Latest on RaDonda Vaught case

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RaDonda Vaught made at least 10 mistakes in fatal Vanderbilt medication error, prosecutors say

This article outlines details of the prosecution's case. I am curious as to how the defense plans to pin this on the hospital?

I still can't fathom why the Tennessee BON didn't see fit to require at least some reeducation of Ms Vaught!

13 hours ago, CommunityRNBSN said:

This case is so upsetting. It sounds like she truly made several unimaginable errors. However, one thing that has been harped on in the news (because it is harped on in the report) is that she “ignored pop-up warnings” when she pulled the med. That assertion is clearly made by someone who is not a nurse. All of us have pop-up warning fatigue. I work outpatient and never even deal with dangerous drugs. And yet every time I log into a computer: “WARNING latex allergy” “WARNING you entered the wrong CPT code” WARNING med interaction WARNING the appointment you scheduled is at a time when the client is already scheduled WARNING WARNING WARNING. Everyone mindlessly clicks OK every time because otherwise you’d spend your entire day reading “bold-faced warning messages” (as the text of the article describes the event in question).

THANK YOU!!! There are way too many non-life threatening pop ups! Pop up fatigue is real!!!! Thank you

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On 4/5/2019 at 12:07 PM, Dsmcrn said:

SERIOUSLY! CMS did nothing! Time after time they say they will strip hospitals of their Medicare benefits and to my knowledge they never have. Their words aren’t even threatening anymore. Leadership broke many laws. That should be another indictment.

Think about it...they are not going to put a facility like Vanderbilt out of business. Their annual revenue is in the billions. CMS had to fluff a few feathers to appease the public, but they are not going to lose their ability to take Medicare and never were.

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6 minutes ago, Jory said:

Think about it...they are not going to put a facility like Vanderbilt out of business. Their annual revenue is in the billions. CMS had to fluff a few feathers to appease the public, but they are not going to lose their ability to take Medicare and never were.

Agree - but then CMS needs to come up with an actual sanction/penalty. Seriously? HIPAA penalties sound actually worse than "immediate jeopardy."

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Just now, JKL33 said:

Agree - but then CMS needs to come up with an actual sanction/penalty. Seriously? HIPAA penalties sound actually worse than "immediate jeopardy."

I agree, SOME level of punishment needs to be levied. Very unfair to other hospitals and a good corporate lawyer can use the Vanderbilt case as a defense if CMS decides on little to no action and they crucify another hospital for less.

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Specializes in Psych, Corrections, Med-Surg, Ambulatory.
2 hours ago, Emergent said:

A recent update from her Go Fund Me:

This for me is just as incredible as the myriad practice errors. It reads like "Thank you all for your support after this bad thing that's happened to me". She previously said "I don't know when I'll be able to work again."

Several of us have expressed doubts about ever having the confidence to practice again after such an event. I can't fathom going down the road and promptly getting a job in another ICU.

I'm sure I've mentioned before having to assess jail inmates for thoughts of self harm after being charged with heinous crimes. Two separate individuals, each of whom had recklessly ended a life, both told me "I just want this over with so I can go home." I was shocked at their inability to appreciate the magnitude of what they had done. I'm experiencing that same chilling shock in this situation, too.

For those who don't think she should be charged: everything we've read so far is damning indeed. No innocent person should have this hanging over their head forever. At this point RV deserves her day in court. If there are mitigators or if we have it totally wrong, this needs to be made known to us publicly. I'll be the first to reverse my viewpoint if there is exculpatory evidence.

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In my humble opinion, these accrediting bodies, (Joint Commission, CMS...) are a complete joke. These agencies' guiding missions are patient advocacy and safety but when do you recall them ever closing a hospital unit due to understaffing, dangerous nurse/patient ratios, or any processes such as this that allowed this error to cascade in the first place? Yeah, I've never heard of it either! What seems to be more on these auditors' radars instead are restraint order documentation and refrigerator temperature logs-seriously?

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If you are going to undertake corporate shenanigans in order to cover up a death, then you can be as big af for all I care and you still do not deserve to be in the business of patient care. This is a case where everyone on the service line needed/needs to go - - from RV all the way to the top and another entity needs to be assigned to officially step in an help V learn how to make better life choices. Which sounds like it would be a very large undertaking. My god.

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48 minutes ago, Jory said:

Think about it...they are not going to put a facility like Vanderbilt out of business. Their annual revenue is in the billions. CMS had to fluff a few feathers to appease the public, but they are not going to lose their ability to take Medicare and never were.

Of course they won’t. My point is. Don’t threaten it.

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44 minutes ago, JKL33 said:

Agree - but then CMS needs to come up with an actual sanction/penalty. Seriously? HIPAA penalties sound actually worse than "immediate jeopardy."

Agree

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Specializes in Medsurg.
3 hours ago, Emergent said:

A recent update from her Go Fund Me:

Her updates are quite ridiculous. Her counsel or husband needs to take control of her access to the public. One moment she is remorseful and owning up to this, next she has evidence on why she is not guilty.

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11 minutes ago, morelostthanfound said:

In my humble opinion, these accrediting bodies, (Joint Commission, CMS...) are a complete joke. These agencies' guiding missions are patient advocacy and safety but when do you recall them ever closing a hospital unit due to understaffing, dangerous nurse/patient ratios, or any processes such as this that allowed this error to cascade in the first place? Yeah, I've never heard of it either! What seems to be more on these auditors' radars instead are restraint order documentation and refrigerator temperature logs-seriously?

Ow the temp logs! Grounds for termination...

makea me crazy their disconnect from true patient issues....

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Specializes in ER.
11 minutes ago, morelostthanfound said:

In my humble opinion, these accrediting bodies, (Joint Commission, CMS...) are a complete joke. These agencies' guiding missions are patient advocacy and safety but when do you recall them ever closing a hospital unit due to understaffing, dangerous nurse/patient ratios, or any processes such as this that allowed this error to cascade in the first place? Yeah, I've never heard of it either! What seems to be more on these auditors' radars instead are restraint order documentation and refrigerator temperature logs-seriously?

It's a work program for nurses who don't know how to do anything else...

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