Radonda Vaught is charging $10,000 per speaking engagement.

[klone]

Or, $7,500 if you just want her virtually. Good to know that negligent homicide is such a lucrative endeavor. 
 

https://www.executivespeakers.com/speaker/radonda-vaught

[toomuchbaloney]

NurseGerard said:

It would be hard to say for certain without being rigorous about assessing that question somehow, but the Texas ANA Facebook page has been trying to drum up business for months in the usual ways (early bird discounts, add-on 'fun' stuff, sneak peeks at the program, etc) - and the only featured speaker post that got any likes and positive comments was hers 

Certainly no outcry or questioning I'm aware of

I think they have two other speakers worth hearing  - author Sarah DiGregorio (Taking Care) and Dr Kenya Beard - but for them it's crickets on FB

Long story short - I'm going to bet that a decent handful of nurses decided to get off the fence and attend because she's on the program  - $10,000 worth would mean 200-300 such nurses, so maybe not - but all the money goes into and out of the same pot so as long as it's not a bust they'll consider it a success

I wouldn't want to be a speaker listed with her as a peer participant.  

[Kisela M]

Our class had to do a project on this. It is very sad what happened to the family and Radonda. Yes, she should have slowed down when grabbing the medication, she could have even let the student nurse who was shadowing her have a look at the medication to make sure they were pulling the right medication. I know student nurses may feel uncomfortable letting the nurse they are shadowing know that they are doing something unsafe. Was Radonda negligent, yes, but the facility is also to blame. For one they didn't have wristband barcoding or second nurse verification wasn't in place which possibly could have prevented this error. 

"VUMC encouraged adherence to physician orders, even though they omitted patient monitoring in this case, which should be standard practice after midazolam administration. Overrides to the automatic dispensing cabinet (ADC) were encouraged to circumvent delays even though no effective systems were in place to prevent or detect the accidental selection, removal, and administration of medications obtained via override" 

"VUMC's fixes were only for case-relevant medications and departments despite prevalent issues throughout the organization. Despite evidence that administrators failed to implement safe medication practices, no administrators faced repercussions."

Have a little compassion for someone whose dream was to be a nurse and now for the rest of her life she has to live with the fact that someone died under her care. You do not know where the money she will be receiving is going. One of the family members forgave her and felt she didn't deserve jail time. 

Lusk, C., DeForest, E., Segarra, G., Neyens, D. M., Abernathy, J. H., 3rd, & Catchpole, K. (2022). Reconsidering the application of systems thinking in healthcare: the RaDonda Vaught case. British journal of anaesthesia, 129(3), e61–e62. https://doi.org/10.1016/j.bja.2022.05.023

[Wuzzie]

Kisela M said:

Despite evidence that administrators failed to implement safe medication practices,

We don't need administration's help to independently adhere to the 5 rights of safe medication administration. 

We don't need technological crutches to independently adhere to the 5 rights of safe medication administration. 

We don't need extensive experience to independently adhere to the 5 rights of medication administration. 

We do need to look at the actual medication. 

 

[Kisela M]

Wuzzie said:

We don't need administration's help to independently adhere to the 5 rights of safe medication administration. 

We don't need technological crutches to independently adhere to the 5 rights of safe medication administration. 

We don't need extensive experience to independently adhere to the 5 rights of medication administration. 

We do need to look at the actual medication. 

Those are all facts, but I highly doubt every single nurse adheres to this. Unfortunately there will be times where someone has overlooked these rights. I was just on a med-surg floor last week and the nurses I saw never did the 5 rights. 

Wuzzie said:

 

 

[Wuzzie]

Kisela M said:

Those are all facts, but I highly doubt every single nurse adheres to this. Unfortunately there will be times where someone has overlooked these rights. I was just on a med-surg floor last week and the nurses I saw never did the 5 rights. 

Quote

Then you need to speak up and be part of the solution. 

 

Also, I read the article you posted. It was complete rubbish. It left out multiple pertinent facts and spun what information it did provide. If you have not already done so I recommend you read the TBI report. 

[chare]

Kisela M said:

... I was just on a med-surg floor last week and the nurses I saw never did the 5 rights. 

And you know this how?

[mtmkjr, BSN]

Kisela M said:

Those are all facts, but I highly doubt every single nurse adheres to this. Unfortunately there will be times where someone has overlooked these rights. I was just on a med-surg floor last week and the nurses I saw never did the 5 rights. 

