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re: Thoughts on the RaDonda Vaught (nurse convicted of negligent homicide) trial?
Posted on 3/29/22 at 1:46 pm to shel311
Posted on 3/29/22 at 1:46 pm to shel311
quote:Texting and putting on makeup is directly and knowingly doing things you know impairs your driving. Did this nurse admit to listening to music on headphones, or texting, etc while the doctor was giving verbal orders?
But I think the dude above's scenario pointing out it's proven they were being completely negligent by texting and putting on makeup at the same time would probably change that. And that definitely seems like the better comparison because she was woefully negligent here.
Posted on 3/29/22 at 1:51 pm to Epic Cajun
quote:
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
Barrier to entry to being a nurse is very low. I’ve worked with some fantastic and intelligent nurses, but conversely I’ve worked with some that are pants-on-head retarded.
Posted on 3/29/22 at 1:57 pm to madmaxvol
quote:
The patient had a subdermal hematoma on her head that was causing headaches and vision loss.
Subdural hematoma, a type of brain bleed. A sub dermal hematoma wouldn’t do shite
![](https://images.tigerdroppings.com/Images/Icons/IconLOL.gif)
quote:
She pulled the Verconium, and gave it to the patient, who lost consciousness and never recovered.
Vecuronium is a paralytic. It doesn’t affect consciousness.
The poor patient was conscious but unable to move, unable to talk, unable to breathe… until she suffocated and had cardiac arrest. A horrible way to go.
Posted on 3/29/22 at 1:58 pm to Obtuse1
quote:
Which is one of the things that makes Versed bizarre for a scan
For MRI sedated patients are typically on a monitor with pulse and O2 sat being constantly monitored by a RN
Posted on 3/29/22 at 1:59 pm to Vamos Brandonos
quote:
Why should intent matter?
So you feel an accident that results in a death and a person who commits an act with a sole intent is to kill carries the same weight?
quote:
Revoking a license is a slap on the wrist
Yeah a physician losing their livelihood is a slap on the wrist.
![](https://images.tigerdroppings.com/Images/Icons/IconLOL.gif)
Posted on 3/29/22 at 1:59 pm to cwil177
quote:I would say that’s false for RNs with a BSN
Barrier to entry to being a nurse is very low
For others, yes I woukd agree
Posted on 3/29/22 at 2:02 pm to lsupride87
quote:
As an internal auditor, this is why we always always tell them there should be zero overrides and no verbal orders
How would you handle stat phone orders? Not being ugly just truly curious.
Posted on 3/29/22 at 2:05 pm to tiger91
quote:Thats actually a great question and you are correct that has its own control flow.
How would you handle stat phone orders?
For that situation, we always suggest
1 transcribing nurse to write down phone order
2. A second nurse, to then read back what nurse 1 wrote down to the prescribing physician. Not repeat what they heard if they were also listening, READ what nurse 1 wrote down
This post was edited on 3/29/22 at 2:06 pm
Posted on 3/29/22 at 2:06 pm to AkronTiger
quote:
Versed should not be a verbal order.
So in an ER setting, how should it be handled? I totally see the value in a doc writing an order but in an ER setting the time may not be there.
![](https://images.tigerdroppings.com/Images/icons/shrug.gif)
Side note: Not nearly on the same level but when my mom had my youngest brother via c=section, the nurse came in to give her some pain meds. My mom, being her talkative self, asked what she was being given since she couldn't have demerol. The nurses face dropped and the meds had already gone into the iv ... my mom wasn't going to die from it BUT it was a rough 24 hours of hallucinations and not being able to do squat. I wouldn't have wanted to be that nurse to call the doctor. I was 15 and can't remember what if anything they did to counteract the demerol but I know that she was in the hospital an extra day.
She kept telling my dad she was dead and when he would say "no you're not" she kept saying "but I have a toe tag on my toe .. I can see it".
NOW when she has ANYTHING procedure wise done she writes "allergic to demerol" on her arms .. in a sharpie marker.
