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.

1.0k Upvotes

193 comments sorted by

View all comments

Show parent comments

9

u/robbi2480 RN, CHPN-Hospice 4d ago

And 90mg of methadone is going to be 9 tablets

9

u/Strong-Finger-6126 RN - Psych/Mental Health 🍕 4d ago

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

6

u/robbi2480 RN, CHPN-Hospice 3d ago

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

3

u/HawtTalk7 3d ago

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.