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re: Former Vanderbilt nurse charged with patient abuse, reckless homicide

Posted on 2/12/19 at 11:44 am to
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/12/19 at 11:44 am to
They are "my" nurses in the vernacular because they are the nurses in my unit as the clinical specialist. Don't be a retard about verbiage.

They're "my" nurses, the ER physicians are "my" doctors, and I am "their" pharmacist.
This post was edited on 2/12/19 at 11:50 am
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/12/19 at 11:48 am to
Both true, but 2mg of versed for a non-rsi, non-seizure event is of debatable emergency significance. The whole point of my talk with my nurses in my unit is to reinforce making sure you're overriding for an actual medical emergency and not abuse the system.

Pharmacy does make errors but putting an order in and waiting for us to verify an error and overriding yourself is the difference between being indicted for reckless homicide and just sitting in on a sentinel event discussion.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/12/19 at 12:04 pm to
I'm actually sitting in my office right now reviewing a medication error because a nurse pulled and verified their own heparin drip which makes it so the system never acknowledges a heparin protocol (just a drip) and as a result, the PTT checks were never initiated and the patient didn't get one drawn for 12 hours and it was >200. derp
Posted by cas4t
Member since Jan 2010
72157 posts
Posted on 2/12/19 at 12:23 pm to
quote:

It was negligence, not gross negligence.


you could not be more wrong.

Overriding multiple safety measures put in place to prevent this exact thing, administering not only the wrong drug, but one that causes paralysis (and death, clearly) is gross negligence.

Posted by cas4t
Member since Jan 2010
72157 posts
Posted on 2/12/19 at 12:24 pm to
quote:

Drugs have very similar names.



What the frick? no, they don't.

One was "versed" the other is "vecuronium". In what world do those sound even remotely similar. One is a single syllable. The other is 5. The only similarities they have are their first 2 letters.

And again, she overrode multiple safety measures that were specifically put in place to prevent this exact scenario.
This post was edited on 2/12/19 at 12:27 pm
Posted by Fishwater
Carcosa
Member since Aug 2010
6057 posts
Posted on 2/12/19 at 12:38 pm to
quote:

you could not be more wrong.

Overriding multiple safety measures put in place to prevent this exact thing, administering not only the wrong drug, but one that causes paralysis (and death, clearly) is gross negligence.



Really I think this could be reckless or knowlngly. However, not intentional murder.
Posted by dgnx6
Member since Feb 2006
89786 posts
Posted on 2/12/19 at 12:42 pm to
quote:

Except one is a powder and has 4 syllables and the other is 2 and not diluted...

I think she did it on purpose


Maybe not killed on purpose, but def gave the drug on purpose. I could see her thinking, I'll just put this guy to sleep so I won't have to deal with this on my shift tonight.
This post was edited on 2/12/19 at 12:43 pm
Posted by cas4t
Member since Jan 2010
72157 posts
Posted on 2/12/19 at 12:59 pm to
gross negligence doesn't = murder

here is a pretty good definition of gross negligence


gross negligence
quote:

n. carelessness which is in reckless disregard for the safety or lives of others, and is so great it appears to be a conscious violation of other people's rights to safety. It is more than simple inadvertence, but it is just shy of being intentionally evil. If one has borrowed or contracted to take care of another's property, then gross negligence is the failure to actively take the care one would of his/her own property. If gross negligence is found by the trier of fact (judge or jury), it can result in the award of punitive damages on top of general and special damages.


her overriding multiple safety measures, only typing in the first 2 letters and rolling with it = gross negligence IMO.
Posted by cas4t
Member since Jan 2010
72157 posts
Posted on 2/12/19 at 1:03 pm to
quote:

Pharmacy does make errors but putting an order in and waiting for us to verify an error and overriding yourself is the difference between being indicted for reckless homicide and just sitting in on a sentinel event discussion.



exactly.

Not like this case even warrants a root cause analysis either, right? It's pretty clear. The measures are in place.
Posted by Big Block Stingray
Top down on open road
Member since Feb 2009
2090 posts
Posted on 2/12/19 at 1:58 pm to
(no message)
This post was edited on 2/12/19 at 2:07 pm
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