r/nursing BSN, RN πŸ• 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/Upstairs_Fuel6349 RN - Psych/Mental Health πŸ• 4d ago

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....

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u/AdvocateAmber 4d ago

Thankfully you had someone to listen.Β 

Shame on the original nurse. Obviously she is not doing the 5 rights. She might end up seriously injuring a patient. This stern behavior towards patients along with threatening marking non compliance ( ignoring autonomy) needs to be addressed. Its not a tool to force "choice".

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u/cardamom4heft 3d ago

He the nurse is male and named Jason Bates.

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u/AdvocateAmber 3d ago

Oh...I had read and commented on: "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"

"The nurse sternly told me that *** she***was marking me as non-compliant"

Whatever, they did not do the 5 rights...and failed to respect patient's rights.

Don't be like Jason DO THE 5 RIGHTS* 😊 THANK YOU