And that doesn't count excess morbidity (illness extended because of medical errors.). The phenomenon of criminally charging health care providers after a patient is harmed is rare, "but it grows less unusual every year," says Stephen Hurley, a Wisconsin lawyer who has defended nurses in similar cases and advised hospitals on the topic. Human error is inevitable, she says, and hospitals should account for that by instituting safety checks and protocols. We conducted an internal review and have several new processes in place to ensure a situation like this does not happen again. Serious personal consequences, financial consequences, professional consequences. About 500 people attended Kims memorial service on April 10, 2011, at the University of Washingtons leafy arboretum. Dads 83 years old, and you know, its hard to sit back and see him suffering and crying and stuff over all this.. If you havent drunk the Kool-Aid, is this something youre willing to invest money in?. Did the students malpractice insurance have to be used? When he did, he says, the doctor told him, "I'm sorry to have to tell you this but the nurse administered the wrong medication and sent your dad into respiratory arrest.". Daughter-in-law Chandra Murphey, who is married to Michael, testified that her family hasnt had peace or closure for four years and the situation has just been sickening to us. Chandra said, We did so much together as a family, and it just ended, in a split second for us., Speaking on behalf of my father in law he cries every day. It would all depend on the findings from there. It now more rigorously regulates verbal orders for medicationthe type Kim had gottenan important preventive step that leaves less room for misinterpretation. Sustaining a needlestick injury or other type of exposure is scary. Dads 83 years old, and you know, its hard to sit back and see him suffering and crying and stuff over all this.. Ever since Marc Smith was a boy, "My mother and father had taken in a countless number of children who were in bad situations at home or didn't have place to stay," he said. Cristina ByvikSue Scott remembers when her first patient died. Im a registered nurse and I killed a patient by accident. "From our understanding, [my father] wasn't hooked up to alarms, or if he was, nobody was there to hear them," he said. The 75-year-old woman died a day after the injection left her brain-dead. But in her 2010 review, Rea raised the possibility that Kim might care too much. Its easy to write off the anguish of these health-care providers as insignificant next to that of the patients and families theyve hurt. Vaught faced up to eight years behind bars. A report from the Florida Agency for Health Care Administration demonstrated that with all the safeguards in place to prevent a patient from receiving the wrong medication, the nurse would have had to ignore nearly all of the protocol in place for administering drugs. "It shifts that conversation from 'to err is human' to 'to err is criminal,' " Manges says. [They] view themselves as being victimized by the health-care system. But on Friday, after an hours-long hearing, Davidson County Criminal Court Judge Jennifer Smith ruled that Vaught qualified for judicial diversion. Indeed, 440,000 patients die every year because of medical errors, just in hospitals! Her remorse during the case was of the attitude, in my opinion as an investigator, that she felt by telling the truth it would all go away, and that she should be rewarded for being honest., And I appreciate honesty. "The hospital failed to ensure all patients received care in a safe setting," the report says. It happens. What sort of job could an RN do that doesnt put lives in jeopardy? Constantly interrupting during lectures, scoring below passing standards on exams (an 80% is required and the class avg is 70%), and are not willing to put in the work. Some of them said the errors helped them get better at their jobs by, for example, making them more careful about checking data. The stress has taken its toll on his mother, he said, who was married to Richard Smith for 55 years. 2,999 Posts. About ten years ago, a patient at a Maine hospital was accidentally given ten times the normal dose of epinephrine. Kim entered a note into the patients record: Miscalculated in my head the correct [dosage] according to the mg/ml. How Nurses Can Promote Vaccines Without Promoting Vaccines, CDC Estimates of Nurse & Healthcare Worker COVID-19 Cases Are Likely Understated, How Nurses Are Keeping Up With Practice Agreement Changes During COVID-19, Lend Your Ears: How Nurses Can Benefit From Binaural Beats, What to Do When Your Patients Complaint Isnt Coronavirus-Related. I said, 'He coded? A former Texas nurse was sentenced to death this week for injecting air into the arteries of four patients recovering from heart surgery, causing fatal brain damage, a court official said. Concurrently, the nurse would also get baseline lab work done. Every nurse I've ever encountered has their cautionary tale that they share in the hopes that others won't make the same mistake. Didnt get to give her a hug or a kiss. The packages for Epinephrine 1:1000 and Epinephrine 1:10,000 look very similar and were stored side by side. That's 200 units when the patient was supposed to get two! (Vaughts lawyer pointed out the former nurse did express