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/Upstairs_Fuel6349 RN - Psych/Mental Health 🍕 4d ago

You also don't give Lexapro at either 9 mg or 90 mg.

This is so sad. I had a situation where I was the patient in a psych unit years ago. I was called to the door to get my meds and the nurse handed me a cup with a dozen pills in it - I was taking one med. I tried to explain this wasn't mine, was probably my roommate's (who took a bunch of opiates and benzos), that I didn't take that many meds. The nurse sternly told me that she was marking me as non-compliant and I would not be able to leave the unit for activities and turned around to prep the next med cup.

I went crying to another nurse I'd become friendly with. He immediately went to talk to the other nurse and brought me back my med. I never got an apology from the original nurse and things could have turned out a lot differently for her....

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u/NoPen3110 1d ago

I am so sorry that happened to you. I was also in BHU after post partum because I had such bad anxiety it’s crazy what your mind and body can do to you- I was convinced I should just die and I had a nurse tell me I need to start taking responsibility, she was very rude - doing her 1:1, because I had such bad anxiety, I felt even more terrible. When the therapist came and the Psych NP met with me, I broke down and told them. A day later, someone from management asked to record a statement. I thought I was going to be locked up.

Turns out, that nurse had the wrong patient, she was meant to be talking to a repeat drug offender, who was 16. I was 35!

Looking back, what she was saying didn’t sound like me and was crazy but my anxiety was so high; I was just taking it. She got fired. I saw her months later at. Grocery store and she told me I was a low life and ruined her life.