This post was edited on 3/29/22 at 2:12 pm
Posted on 3/29/22 at 2:09 pm to tiger91
Versed/fentanyl is a verbal order all the time for me
Posted on 3/29/22 at 2:24 pm to lsuhunt555
quote:
the nurse overlooked several warning signs as she withdrew the wrong drug — including that Versed is a liquid but vecuronium is a powder
Nurses overlook the bs system all the time. Like when you roll into the ER with a seizure or not breathing or your heart stopped and you haven’t been registered in the system. You want to do away with overrides?
Posted on 3/29/22 at 2:25 pm to Lithium
If my nurses start refusing verbal orders over this I’m gonna blow a gasket ![](https://images.tigerdroppings.com/Images/Icons/IconLOL.gif)
![](https://images.tigerdroppings.com/Images/Icons/IconLOL.gif)
Posted on 3/29/22 at 2:28 pm to cwil177
I told them not to take them. That’s what the legal system wants let ‘EM have it
Posted on 3/29/22 at 2:31 pm to Ingeniero
She’s incompetent and dangerous but sounds like the hospital’s system sucked too. Nurses should spend more time studying drugs and less making TikToks.
This post was edited on 3/29/22 at 2:33 pm
Posted on 3/29/22 at 2:35 pm to Ingeniero
Versed is labeled as Midazolam. Now if the machine was loaded incorrectly as Vercuronium was stocked in the Versed slot then that sucks. I don't know the details but as a RN, she shouldn't have fricked that up. Always always double check what you pull from the Pyxsis machine.
Posted on 3/29/22 at 2:43 pm to WylieTiger
Maybe they should pay good nurses more. Too many good ones leave ER and ICU after a few years and go to NP or CRNA school or get a Cush job
Posted on 3/29/22 at 2:51 pm to Lithium
Can't blame them. Pt care gets old and its hard to find new grads entering for the love of the job. Burnout is real and there is a glut of dumbassses in the field. The Hero bullshite during Covid was cringe.
I was a RN for 15 yrs in the OR. I still work in Healthcare but fell into great job outside of clinical demands. I was pushing up the ladder for administrative positions but they blow in a corporate structure.
I was a RN for 15 yrs in the OR. I still work in Healthcare but fell into great job outside of clinical demands. I was pushing up the ladder for administrative positions but they blow in a corporate structure.
Posted on 3/29/22 at 3:08 pm to Lithium
quote:
Maybe they should pay good nurses more. Too many good ones leave ER and ICU after a few years and go to NP or CRNA school or get a Cush job
Any nurse good enough to move on to become an NP or CRNA should do so. There's a reason CRNAs make good money. They deserve it. Not saying a good ER nurse isn't valuable - they are, but it's not the same level of responsibility.
Posted on 3/29/22 at 3:18 pm to Ricardo
quote:
Any nurse good enough to move on to become an NP or CRNA should do so.
Some of the worst ER nurses I’ve worked with ended up becoming NPs. Being a good nurse is in no way a prerequisite for becoming a NP, especially when many of those schools have 100% acceptance rates.
Posted on 3/29/22 at 3:21 pm to Ricardo
I saw a post from a nurse saying that
1. There were issues with the system in the hospital and this patient had over 20 over rides within 3 days for drugs
2. She admitted her error was working at another clinic after being cleared by the board
3. Autopsy from two neurologists stated cause of death as brain bleed
4. No one this was a big deal until the hospital was getting funding pulled for fraud (not reporting the death) after being notified of the investigation for not reporting the death an “anonymous” tip was provided to the da office and she was charged and arrested
5. The da was a professor at Vanderbilt university before becoming da
6. Governor receives funding from Vanderbilt
Can anyone verify if all of that is true? If so I believe it changes some of the outlook on this case and she was used as a scape goat which is fricked.
1. There were issues with the system in the hospital and this patient had over 20 over rides within 3 days for drugs
2. She admitted her error was working at another clinic after being cleared by the board
3. Autopsy from two neurologists stated cause of death as brain bleed
4. No one this was a big deal until the hospital was getting funding pulled for fraud (not reporting the death) after being notified of the investigation for not reporting the death an “anonymous” tip was provided to the da office and she was charged and arrested
5. The da was a professor at Vanderbilt university before becoming da
6. Governor receives funding from Vanderbilt
Can anyone verify if all of that is true? If so I believe it changes some of the outlook on this case and she was used as a scape goat which is fricked.
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