remorse publicly, but Chandra clarified not directly to her family. You better buck up.. She labeled the patients name band and syringe with the time and size of the dosage. Lyn remembered seeing Kims former colleagues and patients in attendance. Does a Dog's Head Shape Predict How Smart It Is? In 1986, she accepted an entry-level position on Seattle Childrens Hospitals toddler floor, where she saw young patients with serious medical conditions that ranged from cancer to cystic fibrosis. "For the most part, she's making it," he said. U.S. News Nurse Spared Jail After Accidentally Killing Patient 'A TERRIBLE, TERRIBLE MISTAKE' RaDonda Vaught has been sentenced to probation over the death of 75-year-old Charlene Murphey,. In May 1989, Dr. Wu mailed a survey to 254 residents training at major hospitals in the United States about whether theyd made medical errors and, if so, how they coped. But clinicians dont exist in a vacuum. Lyn estimates they were gone for about an hour and a half. The RISE phone line is staffed with volunteer peer responders who are also health-care providers. For example, many hospitals require a nurse to scan a bar code from the pharmacy and on the patient's identifying bracelet before giving a medication, or to use preprogrammed intravenous pumps that prevent medications from being administered too quickly. But, according to the Tennessean, Murphey needed a final scan in the radiology department first. It hurts us to see him hurt so bad, and he has stated that he wanted her to have the max, Chandra said. Im an outcomes researcher, so it breaks my heart that we dont have good data, Dr. Wu says. RELATED: Accident/Error and Incident Prevention: NCLEX-RN. Kim discussed the dosage with another nurse and worked through her math. Her next hearing is scheduled for April 11. Adult Gerontology Nurse Practitioner Programs (AGNP), Womens Health Nurse Practitioner Programs, Advanced Practice Registered Nurse (APRN), average of 385,000 sharps-related injuries, Accident/Error and Incident Prevention: NCLEX-RN. She had given the patient 14. Staying Single: What Most People Do If They Divorce After 50. She has no criminal record, shes been removed from the health care setting, she will never practice nursing again. When RISE launched in 2011, it averaged one call per month. I have NO idea where their preceptor was or how that even happened. Uvo Ologboride, the nurse named in the lawsuit, had given Smith pancuronium. This student's only saving grace was seeing how it bubbled in the subcutaneous fat, realizing "Huh, that's not right," and telling someone. So the idea that there should be a service provided to the perpetrator gets met with some pushback.. Murphey died in an intensive care unit the following day. Its never going to be enough.. "He led a very active life, he was an avid fisherman, he liked to cook. It is also a story about an open secret in American medicine: Medical errors kill more people each year than plane crashes, terrorist attacks, and drug overdoses combined. "That could have happened to me, or it could have happened to my friend," Manges says. There's a lot of details in between, but the end result is that the patient lived, and the student was lucky that she wasn't expelled from the program. RaDonda Vaught appears at a court hearing with her attorney, Peter Strianse, in February. (Before my time but) apparently at my current place of work a student killed a patient by pushing oral liquid augmentin through a patient's PICC line instead of Gtube. Michael said that knowing his mother, who was a forgiving person, she wouldnt want to see Vaught serve significant jail time. Vaught, a former nurse at Vanderbilt University Medical Center, was charged with reckless homicide after a medication error killed a patient. Richard Smith, a retired PE teacher, had been an athlete "all of his life," said his son, one of his parent's two living children. A total of 114 residents returned the survey and admitted they had made at least one significant mistake. People here are still afraid to admit their mistakes, says one Seattle Childrens Hospital employee who requested anonymity, because they are afraid of losing their jobs.. Albert Wu, MD, began studying medical errors in the late 1980s, as a newly minted medical school graduate. Vaught's nursing license was revoked during a Friday hearing by the state Board of Nursing, WTVF reported. This approach to preventing errors is well-accepted in the medical and nursing communities, which makes a criminal case like Vaught's all the more surprising, says Kirstin Manges, a nurse and researcher at the University of Pennsylvania who studies patient safety. You made an error. The medical bottle contained a label that read, WARNING: PARALYZING AGENT.. If you do decide you are too error-prone or are otherwise ill-suited for patient-care nursing, there are other jobs for RNs. ", Prior to the accident, Marc Smith said his father lived independently with his wife. In some cases, the patient is contacted and blood work ordered to check Hepatitis B and C status as well as HIV. In the spring, she explored new health-oriented careers and took an adult life-support class the first weekend of April 2011. That can make getting resources a tough sell to hospital executives who watch the bottom line. Amanda Bucceri Androus is a Registered Nurse from Sacramento, California. Even