Jump to content
2019 Nursing Salary Survey Read more... ×

JadedCPN BSN, RN

Registered User
advertisement

Activity Wall

  • JadedCPN last visited:
  • 543

    Content

  • 0

    Articles

  • 6,413

    Visitors

  • 1

    Followers

  • 177

    Likes

  • 0

    Points

  1. I like being able to filter out activity on the feed, such as only nursing so I don’t have to see all the student NCLEX/PVT posts.
  2. JadedCPN

    Nurses Call the Governor of Tennessee

    She had every opportunity to check the right patient and right dose, you don’t need a scanner for that. She admitted she didn’t even LOOK at the vial that she pulled! This was in the CMS report. Also in the CMS report was the fact that the medications WAS verified by pharmacy. She couldn’t find it under “versed,” didn’t think/know to look under “midazolam,” so instead she overrode the medication, typed in VE, and admitted she just picked the first thing on the list.
  3. JadedCPN

    Nurse Charged With Homicide

    Not just died on your watch, but undisputedly died 1000% as a result of your actions. Yea, a few months in the fetal position balling my eyes out, in therapy, would be just the beginning.
  4. JadedCPN

    How to be a Perfect Nurse

    Seems like everyone on this post “gets it” except for the OP; nobody is claiming to be a perfect nurse. I read every single response of the other thread. Nobody said they were perfect and just about everyone admitted to errors. In regards to your post, I’m not saying I personally have never had a “brain error” as you mention. I’m just saying that if I had as many “brain errors” as RV had, regardless of the reason(s) why, that resulted in a death then I would not be shocked if/when criminal charges were brought against me. I would be devastated, heart broken, remorseful, scared, shattered...but not shocked.
  5. JadedCPN

    Nurses Call the Governor of Tennessee

    Wow. This is raw, honest, direct, and truthful. One of those truths that we don't want to hear but need to hear. Love this a million times.
  6. JadedCPN

    Nurses Call the Governor of Tennessee

    I completely agree. I would be curious if the same people who do not think she should be criminally charged (charged, not automatically found guilty) would feel the same way if it were a similar scenario in a field they weren’t directly involved in and thus not as passionate about. Not sure if everyone would be calling for it to just be handled internally if it were an airline pilot, truck driver, cab driver, etc. But I absolutely could be wrong.
  7. JadedCPN

    Nurse Charged With Homicide

    Doesn't change the fact that she killed a person even though she didn't mean to, even though she thought she was on the right street. . Now, if there were no signs indicating what the speed was or that it was a one way street, one could argue that it was just a horrible mistake but she shouldn't be blamed because she had no warning. However, in this instance there were multiple, multiple signs on the road that she, for whatever reason, did not take heed to which ultimately and directly resulted in a death.
  8. JadedCPN

    Nurse Charged With Homicide

    Mind boggling, yet also not surprising at the same time. I am still always surprised to float to different units and find a nurse with just a year's experience orienting a new grad. It has become the norm, and not just at my current hospital but previous ones as well.
  9. JadedCPN

    Nurse Charged With Homicide

    My apologies for misunderstanding.
  10. JadedCPN

    Nurse Charged With Homicide

    That is no excuse. And my point is that regardless, she admitted she didn't even look at the vial after she pulled it out of the dispenser. Even for a "basic" medication like PO tylenol, a prudent nurse should be looking at what medication they pull out of the machine to make sure that the right medication is being dispensed.
  11. JadedCPN

    Nurse Charged With Homicide

    Exactly! How can ignoring this be excused? No matter how busy, how short staffed, how whatever - how can we excuse blatantly ignoring a warning like this? Not to mention the other safety measures that were ignored. And how is a nurse ignoring/not paying attention to this when they are drawing up a medication much different than someone taking their eyes off the road while they are driving to look at a text.
  12. JadedCPN