 

It almost sounds like you're saying " nobody does that anymore."

Is your belief that it's more important that "the system" places tight controls on all your actions to minimize risk? 

Because by putting the focus on VUMC and what it could have done to prevent this from happening, it seems you aren't putting much weight on safe medication administration practice, and the responsibility of the nurse to follow the five rights. 

Safe medication administration practices are there exactly for the reason that systems will fail. It's this practice that protects the patient in the end. Not any settings in the medication dispensing system, or pop-ups or alarms or scanning systems - or whatever else administration comes up with to try to lessen the risk. It still comes down to the nurse and the five rights. 

Instead of trying to find ways to blame "the system", let this case be a wake-up call that there is no technology that will replace mindfulness, critical thinking, and attention to detail.

 

 

[Tenebrae, BSN, RN]

Kisela M said:

Those are all facts, but I highly doubt every single nurse adheres to this. Unfortunately there will be times where someone has overlooked these rights. I was just on a med-surg floor last week and the nurses I saw never did the 5 rights. 

 

I look on the EMAR and see that my patient has medication due. This is the five rights I cover from that one point

1. right patient, I know that Mrs Smith in room 1 is due meds

2. right medication, right dose, right time and right route. When checking the record I see that my patient has Augmentin 1.2g (intravenous), last given 6 hours ago. I also know that Mrs Smith's line is patent because I've given another medication and hour ago. 

Students are taught the five rights as a step by step process. What many don't seem to realise is that we often are doing those things automatically because they are so ingrained. 

Just because you didn't witness a nurse going right person, right medication, right time, right dose and right route, doesnt mean they arent going through that in their head

And the biggest issue from this is RV didn't read the label of the vercuronium. If she did Charlene Murphy would most likely still be with us.

I'm always reading the label of the box and the insert before giving it because I don't know if someone has chucked the wrong sleeve of pills back in the wrong box. 

[FiremedicMike, BSN, RN, EMT-P]

Just to take this from another angle.  If some of you haven't seen 2mg of versed put an elderly patient out to the point of snoring respirations and requiring some supplemental oxygen, believe me it can happen.

Her final and truly fatal error is that she should have stuck around long enough to see if the desired sedation happened (the whole reason she was there) and to verify the patient didn't become too sedated.

Had she done this, she would have noticed the patient stop breathing/moving and could have easily fixed the situation with a BVM and a call to a doc for airway management and sedation until the vec wore off.

 

[toomuchbaloney]

FiremedicMike said:

Just to take this from another angle.  If some of you haven't seen 2mg of versed put an elderly patient out to the point of snoring respirations and requiring some supplemental oxygen, believe me it can happen.

Her final and truly fatal error is that she should have stuck around long enough to see if the desired sedation happened (the whole reason she was there) and to verify the patient didn't become too sedated.

Had she done this, she would have noticed the patient stop breathing/moving and could have easily fixed the situation with a BVM and a call to a doc for airway management and sedation until the vec wore off.

 

I quoted this just so we would all consider it again.  IMV this was the thing that sealed her fate as a killer.  She didn't pause even long enough to see the effect of the quick acting paralytic as the suffocating patient watched her walk away.  In my experience, you must be prepared to provide respiratory support in well under a minute and they will be fully paralyzed in 60-90 seconds.  Maybe it's faster in kids?

Not only was she sloppy and careless, but she didn't give any hoots about the patient at all.  She was just doing tasks in a rather mindless way. 

That anyone would want to hear her talk or be affiliated with her is weird. 

[NurseGerard]

Kisela M said:

Those are all facts, but I highly doubt every single nurse adheres to this. Unfortunately there will be times where someone has overlooked these rights. I was just on a med-surg floor last week and the nurses I saw never did the 5 rights. 

 

Here's what I learned in critical care but applicable in all settings - every nurse should know 3 things about every med they give every patient:

- why THIS med? not just indication (like reduce anxiety,mild sedation) but why this one? (fast acting, short duration, parenteral route, etc)

- why THIS dose? (where does it fall in the recommended range?)

- what's the worst thing that could happen? not a list of side effects just the worst adverse effect (respiratory depression?) then have a plan to monitor prevent and intervene if the worst thing happens

I'm not surprised if you saw sloppy practice, it's all over the place and people are being hurt and dying because of it

[klone, MSN, RN]

Correct me if I'm wrong, but the person who was with her was not a student nurse, he was an orientee, yes?