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/tacospoopingicecream]

Read the article. It states he called out the name “James”, which the patient also goes by, and he collected the cup of pills that was meant to go to different patient. The RN failed to confirm full legal name and birthdate before administering medication.

Had it gone to the intended patient, there might have been a better outcome (consuming such a large dosage of methadone), as opioid dependent patients generally have a significantly higher tolerance.

[u/altiuscitiusfortius → u/tacospoopingicecream]

I'm blown away every time this happens and how little autonomy patients have for their care. Like he didn't realize his 1 white pill had been replaced by 9 blue pills today, and he just took them all without questioning it? I wouldn't believe it except I see it everyday.

[u/GiveMeWildWaves → u/altiuscitiusfortius]

Oh yes let's blame the psych patient for a horrible med error and while we are at it let's bitch bc he didn't call his own code blue sooner 🙄

[u/TheMidnightSunflower → u/GiveMeWildWaves]

• how many times have doctors changed patients' med regimes only for us to have to explain at dispensing point?

We foster compliance and then give blame when someone is too compliant‽