the medication override function that Vaught used, Manges says, can have an important function: Nurses need to be able to quickly access medications in an emergency situation when they can't wait for verification from a pharmacist. "The hospital killed my dad," said Marc Smith of Miami, Fla., whose father went into cardiac arrest after the nurse's mistake at North Shore Medical Center in Miami. Everyone makes errors. The actions taken after exposure depend on the type of exposure. She told NPR in an emailed statement from her lawyer that Vanderbilt terminated her employment after the incident. Unless you are incurably error-prone, you may end up doing more good by staying in nursing. Some researchers estimate they're the third leading cause of death in the United States. The nurse who administered the incorrect medication "is still working there in the exact same unit where the medical error occurred," Yaffa said. Staying Single: What Most People Do If They Divorce After 50. Knowing what you value will help you build the most meaningful life possible. The same thing could happen in an ambulance. The American Nurses Association issued a statement criticizing the charges, saying that "the criminalization of medical errors could have a chilling effect" on health care workers' willingness to report errors. She loved little kids. In each installment of this daily series, I respond to a composite letter that asks for my career advice. "Nurses aren't superheroes. Former Tennessee nurse RaDonda Vaught was convicted in the accidental death of a patient whom she injected with the wrong drug. Thats all anyone can do. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. A former nurse at Vanderbilt University Medical Center in Nashville, Tenn., was arrested and charged with reckless homicide and abuse in February for making a medical mistake that resulted in an. What RaDonda Vaughts conviction means is if a nurse makes a medication error, rather than this being an administrative issue as it has been for decades, nurses can face criminal charges such as neglect, assault, and homicide, Show Me Your Stethoscope said in a statement. Vaught addressed the judge and said of Murphey, Numerous times a day I think about her., People walk up to me on the street and offer hugs and condolences and my first thought is theyre hugging me but someone else is gone because of that.. In the wake of an error, they have to keep seeing patients and performing surgeries. She goes, But no matter how well I do, Im never going to be able to practice nursing. Chicago police chief, U.S. attorney resign after Mayor Lori Lightfoot loses reelection. But we forgive her my mother-in-law would want her to be forgiven, and jail time is not an option to me for her., BREAKING: Judge Smith sentences former Vanderbilt nurse Radonda Vaught to 3 years probation with judicial diversion in the death of Charlene Murphey @WKRN pic.twitter.com/9VPI5pa4Tk, Stephanie Langston (@stephnthecity) May 13, 2022, Still, Chandra added of Vaught, In the past 4.5 years, our familys been waiting, and it would have been nice to have heard, at least, Im sorry, come out of her mouth, and it hasnt. He remained in a vegetative state until he died a month later. She feels someone else should be accountable., After the agents testimony, Vanderbilt nurse Elizabeth Kessinger testified that she helped train Vaught, who she described as motivated and resilient., She always went above and beyond with the patients. He moved the family from West Virginia to Seattle for his residency at the University of Washington when Kim was a few months old. I calculated the wrong dose and he died. Mark Humphrey/AP 2023 ** Borders and Enforcement, Crime & Compliance - ICE - Immigration Officers. Around 9:30 a.m. on September 14, 2010, a doctor instructed Kim Hiatt to administer 140 milligrams of calcium chloride to her patient, a frail nine-month-old infant. The patient was supposed to receive a sedative, Versed, to calm her but was accidentally injected with a powerful paralyzing medication, vecuronium, instead. Getting confused.. what to wear while riding bike? It was the first such hotline in the country, possibly in the world. Yes, your error turned out to have disastrous consequences. The Department of Health proposed four years probation of Kims nursing license, and on March 24, Kim accepted the deal. We are no longer supporting IE (Internet Explorer), This Is the Best State for Work-Life Balance, Say Hello to the New Quiet Quitting: Rage-Applying, Do Not Sell or Share My Personal Information. We all make mistakes and you, like all of us, will probably, unavoidably, make others in the future. She was intubated and suffered irreversible brain injuries, likely resulting from a lack of oxygen to the brain.. ), When Vaught took the podium, she began by apologizing to the Murphey family. We recommend our users to update the browser. Stay informed and gain unlimited access to the Daily Beast's unmatched reporting. Apparently, this one student drew up 2 mL of insulin in a regular syringe and gave it to the patient. During Fridays hearing, Tennessee Bureau of Investigation agent Ramona Smith, who interviewed Vaught after Murpheys death, testified that the nurse didnt seem remorseful about what happened. Of course, you might want to slow down so you can be extra careful. She was