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

Posted on 3/29/22 at 9:20 am
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
18287 posts
Posted on 3/29/22 at 9:20 am
LINK

quote:

RaDonda Vaught, a former nurse criminally prosecuted for a fatal drug error in 2017, was convicted of gross neglect of an impaired adult and negligent homicide on Friday after a three-day trial in Nashville, Tenn., that gripped nurses across the country.

Vaught faces three to six years in prison for neglect and one to two years for negligent homicide as a defendant with no prior convictions, according to sentencing guidelines provided by the Nashville district attorney's office.


quote:

Vaught's trial has been closely watched by nurses and medical professionals across the U.S., many of whom worry it could set a precedent of criminalizing medical mistakes. Medical errors are generally handled by professional licensing boards or civil courts, and criminal prosecutions like Vaught's case are exceedingly rare.

Janie Harvey Garner, the founder of Show Me Your Stethoscope, a nursing group on Facebook with more than 600,000 members, worries the conviction will have a chilling effect on nurses disclosing their own errors or near errors, which could have a detrimental effect on the quality of patient care.


quote:

Vaught was tasked to retrieve Versed from a computerized medication cabinet but instead grabbed a powerful paralyzer, vecuronium. According to an investigation report filed in her court case, the nurse overlooked several warning signs as she withdrew the wrong drug — including that Versed is a liquid but vecuronium is a powder — and then injected Murphey and left her to be scanned. By the time the error was discovered, Murphey was brain-dead.


Posted by Loup
Ferriday
Member since Apr 2019
11331 posts
Posted on 3/29/22 at 9:22 am to
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.
Posted by El Segundo Guy
SE OK
Member since Aug 2014
9607 posts
Posted on 3/29/22 at 9:23 am to
My wife is an ICU/ER RN with 19 years of experience. She tried telling me about it yesterday but I didn't care.

The only thing I remember is that according to her, nurses in the ER and ICU are trending on not taking verbal orders, which slows things down a ton. According to her, nurses are doing it because they feel the hospital threw her under the bus. Who knows.
This post was edited on 3/29/22 at 9:24 am
Posted by lsuhunt555
Teakwood Village Breh
Member since Nov 2008
38410 posts
Posted on 3/29/22 at 9:24 am to
quote:

many of whom worry it could set a precedent of criminalizing medical mistakes



quote:

the nurse overlooked several warning signs as she withdrew the wrong drug — including that Versed is a liquid but vecuronium is a powder

I don't know the difference between the two, but I feel like this is a pretty big indicator that she was in the wrong.
This post was edited on 3/29/22 at 9:25 am
Posted by Purple Spoon
Hoth
Member since Feb 2005
17848 posts
Posted on 3/29/22 at 9:24 am to
It sucks but if she ignored “several” warnings and killed someone there has to be accountability.
Posted by 50_Tiger
Dallas TX
Member since Jan 2016
40106 posts
Posted on 3/29/22 at 9:25 am to
Seems like she ignored every caution along the way?

The verdict seems justified??
Posted by HeadSlash
TEAM LIVE BADASS - St. GEORGE
Member since Aug 2006
49691 posts
Posted on 3/29/22 at 9:25 am to
IWNHI
Posted by LSU Coyote
Member since Sep 2007
53390 posts
Posted on 3/29/22 at 9:26 am to
My AA has been following this case since she was still in nursing school.

What she says on it:
quote:

The scapegoat innocence. Should she have been punished? Yes she lost her license. The only reason why they came back up is cuz Medicare threatened to pull all funding from the hospital months later once they found out about it. It's all pr. The family didn't even want to press charges
Posted by WestCoastAg
Member since Oct 2012
145174 posts
Posted on 3/29/22 at 9:26 am to
quote:

. According to an investigation report filed in her court case, the nurse overlooked several warning signs as she withdrew the wrong drug — including that Versed is a liquid but vecuronium is a powder — and then injected Murphey and left her to be scanned. By the time the error was discovered, Murphey was brain-dead.
this seems like a pretty big frick up, no?
Posted by Cotten
Tennessee
Member since Jan 2018
1260 posts
Posted on 3/29/22 at 9:28 am to
I haven’t done a ton of reading on it, but from what I have read I seriously feel Vanderbilt should be criminally charged as well.

