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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
Posted by lsupride87
Member since Dec 2007
96699 posts
Posted on 3/29/22 at 1:46 pm to
quote:

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.
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?
Posted by cwil177
Baton Rouge
Member since Jun 2011
28623 posts
Posted on 3/29/22 at 1:51 pm to
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 by cwil177
Baton Rouge
Member since Jun 2011
28623 posts
Posted on 3/29/22 at 1:57 pm to
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
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 by EA6B
TX
Member since Dec 2012
14754 posts
Posted on 3/29/22 at 1:58 pm to
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 by Dragula
Laguna Seca
Member since Jun 2020
5085 posts
Posted on 3/29/22 at 1:59 pm to
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.
Posted by lsupride87
Member since Dec 2007
96699 posts
Posted on 3/29/22 at 1:59 pm to
quote:

Barrier to entry to being a nurse is very low
I would say that’s false for RNs with a BSN

For others, yes I woukd agree
Posted by tiger91
In my own little world
Member since Nov 2005
36817 posts
Posted on 3/29/22 at 2:02 pm to
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 by lsupride87
Member since Dec 2007
96699 posts
Posted on 3/29/22 at 2:05 pm to
quote:

How would you handle stat phone orders?
Thats actually a great question and you are correct that has its own control flow.

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 by tiger91
In my own little world
Member since Nov 2005
36817 posts
Posted on 3/29/22 at 2:06 pm to
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.

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 by Cosmo
glassman's guest house
Member since Oct 2003
120765 posts
Posted on 3/29/22 at 2:09 pm to
Versed/fentanyl is a verbal order all the time for me
Posted by Lithium
Member since Dec 2004
62310 posts
Posted on 3/29/22 at 2:24 pm to
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 by cwil177
Baton Rouge
Member since Jun 2011
28623 posts
Posted on 3/29/22 at 2:25 pm to
If my nurses start refusing verbal orders over this I’m gonna blow a gasket
Posted by Lithium
Member since Dec 2004
62310 posts
Posted on 3/29/22 at 2:28 pm to
I told them not to take them. That’s what the legal system wants let ‘EM have it
Posted by TigahJay
New Orleans
Member since Sep 2015
10602 posts
Posted on 3/29/22 at 2:31 pm to
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 by WylieTiger
Member since Nov 2006
13160 posts
Posted on 3/29/22 at 2:35 pm to
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 by Lithium
Member since Dec 2004
62310 posts
Posted on 3/29/22 at 2:43 pm to
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 by WylieTiger
Member since Nov 2006
13160 posts
Posted on 3/29/22 at 2:51 pm to
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.
Posted by Ricardo
Member since Sep 2016
4943 posts
Posted on 3/29/22 at 3:08 pm to
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 by cwil177
Baton Rouge
Member since Jun 2011
28623 posts
Posted on 3/29/22 at 3:18 pm to
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 by Vinny V
Kenna Brah
Member since Jun 2011
3840 posts
Posted on 3/29/22 at 3:21 pm to
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.
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