Radonda Vaught Sentenced

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by tnbutterfly - Mary tnbutterfly - Mary, BSN, RN (Admin) Educator Columnist Innovator Expert Nurse

Specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

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Wuzzie

4,860 Posts

8 minutes ago, feelix said:

Everyone who can owns a gun in the South.

That's the point. As a convicted felon she can't. Lying to the federal government is sorta stupid. 

toomuchbaloney

toomuchbaloney

Specializes in NICU, PICU, Transport, L&D, Hospice. Has 43 years experience. 9,418 Posts

14 hours ago, Tweety said:

I think perhaps being found guilty and convicted of the crime, never being able to practice nursing ever again without jail time is enough.  

Vanderbilt settled out of court, so they didn't necessarily get away with anything.  But by settling out of court with the victims family they avoided the ugliness that RV had to go through.  She didn't have that option.  

She didn't have that option because her actions and negligent practice were directly responsible for the death, not hospital policy or staffing. 

On 5/13/2022 at 6:19 PM, ThePrincessBride said:

But that was a risk with charging her in the first place. And now she has a criminal record. 

She can get the charges dropped after completing her probation (deferred adjudication) and then can apply to get the charges expunged. This potentially means no criminal record. Due to the conviction and neglegence she is a prime candidate for a civil lawsuit by surviving family members. She should not get her license back, though.

Emergent, RN

Specializes in ER. Has 29 years experience. 2 Articles; 4,038 Posts

22 minutes ago, feelix said:

You seem to know her intimately to be making judgments about her temperament. Everyone who can owns a gun in the South.

I'm a complete supporter of gun rights and I have a permit to carry a concealed pistol. What I'm not in favor of is the fact that she tried to obtain a high-powered rifle,  under fraudulent circumstances, during a time of her life when she is probably emotionally unstable due to this situation.

feelix

feelix, RN

333 Posts

1 hour ago, Wuzzie said:

That's the point. As a convicted felon she can't. Lying to the federal government is sorta stupid. 

She was not convicted before today.

 

Wuzzie

4,860 Posts

2 minutes ago, feelix said:

She was not convicted before today.

 

Uh , yes she was. The last hearing was a sentencing hearing. 

Tweety, BSN, RN

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Has 30 years experience. 32,312 Posts

1 hour ago, toomuchbaloney said:

She didn't have that option because her actions and negligent practice were directly responsible for the death, not hospital policy or staffing. 

Absolutely but they settled knowing there was a case against them and they didn't want that publicity.  I was addressing the idea in several posts in this thread that they got away with something.   They didn't, they just didn't have to go to court for it and settled.  

Edited by Tweety

feelix

feelix, RN

333 Posts

Why is nobody talking about how the system failed by not identifying like sound, like name medications. Why was there no requirement for double checking, two nurse sign off, or any other way this error could have been prevented.

Wuzzie

4,860 Posts

1 minute ago, feelix said:

Why is nobody talking about how the system failed by not identifying like sound, like name medications. Why was there no requirement for double checking, two nurse sign off, or any other way this error could have been prevented.

She blew through 11 warnings. 11. Do you really think 12 warnings would have been the ticket? 

Also, do you read the name on the medication vial before drawing it up? RV somehow managed to miss that option.

Emergent, RN

Specializes in ER. Has 29 years experience. 2 Articles; 4,038 Posts

30 minutes ago, feelix said:

Why is nobody talking about how the system failed by not identifying like sound, like name medications. Why was there no requirement for double checking, two nurse sign off, or any other way this error could have been prevented.

In my opinion, the sensory overload of too many warnings leads to errors. People get used to blowing through things because many of the warnings are trivial and inconsequential. Just like with alarm fatigue, if the system stimulates the brain too much with flashing warnings, it can cause people to ignore them.

What I've described may certainly have been a contributing factor. But the fact that she didn't take the final step of actually reading the label on the vial, and making sure she knew what was in it, is what caused this catastrophe.

Robmoo

Robmoo, ADN, BSN, RN

Specializes in BSN, RN, CVRN-BC. Has 26 years experience. 142 Posts

On 5/13/2022 at 10:51 PM, ThePrincessBride said:

She most likely would have never gotten her licensed reinstated after that error.

Charging her did more harm than good. Now more healthcare workers are going to be less likely to report errors for fear of ending up like her.

It is rather hard to avoid reporting when you paralyze your non-mechanically ventilated patient. 

Perhaps hospitals will take this as an example of what can happen when a bad EMR meets an inattentive staff member, meets bad situation. 

Most sentinel events are the product of a series of failures, not just one bad decision.  This is why root cause analysis focuses on the totality of the situation rather than the individual.  The bottom line is that she royally screwed up and has been punished for it.  What did Vanderbilt University Medical Center do to fix the situation (their system) so that this never happens again?

Rose_Queen, BSN, MSN, RN

Specializes in OR, Nursing Professional Development. Has 17 years experience. 5 Articles; 11,199 Posts

1 hour ago, Robmoo said:

What did Vanderbilt University Medical Center do to fix the situation (their system) so that this never happens again?

https://hospitalwatchdog.org/vanderbilts-role-in-the-death-of-patient-charlene-murphey/

Key points:

  1. vecuronium is no longer available as an override drug
  2. radiology has implemented barcode scanning
  3. 2nd nurse verification in radiology

Full 330 page plan of correction: https://hospitalwatchdog.org/wp-content/uploads/VUMC-PLAN-OF-CORRECTION.pdf