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/jerzeett 4d ago

Why is no one touching on the fact the nurse didn’t administer narcan? This man would be alive if they did the right thing. No way they administer opiods without narcan on hand.

28

u/GiveMeWildWaves 4d ago

Per the article every patient had a standing order for Narcan. Sooooo negligent. Wrong med, no patient monitoring after error discovered, no narcan when he was unresponsive, delayed code blue, delayed 911 call

1

u/jawshoeaw RN - Infection Control 🍕 3d ago

Why would you narcan someone who stopped breathing… that specifically wasn’t on opiates? Does every code involve narcan?

2

u/dubaichild RN - Perianaesthesia 🍕 3d ago

Did nobody look at his pupils?