If there was a safety measure that could still have prevented this, I'm sure I don't know what it is. She blew past so many stops it still makes my head spin. As you learned from your own experience, you can be extremely conscientious and errors still happen. That's why they're called errors.
But when we don't bother to even look at the vial that we're drawing from, what chance does the patient have?
It has been said multiple times on the pertinent threads: this lady's death was not caused by an error. It was caused by egregiously reckless practice. The level of practice that is far, far below the standard of anyone who has spent a week in nursing school. Anyone who functions this way needs to be stopped in her tracks.
The BON initially failed miserably in protecting the people of Tennessee; that's why it fell to law enforcement to pick up the slack. This does not set a precedent for nursing errors to be criminalized. It just means that someone has to protect the public from those who would do harm. Unfortunately, that has to include nurses who aren't fit to nurse.