From what I understand, the family of the patient who died made the decision not to pursue charges and settled out of court. Vaught was cleared by the nursing board after that. It was only when Vanderbilt’s funding was in danger that this blew up.

Did she make a mistake (honest or otherwise..), of course! Is there some slimy political backstory and coverup by officials of the hospital and state? You can always assume so nowadays.
Posted by Havoc
Member since Nov 2015
28424 posts
Posted on 3/29/22 at 9:28 am to
quote:

nurses in the ER and ICU are trending on not taking verbal orders,

They could wear body cams like cops to help cover their asses. Except there could be some other activities recorded.
Posted by 50_Tiger
Dallas TX
Member since Jan 2016
40106 posts
Posted on 3/29/22 at 9:30 am to
quote:

Did she make a mistake (honest or otherwise..), of course!


It ended in the death of another human being.

It's the equivocal to an Engineer stamping a plan that kills someone due to design flaws.
Posted by lsupride87
Member since Dec 2007
95375 posts
Posted on 3/29/22 at 9:30 am to
As an internal auditor, this is why we always always tell them there should be zero overrides and no verbal orders

Some DRs never want to do it because it’s a minor inconvenience to them.
This post was edited on 3/29/22 at 9:31 am
Posted by RogerTheShrubber
Juneau, AK
Member since Jan 2009
260697 posts
Posted on 3/29/22 at 9:31 am to
quote:

According to an investigation report filed in her court case, the nurse overlooked several warning signs as she withdrew the wrong drug — including that Versed is a liquid but vecuronium is a powder — and then injected Murphey


This is a pretty huge screw up, doubt it can happen easily.
This post was edited on 3/29/22 at 9:32 am
Posted by lsupride87
Member since Dec 2007
95375 posts
Posted on 3/29/22 at 9:31 am to
quote:

This is a pretty huge screw up.


With proper controls it wouldn’t be possible to scree it up
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
18287 posts
Posted on 3/29/22 at 9:32 am to
I don't doubt that there's a political motive to the charges. With that said, I don't really understand the stance that many are taking by saying "mistakes happen so it shouldn't be criminalized."

For example, this statement:
quote:

The following statement is attributable to both the American Nurses Association (ANA) and the Tennessee Nurses Association (TNA): 

“We are deeply distressed by this verdict and the harmful ramifications of criminalizing the honest reporting of mistakes.

Health care delivery is highly complex. It is inevitable that mistakes will happen, and systems will fail. It is completely unrealistic to think otherwise. The criminalization of medical errors is unnerving, and this verdict sets into motion a dangerous precedent




It seems like something you'd post on Facebook. "Healthcare is HARD Y'ALL! If I haven't had my morning latte I might accidentally kill you, MISTAKES HAPPEN! #NurseLife"

Jokes aside, I feel like there are many better arguments than what are being offered, but none that clear the nurse in this situation.
Posted by GreasyCracklin
Lafayette
Member since Apr 2005
466 posts
Posted on 3/29/22 at 9:32 am to
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.
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
25671 posts
Posted on 3/29/22 at 9:33 am to
My wife was talking about this last week and she presented it to me as more of a systemic issue rather than an individual issue. Her biggest question was why was Versed ordered by the Dr for a scan vs Ativan or Benadryl.

I haven't seen a full accounting of the case and my wife is pretty protective of nurses but it sounds like an overcharging and possibly no charges should have been filed.

Posted by nes2010
Member since Jun 2014
6763 posts
Posted on 3/29/22 at 9:35 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.
Posted by lsupride87
Member since Dec 2007
95375 posts
Posted on 3/29/22 at 9:36 am to
quote:

it to me as more of a systemic issue rather than an individual issue
It absolutely is. This should have been impossible. Vandys controls were horrific.
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