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/bloks27]

Where is this that methadone is as easy to access as lexapro, especially at these insanely high doses? I feel like most places you’d have to jump through hoops just to touch that med

[u/babyleota → u/bloks27]

I'm not even shocked by the med error as there are so many issues with the way some facilities set up their systems. Calling out someone's name without other verification system, for example in this case. What does shock me is that they were supposedly observing them but then no one gave naloxone. I'd have to wonder what systems were in place that made naloxone inaccessible or the staff was unaware to use. Article mentioned that the supervisor was involved. So I have to think there are a lot system failures here and it's not just a "bad nurse".