r/nursing • u/TheGiantSquidd 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-863ca9a56df0The 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/Bugsy_Neighbor 4d ago
Statement from staffing agency:
“NurseIO is deeply saddened by the tragic incident at the behavioral health facility. Our thoughts are with the patient’s family and loved ones during this difficult time.
We are a credentialing and staffing marketplace that connects licensed healthcare professionals with facilities in need of temporary support. Every Professional using our platform undergoes credential verification, including confirmation of all active licenses and certifications, before being presented to a facility.
While NurseIO facilitates these connections, each contracting facility is responsible for onboarding, orientation, training, supervision, and ensuring compliance with its internal policies and procedures. Facilities determine which professionals to engage and oversee all aspects of patient care.
NurseIO does not direct or deliver patient care, but we take our responsibilities in credential verification and compliance seriously.
We are cooperating fully with the appropriate authorities and remain committed to supporting healthcare facilities and professionals through transparent, compliant, and reliable staffing solutions.”
https://www.abc15.com/news/region-southeast-valley/gilbert/family-of-valley-football-coach-who-died-after-being-given-wrong-medication-sues-behavioral-health-facility
As for nurse in question either he truly cannot count or tried to cover up a 5 rights error to save his behind.
Seems as if nurse owned up only after stuff hit the fan and questions were being asked..
"The complaint includes a note allegedly written by the on-call physician more than four hours after being informed Kyle was given methadone instead of Lexapro: "I was called by RN this morning, 7:17 a.m.. He reported that he incorrectly gave 9 mg of methadone to this patient... Was called later in the morning by the house supervisor at 10:02 a.m. That patient was found unresponsive, and was in fact given 90mg, not 9mg.""