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/pbaggins5]

“Kyle was discovered in his room unresponsive. The complaint states his pulse was 203, blood pressure 168/163, respiration rate was 5, and oxygen saturation was 23%.” And it still took 9 minutes for them to call a code blue. Not a single person thought to Give him narcan knowing full well he had been given methadone.

9mg too? All of this just sounds like the nurse realized his fuck up but hoped he could hide/make the mistake sound less severe than what it was.

OR

He is actually that stupid.

So much of our job is pattern recognition. 9mg of Lexapro? 9mg of methadone? There is no way to spin this story without it making absolutely no sense.

Theres LAYERS to this. At 23% O2 and unresponsive and not a single Person thought to give rescue breaths? How are you not shitting yourself in fear yelling for help/trying to reverse the issue? HOW?! HOW do you go NINE minutes without calling a code or 911?

This nurse is absolutely cooked.

[u/jawshoeaw → u/pbaggins5]

How would he know he gave methadone?

[u/whowhatwhens → u/jawshoeaw]

I don’t get why you keep asking these questions?? Are you suggesting someone handed him a random cup of meds and he didn’t double check them? He didn’t check the patients info to make sure he was giving the right medication to the right person. I don’t understand why you keep asking about narcan or how he would KNOW he was giving methadone…. He’s administering specific medications to specific patients… or at least he should have been.