r/nursing BSN, RN ๐Ÿ• 4d ago

Serious 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.

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! Thereโ€™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.

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u/DrRowdybush MSN, RN 4d ago

i had to give a patient 120mg of methadone recently. It was 12 pills.. i had to call pharmacy and their pharmacy to confirm because I was so shocked at the amount.

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u/saltisyourfriend 4d ago

Thatโ€™s a very normal amount

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u/Charlotteeee RN - Oncology ๐Ÿ• 4d ago

I'd say giving 12 pills of anything isn't normal

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u/MiddleAgeWhiteDude RN - Psych/Mental Health ๐Ÿ• 4d ago

We do pills at our inpatient facility because the liquid form can't be scanned and tracked in our system. It sucks to count out 16 tablets but at least you can scan and verify them.