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re: Thoughts on the RaDonda Vaught (nurse convicted of negligent homicide) trial?

Posted on 3/29/22 at 9:38 am to
Posted by 50_Tiger
Arlington TX
Member since Jan 2016
40812 posts
Posted on 3/29/22 at 9:38 am to
Sounds like we should be looking into this more than no?

Or at least a breakdown of errors such as the one the thread is created for and others such as errors while under operation, etc.
Posted by onelochevy
Slidell, LA
Member since Jan 2011
16883 posts
Posted on 3/29/22 at 9:38 am to
quote:

She’s an idiot. I doubt she’s illiterate since she’s an RN, but her biggest mistake was not being able to read that the drug she thought she was given was in fact a paralytic. Topple that with the fact that what she thought she was administering is not even available in a powder, yet she kept on going and proceeded with killing her patient. That’s not a “medical mistake or error”. That’s negligence dammit and a crime that deserves consequences.

She should never be allowed to touch another patient.




My wife is a nurse as well and this was her opinion too. This wasn't just an honest mistake, it was negligence.
Posted by AkronTiger
Rubber City
Member since May 2021
1687 posts
Posted on 3/29/22 at 9:40 am to
quote:

Her biggest question was why was Versed ordered by the Dr for a scan vs Ativan or Benadryl.


Should’ve been ordered as midazolam not versed. Should have been read back to the ordering physician with closed loop communication (ie “administering 4mg midazolam”). Should have been ordered directly by the MD as a high risk medication and not administered as a verbal order. In no circumstances should verbal orders be given indirectly (she was told by supervisor). Floor nurses shouldn’t be able to override high risk medications.

Plenty of systems-based reasons this happened and Vanderbilt needs to take responsibility.
This post was edited on 3/29/22 at 12:39 pm
Posted by carhartt
Member since Feb 2013
7790 posts
Posted on 3/29/22 at 9:46 am to
It’s definitely neglect. It’s not like she accidentally gave a patient naproxen instead of ibuprofen.

There has to be some checks and balances in place where they have to double and triple verify the medication they are about to administer. She obviously got complacent and didn’t do her job correctly. Her complacency resulted in a person dying. She deserves to pay some consequence.
Posted by upgrayedd
Lifting at Tobin's house
Member since Mar 2013
135701 posts
Posted on 3/29/22 at 9:46 am to
A nurse with danger hair is always gonna be a no, dawg
Posted by GreatLakesTiger24
One State Solution
Member since May 2012
56497 posts
Posted on 3/29/22 at 9:48 am to
quote:

nurses in the ER and ICU are trending on not taking verbal orders, which slows things down a ton.
what does this mean? they aren't doing what the doctor says?
Posted by MorbidTheClown
Baton Rouge
Member since Jan 2015
67762 posts
Posted on 3/29/22 at 9:48 am to
quote:

RaDonda


never had a chance
Posted by Ricardo
Member since Sep 2016
5212 posts
Posted on 3/29/22 at 9:50 am to
I feel like her mistake was so egregious that it borders on criminality.

Vial of Vecuronium



Vial of Versed (Midazolam)


She basically had to ignore the labeling, and the fact that Vec is a powder; thus requiring her to reconstitute it. There's even warnings on the cap and frequently little flags on the vial itself that say, "This is a paralytic." I just wonder how many other patients this chick has harmed through her negligence. How many "codes" were a result of her? I'd really be curious. How many close calls? I just think there's a lot of shite that slips through the cracks and it takes an event like this to raise awareness.

She needs to go to jail, IMO. And nurses that are afraid people are going to come for them for might want to tighten up their practices a bit.
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
19174 posts
Posted on 3/29/22 at 9:51 am to
quote:

Show Me Your Stethoscope, a nursing group on Facebook with more than 600,000 members


This being the OT. I want to know how many people are going to admit running straight to this FB page to see if they are showing titties. Because that sounds like a place, "Show Me Your Stethoscope", that would show titties.
Posted by El Segundo Guy
SE OK
Member since Aug 2014
9914 posts
Posted on 3/29/22 at 9:51 am to
Means that the doctor's order must be written and signed in the system instead if verbally given and written post op.
Posted by KamaCausey_LSU
Member since Apr 2013
15159 posts
Posted on 3/29/22 at 9:51 am to
quote:

nurses in the ER and ICU are trending on not taking verbal orders, which slows things down a ton.

what does this mean? they aren't doing what the doctor says?

No, I think it means that all orders must be written/documented.
Posted by AkronTiger
Rubber City
Member since May 2021
1687 posts
Posted on 3/29/22 at 9:52 am to
quote:

what does this mean? they aren't doing what the doctor says?


Verbal: you tell the nurse what to give and they give it

Written: you write the order yourself

Versed should not be a verbal order.
This post was edited on 3/29/22 at 10:01 am
Posted by Dragula
Laguna Seca
Member since Jun 2020
5375 posts
Posted on 3/29/22 at 9:52 am to
Problem is the criminalization of medical errors such as this is you will have now have facilities not reporting and in turn medical care becomes more dangerous.

You want errors to be reported, that's how you learn and mitigate future events.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
33855 posts
Posted on 3/29/22 at 9:54 am to
quote:

i don't know the whole story but from the bit I've read from nurses on FB they seem really upset that they can get in legal trouble for negligently killing somebody.


My wife told me the other day that she read some bullshite from a nurse saying that if they can be prosecuted for medical mistakes that cause deaths, they should make $200/hr. I guess this nurse was under the assumption that every physician makes 400k+ per year or that nurses should make more than some physicians
Posted by Dragula
Laguna Seca
Member since Jun 2020
5375 posts
Posted on 3/29/22 at 9:54 am to
quote:

Versed should not be a verbal order.


When possible, sure. Problem is there isn't always time for written orders. Some situations do not allow for it.
Posted by NPComb
Member since Jan 2019
27590 posts
Posted on 3/29/22 at 9:55 am to
She looks crazier than a shithouse rat.
Posted by lsu13lsu
Member since Jan 2008
11544 posts
Posted on 3/29/22 at 9:56 am to
quote:

A recent Johns Hopkins study claims more than 250,000 people in the U.S. die every year from medical errors. Other reports claim the numbers to be as high as 440,000. Medical errors are the third-leading cause of death after heart disease and cancer.



And this doesn't include infections caught at the hospital.
Posted by AkronTiger
Rubber City
Member since May 2021
1687 posts
Posted on 3/29/22 at 9:56 am to
quote:

When possible, sure. Problem is there isn't always time for written orders. Some situations do not allow for it.



Wasn’t this just for a scan? Plenty of time to order. The situations you’re describing (RRTs) have enough support otherwise that errors like this are much less likely (pharmacy present to give meds). Besides the fact that there is usually time to put the order in anyways.
This post was edited on 3/29/22 at 10:00 am
Posted by AkronTiger
Rubber City
Member since May 2021
1687 posts
Posted on 3/29/22 at 9:57 am to
quote:

Problem is the criminalization of medical errors such as this is you will have now have facilities not reporting and in turn medical care becomes more dangerous.

You want errors to be reported, that's how you learn and mitigate future events.


This
Posted by Dragula
Laguna Seca
Member since Jun 2020
5375 posts
Posted on 3/29/22 at 9:59 am to
Major component in this case is she has a student, likely asking 20 questions as she was performing duties and was distracted.

There is a reason why staff avoids speaking to the physician while he/she is putting in orders.
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