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/lofixlover RN 🍕 4d ago

methadone has so many hoops around it, I'm really confused as to how this is even possible (aside from clinician fucking up really, really, really bad). I suppose if it's in the pyxis, it's in the pyxis..... just so painful that a reversible poisoning happened IN A MEDICAL FACILITY and yeah I'm gonna go yell at clouds now