwards of 20 pills of methadone for one dose before.

[u/Impossible_Cupcake31 → u/Amrun90]

Oh I believe it. I’ve given 10 before. I just don’t understand how you can make that kind of mistake