Published
Or, $7,500 if you just want her virtually. Good to know that negligent homicide is such a lucrative endeavor.
Rose_Queen said:She didn't even have to read the label - just take note of the "WARNING: PARALYZING AGENT" on the metal ring around the rubber stopper. Not even close to competent nursing practice but should have been one of many points to stop.
The TBI report includes a photocopy of the top of the actual vial that was used:
This picture is NOT to scale. The actual vial was obviously much smaller than the photocopy and the warning easier to miss. She intended to pull versed, a sedative medication that could potentially have a paralyzing effect when combined with another substance, or at least it's often administered before a paralytic agent. So many medications have warning labels on them that it's easy to just assume any sedative medication would have a warning about "paralysis" without actually being a paralytic drug on its own. I'm trying to put myself in her shoes and I can kind of see how that label didn't stop her.
dsaprog said:... a sedative medication that could potentially have a paralyzing effect when combined with another substance [emphasis added] ...
Could you provide a source for this?
dsaprog said:... or at least it's often administered before a paralytic agent. ...
Yes, it is. Not due to any additive or synergistic effect to the paralytic. Rather, it's cruel to pharmacological paralyze someone without sedation.
dsaprog said:... So many medications have warning labels on them that it's easy to just assume any sedative medication would have a warning about "paralysis" without actually being a paralytic drug on its own. ...
No, it isn't; especially for an experienced ICU nurse.
And always remember this: assumption is the mother of all foul ups.
dsaprog said:This picture is NOT to scale. The actual vial was obviously much smaller than the photocopy and the warning easier to miss. She intended to pull versed, a sedative medication that could potentially have a paralyzing effect when combined with another substance, or at least it's often administered before a paralytic agent. So many medications have warning labels on them that it's easy to just assume any sedative medication would have a warning about "paralysis" without actually being a paralytic drug on its own. I'm trying to put myself in her shoes and I can kind of see how that label didn't stop her.
Versed, in a glass phial doesnt need to be reconstituted doesnt have a warning label about being a paralytic
Vercuronium, in a glass phial with a red top, and needs to be reconstituted. Has a large warning "paralytic"
You can keep making excuses for RV all day. At the end of the day if she had read the label Charlene Murphy would still be here
Diana380 said:Typical holier than thou.
Nope. I know you meant to be inflammatory but that accusation isn't really appropriate for this scenario. This is an issue that matters, a person died directly because of the recklessness and negligence of a nurse. There is quite a contingent set on defending her with explanations and yes excuses that are everything from inadequate to factually incorrect to outrageous (good examples in this very thread, such as the paralytic effect of Versed or the insinuation that nearly everybody kills someone due to silly mistakes at some point), so you can be SURE the push back against that type of commentary will continue. As it should, because someone died.
I think a lot of nurses are providing these terrible excuses because they are afraid this could happen to them.
Rather than defending the actions of RV, they should be pondering the idea that if they are not reading labels, if they are slamming medications and leaving their patient alone in a remote area without monitoring so quickly that they are gone too soon to notice a fairly rapid onset of paralysis.....they should indeed be VERY afraid that this could happen to them and they should either change their behavior immediately or quit nursing.
Diana380 said:It's over it happened she admitted it. Move on! She obviously has because she has no choice. Pt"s family has extended her grace. No one is making excuses. It happened. Typical holier than thou.
There's a whole picture here. And many can't move on.
Criminizaling medical errors...oh wow.....
Think of the Jessica case from Duke.
Just radonda. Polarized thinking.
dsaprog said:This picture is NOT to scale. The actual vial was obviously much smaller than the photocopy and the warning easier to miss. She intended to pull versed, a sedative medication that could potentially have a paralyzing effect when combined with another substance, or at least it's often administered before a paralytic agent. So many medications have warning labels on them that it's easy to just assume any sedative medication would have a warning about "paralysis" without actually being a paralytic drug on its own. I'm trying to put myself in her shoes and I can kind of see how that label didn't stop her.
You are an intelligent, global thinker.
Tks 4 your post.
dsaprog said:What kind of job? I don't know if it's right, but I can't say I wouldn't do the same if I were in her position. Could you? I imagine if I lost my license, I would be unlikely to find work that pays at the rate of an RN. Depending on how many speaking gigs she gets for the price of $10k, I'd bet she is making more than she would doing something else.
Can you imagine a drunk driver who killed someone in a crash then went on to profit off lecturing about how the bar was to blame for serving them alcohol?
Thats how I feel about this.
Rose_Queen, BSN, MSN, RN
6 Articles; 12,058 Posts
She didn't even have to read the label - just take note of the "WARNING: PARALYZING AGENT" on the metal ring around the rubber stopper. Not even close to competent nursing practice but should have been one of many points to stop.
The TBI report includes a photocopy of the top of the actual vial that was used: