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Jory

Jory MSN, APRN, CNM

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  1. Jory

    Nurses Call the Governor of Tennessee

    Well, good news for you! Intent is not a legal requirement for reckless homicide.
  2. Jory

    Nurse Charged With Homicide

    They are required to report a death directly due to a medical error. Apparently...they did not...you'll have to read down on this article. The Board of Directors will probably be terminating a ton of people responsible for it as well. They won't have a choice. https://www.modernhealthcare.com/article/20181128/NEWS/181129938
  3. Jory

    Nurse Charged With Homicide

    If it wasn't, it should have been. God knows most places report for less.
  4. Jory

    Nurse Charged With Homicide

    I think this is one point we can 100% agree on, all other differences aside. Because her name is unique, she can be searched on the internet, forever, and this will always come up. Her only hope at this time, is avoiding a felony. If I was her, I would GLADY pull a few months in jail to avoid a felony for life. I would even be ok with her getting this expunged after being monitored for a few years as this situation is not a hazard to the general public and unlikely to repeat itself if she is not taking care of patients.
  5. Jory

    Nurse Charged With Homicide

    ...but that is at my hospital. Vanderbilt may be different. I have never worked there, so I have no idea. But it is a dangerous practice overall if you don't truly need it right then. Even the ER and ICU doesn't get a complete free pass. Example: Let's say you have someone coming in with intractable vomiting. I think we can all agree nobody is going to die in the next 15 minutes with intractable vomiting, especially after an IV is started and flowing. The ER doc may tell you to pull some IV Zofran to get it going...patient absolutely needs it now because while not emergent...it is urgent. Everyone saves the bottles and scans it after-the-fact. But if that same patient is just very nauseous...you need to wait until that drug is loaded so you can pull it. Drugs pulled on override not verified with pharmacy also runs the risk of drug interactions with something else the patient is on.
  6. Jory

    Nurse Charged With Homicide

    The investigation, from my understanding, from a CMS standpoint, is over. At this point, the nurse is gone and they are working with Vanderbilt on some changes, but the rest is up to the DA's office. RV, even if she was distracted...what is going to sink her ship is everything else she overlooked and the other policies she violated.
  7. Jory

    Nurse Charged With Homicide

    .So you are assuming...got it.
  8. Jory

    Nurse Charged With Homicide

    It is in the CMS report. She only had a verbal order and it was not yet loaded into the system where Versed could show up under the patient. At my hospital, if you pull drugs that are not emergent on override, it's a write up. Only the ER and ICU has some leeway..but no other department.
  9. Jory

    Nurse Charged With Homicide

    Those questions are the very legal definition of reckless homicide. Have you ever taken a legal class even as an elective in college? If you have....then you would better understand this is not even hard. This very definition has appeared in numerous articles on the topic as journalists have attempted to explain why THIS nurse, over others that have made medication errors and have not been charged, is being charged. They are going to get a legal nurse consultant for her trial that is going to tell the jury that every nursing program teaches the five rights of medication and this is a universal standard. She will advise the jury every step RV bypassed for personal convenience. She is also going to advise the DA to have copies of all of her competencies pulled where she was checked off on medication administration, Pyxis training, pitfalls for avoiding errors in pulling the wrong medication, etc. They may even go as to so far as to get her college transcripts, her courses in pharmacology, anything tied to her certification, anything they can use to prove she was taught better. If they move forward with the charges, there is no way they are not going to find her guilty. Her best bet is to keep the money she has got for GoFundMe, try to cut a plea deal to avoid a felony, give up her nursing license, and use that money to go back to college and major in something else.
  10. Jory

    Nurse Charged With Homicide

    We don't know that she was distracted. There is nothing in the CMS report to demonstrate that. There are three types of pharmaceutical needs: Emergent, Immediate/non-emergent, routine. Anything that is not emergent, you need to wait until it is loaded by pharmacy...period. That would have prevented this entire cascade from happening. Do you know how many times I have pulled a medication on override that wasn't emergent? Never. In 10 years, never. Have people got impatient? Upset? Irritated? Yes, yes, and yes. But it is for their own protection as well as mine. What's going to happen is eventually the Joint Commission is going to have a regulation where you'll need to start entering tons of codes or a second badge scan for even emergent drugs if nurses keep pulling drugs on an override just because they are too impatient to wait.
  11. Jory

    Nurse Charged With Homicide

    There is no "interpretation" here. Any first year law student could tell you what reckless homicide is...it is when your NEGLIGENCE causes the death of another human being. There is nothing difficult, hard, or confusing about those words. It's not even up for debate...those that actually have law degrees and practice law for a living have already made this decision and that is why she has been charged. Other nurses have been charged and convicted for similar actions. There is even case law to back it up.
  12. Jory

    Nurse Charged With Homicide

    This is probably the most reasonable suggestion that I have seen in this entire thread of 500+ posts. The pharmacy can put a warning of any kind of any type of medication selected. Not even kidding...this is a PHENOMENAL idea. There are a variety of very small medication storage/dispensing options. I just wonder if these types of drugs that would only be used in true emergency should be kept on non-critical floors in a separate system. Someone working in ICU or ER is going to be far more aware of their presence in the same Pyxis than someone on med-surg that may only pull them a couple of times a month.
  13. Jory

    Bring back our childhood diseases!

    I stopped calling them anti-vaxxers and started calling them Pro-Diseasers. I normally don't advocate forced medical care, but childhood immunizations should be one of them. Right now since many states are allowing children 13 and older to make their own medical decisions, many of these teens are requesting vaccinations that did not receive them when they were younger. I think the health department should have immunization fairs at high schools to help in this process. We had measles eradicated in the United States and now the rate is doubling every year. It is now the highest rate we have seen in 30 years. Others will follow. We are too far removed from the generation that saw the severe damage that childhood diseases caused. Unfortunately, the collateral damage is going to be the loss of a few thousand children's lives before the gov't steps in and fixes it.
  14. Jory

    I Hope This is Not the Latest Trend

    Yes, I hope it's a trend because these people SHOULD BE in jail. Falsifying information and forging signatures is a choice. If that in turn causes a patient's death, then yes, you should be charged with contributing to that person's death. Abuse of a patient, is a choice. Severe neglect, is a choice. I have no problem with these people sitting in jail. Don't protect other nurses that make these choices.
  15. Jory

    Scope Of Practice Question

    Nope. We have RNs that are sitters at my hospital if they would otherwise get low-census. They only thing they don't do when sitting is administer medications, wound care, etc....because you would really need to be there for report, etc. All of our sitters, however, are CNAs. Whoever came up with that idea needs to run that by risk management because if a patient falls because an RN, who is EMPLOYED and paid as an RN at that same facility, was sitting there waiting for assistance while the patient tried to get up and instead of helping they watched them fall and they ended up with a head injury? Hospital should just open their check book. Here is a question you should ask: So if I am an RN and walking down the hall and I see a patient that isn't mine ambulating and start to fall....instead of assisting them, I should just call for assistance and just let them fall correct? When they tell you "Of course not", then say...."Then why are we giving patients here on suicide watch a lower level of care because they are with a sitter?"
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