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.