FallingSkies

And another reply that has nothing to do with what I said. You talk about the blame they assigned her, yet your claim was they assigned zero blame to Vanderbilt. I proved you were wrong, quoted and sourced. Or she is used to looking, meds not being there, and overriding because Vanderbilt had a messed up system and that's what they told nurses to do. Either way, your claim she shares all the blame, and there is no other blame at all is wrong, I proved it, and your reply avoided the entire issue.

I just quoted an investigator saying what I said. Can you source them saying Vanderbilt shared no blame? You know, it should be easy Captain Obvious.

Except you are absolutely wrong. The 'upgrade' is what causes the problems. Vaught said they were instructed and forced to use overrides, can you show me where that was proven false? This testimony — from a Tennessee Bureau of Investigation agent — appears to support defense arguments that Vaught's fatal error was made possible by systemic failures at Vanderbilt. https://www.npr.org/sections/health-shots/2022/03/24/1088397359/in-nurses-trial-witness-says-hospital-bears-heavy-responsibility-for-patient-dea Except that's another untrue statement. I just sourced and quoted a TBI agent saying exactly what I said.

Sorry, there are other actors also to blame, her mistakes are her own, but unlike you I refuse to assign blame to her for the mistakes of others. Oh, and EVERY agency agrees with me, the prosecutors agree with me, the Tennessee Bureau of Investigations agrees with me, every medical union/group agrees with me.

We give versed all the time. I also give vecuronium.

So a non-answer, because the answer doesn't fit your narrative, I had hoped for better. If the system worked as intended the patient would be alive. Vanderbilt had a broken system, that was the first chain in the events leading to this death.

At Vanderbilt that was NOT what an override was. An override was every med, after verification, because their system was broken.

Override was allowed because that was the only way for them to pull ANY med. Tylenol, IV fluids, every med required an override because of a system 'upgrade' that broke the system preventing meds from being pulled the right way, so EVERY med was allowed to be overridden and nurses were instructed to just override everything.

She tried pulling the correct med and the system wouldn't allow it, forcing a med override. If the system let her pull the med as intended, would the patient be alive?

What people don't talk about is Vanderbilt doing an 'upgrade' that prevented nurses from pulling medications appropriately, forcing them to use override on almost all medications they pulled. Vanderbilt then tried to cover it, did not notify state or federal agencies as they are required, and lied to the coroner saying it was a natural cause of death. They did that because they knew they were largely at fault, which is why the term scapegoat is accurate.

I think in this case it's a principle of the matter, not the matter itself. The RN is asked to do extra work, is never offered assistance, and is expected to take on some supervisor tasks without the benefit of supervisor pay, and insulted them with $1/hr to do it when they gladly pay LPNs $10/hr.

So they would have to do the assessment, I would never sign off on an assessment I did not also do to ensure it was correct. That would mean she would be doing the job of the supervisor without being the supervisor. They are trying to screw them into doing the work of a supervisor without the pay. I would have handled the death differently. I would have stated to the supervisor as soon as they are free to do my med pass let me know and I will go pronounce.