Huh. Psychguy, it's not very nice to roundly disparage an entire profession, especially on their own board. I am sure you are very intelligent, and I am glad you have a job you love and are well compensated for it. I am quite intelligent myself, and also love my work. I enjoy being able to stretch my brain past its limit almost every day. I enjoy the challenge of working through a puzzling case. I also enjoy being the one writing the orders, writing the plan, and being a clinical team leader. I like knowing that I have so, so, so very much to learn over these next 5, 10, 50 years. It's exciting. Not everyone likes that stuff though. Nurses who love working the floor are not simpletons passing out dilaudid on autopilot.
It's one thing to say that being a CNM/NP/PA requires a deeper thought process and a wider knowledge base than nursing. That is true, as a general rule. It is also true that not all RNs have the cognitive skill to be a clinician. That's okay. But in no way does that imply that career RNs are not intelligent, just because they are satisfied with their job.
I do, however, agree that we have dug ourselves into a hole with the glut of NP grads we are churning out from some very questionable schools. Not good for the profession or for our patients. While I do not support DNP as entry to practice, we need to shore up the standards for NP education, like right now. No more of this find-your-own-preceptor bullhockey.
Several of your “facts” are very, very wrong. 1. The Versed was profiled into the Accudose 10 minutes prior to her attempt to remove it. The machine lists the meds by generic name. The only explanation for her not finding it is that she did not know Midazolam was the generic for Versed. 2. The dose of Versed ordered was not the sedation dose. It was the anxiolytic dose. Learn the difference... please. 3. The patient was not put into the scanner and she was not in Interventional radiology. She was in a holding area waiting for the tracer to circulate. She never made it to the scanner. 4. RV did not get the medication in radiology. She pulled it from the Accudose in the ICU. She reconstituted it in an unmarked syringe and put it in a baggie with another syringe. 5. RV did not heroically admit her mistake. It was discovered by another staff member so RV had no choice but to admit it. I have my own thoughts about what she would have done if she discovered it herself. RV didn’t just miss the 5 rights. She made a minimum of 12 egregiously poor choices that showed a stunning lack of judgement. This might seem petty but you need to get the story straight in order to be credible
Vanderbilt’s actions after the fact are an entirely separate issue and have no bearing whatsoever on what RV did. They need to be held accountable separately. Their actions, while reprehensible, did not kill the patient.
Your definition of reckless homicide describes exactly what RV did in very easy to understand terms, even for us non-attorneys. You gave no compelling evidence proving otherwise and resorted to the emotional blackmail of how this is going to affect all nurses. Well, if this makes nurses all over this country think twice before making really stupid decisions then I think that’s a win for patient safety. I don’t for a second believe that thousands of nurses are now going to be prosecuted because they gave a med late. Histrionics such as this make us look like fools. I cannot stand the hubris.
As far as your examples. RV didn’t miss one “f” she missed every single one. And all she would have seen in the second example is an empty triangle.
And finally, from your video, “putting Radonda Vaught in prison is not going to bring this Charlene Murphey back”. She wasn’t an object. She was a human being that died arguably the worst death possible, suffocating while being completely alert and unable to cry out for help. How terrified she must have been. How much pain she must have suffered. I’m ashamed that she always seems to be an afterthought while people rush to make excuses for the callous actions of a person who didn’t care enough to, you know, care.