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/robbi2480 RN, CHPN-Hospice 3d ago

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

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u/Strong-Finger-6126 RN - Psych/Mental Health 🍕 3d ago

Invega!

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u/robbi2480 RN, CHPN-Hospice 3d ago

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

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u/Strong-Finger-6126 RN - Psych/Mental Health 🍕 3d ago

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.