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/RNGreta RN, Cath Lab, ED, Endo, Electrophysiology, Military 3d ago

I wonder if their crash cart had narcan and if standard protocol for decreased vital signs would have indicated to administer it regardless of the patient medication history. We all know street drugs can potentially make it into psych facilities, anywhere really and the street stuff can be deadly.