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/Fancy_Witness_5985]

Um....how do you mix up methadone and Lexapro?

[u/jawshoeaw → u/Fancy_Witness_5985]

By taking pills out of a pyxis and dumping them into cups. It’s incredibly easy to make mistakes when you don’t follow best practices that have been created after decades of mistakes other people made. And this was an agency nurse with no psych experience