Published
Or, $7,500 if you just want her virtually. Good to know that negligent homicide is such a lucrative endeavor.
Question to nurses: I am a provider and get asked by nurses all the time if the patient can travel to a test without a monitor. I don't mind giving them my answer but isn't that an independent assessment nurses can make? I have the order in place for telemetry and CPO on said patients so why would it be different when they travel? It is as if the buck is being passed to the provider to make that decision.
NurseGerard said:
It's too bad you can't post the obituaries of victims of medical errors who died unnamed because the provider/s who committed the errors did not come forward and admit their mistake.
NurseGerard said:Objection - assumes facts not in evidence
As the help all nurse she had one task to perform; as a preceptor she had a learner on hand, a second set of eyes, someone to cross check and collaborate with - it was the perfect set-up for a valuable learning experience and an opportunity to spend time with someone who needed reassurance
instead, Mrs Murphy suffered a horrifying death for no reason but the former nurse's negligence and abuse, as evidenced by the jury's verdicts
that's the lesson in this for anyone who wants to learn
We don't know much details about her orientee other than what I know from Ms Vaught's statements. The orientee was a former CNA in her unit with a number of weeks of orientation but not close to finishing. Per Ms Vaught, that orientee picked her as the primary preceptor (perhaps as a way to show that her skills are recognized by this new nurse). She admitted to being distracted as she was talking to this orientee about a swallow eval they were supposed to do before being sidetracked into helping with Mrs Murphy. The swallow eval is on this orientee's check off skills that needed to be acquired that day. Clearly, her head was not focused on the task at hand. She admitted this.
Couple of things:
Corey Narry said:She questioned the primary nurse more than once about the need for monitoring for Mrs Murphy and blindly trusted that colleague without going with her gut feeling.
No. See this is why some of us find her behavior as a nurse (and person) completely inappropriate. Of course the patient did not need monitoring as a result of her current condition, but that has nothing to do with anything. Every single last RN here or anywhere should be able to figure out that one might want to have a way to at least do vital signs and might want to not push an IV med and promptly leave a patient 100% alone somewhere. I'm talking bare minimums here--not to even mention monitoring for adverse effects of the med she thought she was giving. This 'blindly trusted so-and-so rather than using my own [supposedly] good judgment' is bullll...oney. If one knows that their plan is to slam meds and leave their patient alone in a basement holding room then....what is this question of whether the patient needs monitoring?! As you can see I have no sympathy for that malarkey and if she actually said something like that I find it infuriating.
Corey Narry said:She mentioned that there has been times when the institution have supplied medications that came in a different formulation than what she was familiar with and allowed that to influence her actions to totally disregard any instinct to check the label on the vial more than once.
Or...even once would've been a start.
I don't know...I got paranoid when the same med in the same formulation came with a different colored top on the vial. Triple-check. Check all the other vials in the pocket to see that yep, they really are all the same thing despite different colored tops.
Corey Narry said:Faced in a situation where things are not aligning the way they normally should in combination such as what occurred in this sentinel event (pt unmonitored, medication not showing up on the patient profile on the ADC, Radiology not having a bar code scanner), it would help to slow down and pause, take a deep breath, eliminate distraction, and focus on the task at hand.
1. The patient was unmonitored at the final point of care (in every manner) per RV's choice.
2. The medication DID show up on the profile. It was there when RV used a brand name search term in a generic name pick list
I don't disagree with your statement, but the nurse we are discussing chose to face those circumstances, such as they were, completely recklessly. This basic situation--a patient needing medication while off the unit--is not THAT unusual. That's really the only sort of less-common thing that happened here--all the rest of the things that seemed to go wrong or differently than one would expect were directly because of RV's choices.
Corey Narry said:It's too bad you can't post the obituaries of victims of medical errors who died unnamed because the provider/s who committed the errors did not come forward and admit their mistake.
As we have said quite a few times in this thread and others, she did not come forward. She was presented with the vial of vecuronium and asked if that is what she gave the patient.
Corey Narry said:Speaking fee aside, this thread prompted me to actually look Ms Vaught up online with a fresh new lens and see her speak. She's done a few in-depth interviews more recently and I feel that her story does have benefit for nurses especially those who could see themselves in her. She is devastated and repentant though the optics of what she's doing since her verdict doesn't seem to show that...trying to have her RN license reinstated, charging for speaking engagements, etc are a few examples.
She questioned the primary nurse more than once about the need for monitoring for Mrs Murphy and blindly trusted that colleague without going with her gut feeling. She mentioned that there has been times when the institution have supplied medications that came in a different formulation than what she was familiar with and allowed that to influence her actions to totally disregard any instinct to check the label on the vial more than once. She was multi-tasking (talking to an orientee about a swallow eval they are supposed to do next) while performing a nursing action that is of higher importance and higher risk of harm if mistakes were to occur.
Faced in a situation where things are not aligning the way they normally should in combination such as what occurred in this sentinel event (pt unmonitored, medication not showing up on the patient profile on the ADC, Radiology not having a bar code scanner), it would help to slow down and pause, take a deep breath, eliminate distraction, and focus on the task at hand. Just say no, this is not right, I am not going to do this task and I am prepared to face the consequence of doing the right thing.
It really was an unfortunate situation because she did not even realize that the PET Scan was not even going to happen for some odd reason and the patient was already being called back up to the unit so it was actually a transporter who found the pt unresponsive. On top of that, the swallow eval she was supposed to do with the orientee did not occur because that other patient was in MRI. It was the very definition of a "cluster-***" of a day for her.
OMG. You obviously have not read the documents from the case. How many times have you administered IV sedatives without reading the label? Do you believe we can in any way defend a nurse whi does this? She is not fit to practice. Some people shouldn't be nurses and for her to even attempt to get her license back is a fool's errand. She should get on her knees and thank the great Whatever for not going to prison. She has no sense of humility.
Corey Narry said:We don't know much details about her orientee other than what I know from Ms Vaught's statements. The orientee was a former CNA in her unit with a number of weeks of orientation but not close to finishing. Per Ms Vaught, that orientee picked her as the primary preceptor (perhaps as a way to show that her skills are recognized by this new nurse). She admitted to being distracted as she was talking to this orientee about a swallow eval they were supposed to do before being sidetracked into helping with Mrs Murphy. The swallow eval is on this orientee's check off skills that needed to be acquired that day. Clearly, her head was not focused on the task at hand. She admitted this.
As an LPN, after 1.5 years working in the stepdown, they finally got me to do an orientation. I always tell them to make lists of the questions and do not bother me unless it's life and death situation.
Oldmember said:As an LPN, after 1.5 years working in the stepdown, they finally got me to do an orientation. I always tell them to make lists of the questions and do not bother me unless it's life and death situation.
We should stay humble and be available to support people along the way. Not all learners will be able to immediately recognize a life or death situation and need to the freedom to be able to ask more experienced people with our feeling intimidated. A good bood to read is, Why Hospitals Should Fly".
C.Love said:We should stay humble and be available to support people along the way. Not all learners will be able to immediately recognize a life or death situation and need to the freedom to be able to ask more experienced people with our feeling intimidated. A good bood to read is, Why Hospitals Should Fly".
I think they forgot to say don't bother me when I'm prepping meds?
Corey Narry, MSN, RN, NP
8 Articles; 4,476 Posts
It would have been a med error in my institution anyway if she had given the Versed. The way I would as a provider write that order is: "Versed 1 or 2 mg IVP once prior to PET scan" and the PET scan didn't happen so it did not meet the condition for giving the medication.