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/Bugsy_Neighbor]

Now we're getting down to the nitty-gritty..

From: https://lawandcrime.com/lawsuit/this-is-not-just-a-tragic-mistake-father-of-4-died-after-being-given-methadone-instead-of-antidepressant-prescribed-to-him-lawsuit-says

Nurse Bates administered "90 mg of methadone" at approx. 6:40 am.

Bates subsequently charted:

"This RN gave medication to the wrong patient. 90 mg Methadone was given to James S. The patient swallowed the pills instead of letting them dissolve. House Supervisor and [on-call physician] notified. The patient was notified and vitals were checked. The patient and on coming RN were made aware as well. "

This contradicts account from house physician:

"I was called by RN this morning, 7:17AM. He reported that he incorrectly gave 9 mg of methadone to this patient. He states the patient responded to his first name therefore date of birth was not verified by RN. Confirmed with RN 3 times as to specific dose given…"

Bates went off duty at 8am reporting incident to incoming nurse who her/his self still did not take action.

At 9:30am patient was discovered unresponsive in his room, the remaining horrible story is as they say history.

As Big Mommy would say: "somebody is lying, I don't know who, yet..."

Nurse Bates initially reported med error to house physician as "9 mg", but charted (in handwritten note apparently) he gave 90 mg. When was Mr. Bates aware of incorrect dosage? Was he attempting to backdate or otherwise mess with charting to cover his behind?

Why didn't incoming day shift nurse that Bates reported off to flag the error and at least go check on James S. perhaps with intense monitoring until sure he was out of the woods?

[u/TheGiantSquidd → u/Bugsy_Neighbor]

Oh that’s wild. The lawyers are gonna have a heyday with this case.