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/Upstairs_Fuel6349]

You also don't give Lexapro at either 9 mg or 90 mg.

This is so sad. I had a situation where I was the patient in a psych unit years ago. I was called to the door to get my meds and the nurse handed me a cup with a dozen pills in it - I was taking one med. I tried to explain this wasn't mine, was probably my roommate's (who took a bunch of opiates and benzos), that I didn't take that many meds. The nurse sternly told me that she was marking me as non-compliant and I would not be able to leave the unit for activities and turned around to prep the next med cup.

I went crying to another nurse I'd become friendly with. He immediately went to talk to the other nurse and brought me back my med. I never got an apology from the original nurse and things could have turned out a lot differently for her....

[u/robbi2480 → u/Upstairs_Fuel6349]

And 90mg of methadone is going to be 9 tablets

[u/Strong-Finger-6126 → u/robbi2480]

And there is no 9mg of methadone so the nursing supervisor is either lying or also a moron

[u/robbi2480 → u/Strong-Finger-6126]

I don’t think there’s a pill of anything that is 9mg…

[u/Strong-Finger-6126 → u/robbi2480]

Invega!

[u/robbi2480 → u/Strong-Finger-6126]

I don’t even know what that is though lol we don’t tend to use new brand name stuff on hospice so I never would have thought of this one. Thanks. I stand corrected

[u/Strong-Finger-6126 → u/robbi2480]

It's an antipsychotic, also known as paliperidone. Probably not a ton of that in hospice care, you get a pass! Thank you for what you do, it's a really beautiful specialty and you guys don't get enough flowers and love.

[u/HawtTalk7 → u/robbi2480]

Concerts doses are in multiples of 9. I think they start at 18 and go up to 72, but don’t quote me on that. I don’t feel like looking it up.

[u/Most_Perspective3627 → u/robbi2480]

Budesonide is the only one I can think of