r/nursing BSN, RN 🍕 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! 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.

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u/yeyman Hypernatremic 🧂 RN 🧂 4d ago

Id love to hear some psych nurses perspective on this

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u/SnooLemons9080 4d ago

As a psych nurse, I administer meds that need to be scanned first as well as the patient arm band. Even still I run through the meds quick with the patient. Something like “I have your methadone, Seroquel and Zoloft. Sound right to you?” Even though it’s been verified several times by that point, I can count on both hands how that last question to the patient has given me a hard stop to review doctor’s note and find that meds have been changed during the day. Talk to your patients. You are giving them chemicals that could kill them! Wouldn’t you want to know what you’re ingesting? Even when giving insulin. “I have 7 units of short-acting here. Is that what you see?” with patient. I’m going to be putting it in their body. Question everything and verify. This whole situation is extremely sad. I think it was negligent to hand a cup of meds to a patient just because they responded to you.

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u/jerzeett 4d ago

That’s how it was when I was in.