    Nurse Charged With Homicide

    This was a really interesting read even though it is super long and sheds some light on the gross negligence of this nurse. This is what happened by her own recollection... The RN stated he/she then chose the override setting on the ADC and searched for the Versed. RN #1 stated she was talking to the Orientee while he/she was searching the ADC for the Versed and had typed in the first 2 letters of Versed which are VE and chose the 1st medication on the list. RN #1 stated he/she took out the medication vial out of the ADC, and looked at the back of the vial at the directions for how much to reconstitute it with. RN #1 verified he/she did not re-check the name on the vial. RN #1 stated he/she grabbed a sticker from the patient's file, a handful of flushes, alcohol swabs, a blunt tip needle. RN #1 stated he/she put the medication vial in a baggie and wrote on the baggie, "PET scan, Versed 1-2 mg" and went to Radiology to administer the medication to Patient #1. In her own words - "I was in a patient care role, I was the help-all nurse. A help-all nurse is a resource nurse and I had an Orientee. I went and searched for the med under [the patient's] profile [in the ADC] and it was not there. I chose the override setting and I searched for it. I was talking to the Orientee about why we do swallow studies in the ER...I typed in the first 2 letters [VE] and that's how I hit it, I chose the 1st one on the list. I took out the vial and I looked at the back at the directions for how much to reconstitute it with, I did not re-check the name on the vial." Edited to add for those not familiar with a vial of vec, per the report it says: The vial had a red top that documented, "WARNING: PARALYZING AGENT."
  13. JadedCPN

    Nurse Charged With Homicide

    Another thought in regards to everyone saying that it was an accident so there shouldn't be charges brought against her...of course it was an accident, there's no denying that she did not maliciously intend to kill this person. But intent is irrelevant. I think if she had NOT overriden all of the safety checks, and somehow this accident still happened, then one can argue she does not deserve charges. However the fact that she intentionally overrode and ignored all aspects of safety by her own admission makes it hard to not charge her. Like others have mentioned, if your family member is killed in a car crash because the other driver was driving 30+ miles over the speed limit but had no intent to kill anyone maliciously, does that mean that they should not be charged?
  14. JadedCPN

    Nurse Charged With Homicide

    This is a good summary of her very blatant and negligent safety overrides which ultimately caused this death. When I first heard about this, without knowing the details and thinking it was just a horrible but honest mistake, I couldn't agree with her being charged. However, after reading through all of the responses on here, reading all the articles, and even taking the time to read the 60+ page CMS report...I completely understand the charge. It is a shame and of course a horrible situation. By her own admission, she bypassed every single safety check that is ingrained in us from nursing school. She admitted she didn't even look at the vial she pulled out of the drawer - hell, even if what she was looking for was vec, she didn't even check to make sure it was vec! That could have easily been a tylenol override that accidentally had oxycodone in the tylenol drawer that she blindly pulled out. Point being that regardless of what she thought it was versus what was ordered, there was the potential for error based on her practice and in this situation it just happened to be a deadly one. There is no doubt that the system failed both her and the patient. But that does not take away from her wrong doings. I've tried over and over to justify it all but I can't. Even if she thought she was giving versed, she didn't even stay to monitor the patient after administering it. And she did not even look at the medication she pulled, at all, not once - that alone I just can not wrap my head around or forgive.
  15. JadedCPN

    You must watch me!

    I have mixed feelings about the waste process that has changed over the years. What I will say is this - do I watch others waste and want to be watched while I waste? Absolutely. If nothing besides the fact that it is policy in every place I've worked, and I want to cover my butt. And I make no excuses or apologies for staying to watch people waste - I act nonchalant, as if it is my job, because it is. That being said...I think the whole wasting process is not very effective in terms of preventing diversion. I can watch you pull up 1mg of morphine and waste the other 1mg of morphine, but unless I then follow you immediately to the patient's bedside and watch you administer that medication to the patient, then the potential for diversion is still there the second I leave the medication room. I worked with a nurse early in my career who wasted all of her medications the proper way (like Ruby Vee said, that was the culture of the unit so it was no big deal), and she still ended up getting caught diverting medications because she took the half pill she was saying she was administering to the patient and pocketed it for herself instead. So sure you can stand there and watch someone waste a medication in the med room, but unless you follow them and watch the administration (which, of course, is asking way too much), is it really effective?
×