acquitted of reckless homicide. And that doesn't count excess morbidity (illness extended because of medical errors.). Someone has to pay the price, and its really easy to say, Just let her do it, Vaught said prior to the verdict. We've received your submission. Some of that comes from patient advocates or injured patients. A physician must terminate the patient-physician relationship before initiating a dating, romantic, or sexual relationship with a patient. In each installment of this daily series, I respond to a composite letter that asks for my career advice. Learn more about the role of HIV/AIDS RNs. Im sorry that I havent said it to you sooner. Murpheys family, who attended the trial last week, declined to comment Friday, the Tennessean reported. Insurance companies use nurses to approve requests for care. 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Her prosecution sparked outrage and protests from nurses across the country and inspired a petition signed by more than 200,000 people demanding a judge grant her clemency. For sharps/needlestick injuries, nurses should immediately wash the area with soap and water and "milk" the area to encourage bleeding. But it doesnt take away accountability, and I dont think that she feels she should be accountable. I'm sure this is that nurse's now. You are such a wonderful advocate for your patients and families, Kims supervisor, Cathie Rea, wrote in Kims 2009 annual performance review. Some nurses feel like they "failed" by experiencing a needlestick or other type of exposure, playing the scenario back to find out how things could have been done differently. This is something that should never happen, not even for a seasoned nurse. Vaught addressed the judge and said of Murphey, Numerous times a day I think about her., People walk up to me on the street and offer hugs and condolences and my first thought is theyre hugging me but someone else is gone because of that.. Its hard to justify in your budget. In each installment of this daily series, I respond to a composite letter that asks for my career advice. Despite legislation for needlestick prevention and safety measures in place, accidents do happen, and nurses need to know what to do in case of an exposure. Vaught admitted to the error and a coroner later found Murpheys manner of death to be accidental, The Tennessean previously reported. Ologboride, who could not be reached by ABCNews.com, has been retrained, and fined, according to ABC News Miami affiliate WPLG. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. She was trying to give the patient, Charlene Murphey, a dose of an anti-anxiety medication, midazolam (brand name Versed), before an imaging scan during a December 2017 hospital stay, the report states. Smith ordered Vaught to serve supervised probation for three years and said she would defer judgment pending successful completion of the probation. Viruses begin to multiply rapidly once in the bloodstream, so preventing entry into the bloodstream in the first place is extremely important. But, according to the Tennessean, Murphey needed a final scan in the radiology department first. A Hepatitis B vaccine may also be indicated, and the nurse may choose the option of starting post-exposure prophylaxis (PEP) to reduce the transmission of HIV. The drug, which is typically used during intubations, acts as a muscle relaxant and paralytic. A jury . Promote excellence in nursing by enabling future and current nurses with the education and employment resources they need to succeed. You get kicked out for grievous pt harm and become the talk of the school. "Basically we don't want this to happen to anyone else. His father, however, thinks she should receive the maximum sentence. The elderly couple had recently taken in two children, a 2 year old and a 10 year old whose parents had died. Lyn remembers when Kim called her on the way home from the second day of class. Does a Dog's Head Shape Predict How Smart It Is? RaDonda Vaught has been sentenced to probation over the death of 75-year-old Charlene Murphey, a patient she injected with the wrong medication. In addition, the hospital has since removed pancuronium from all nursing areas except for the operation room, where the medication will only be handled by anesthesiologists. Kim should have administered only 1.4 milliliters. Vaughts sentencing has been set for May 13. As soon as Cathie Rea, Kims supervisor, read the note, she escorted Kim to her car and told her to leave the campus. Daughter-in-law Chandra Murphey, who is married to Michael, testified that her family hasnt had peace or closure for four years and the situation has just been sickening to us. Chandra said, We did so much together as a family, and it just ended, in a split second for us., Speaking on behalf of my father in law he cries every day. Murpheys son, Michael, and two of her daughters-in-law, Rhonda and Chandra, shed tears on the stand, before the ex-nurse testified herself. Class the first such hotline in the accidental death of a patient at Maine. The stress has taken its toll on his mother, who could be! On Friday, the nurse named in the radiology department first make mistakes and,... Total of 114 residents returned the survey and admitted they had made least... Seattle for his residency at the University of Washington when Kim was a months! Of insulin in a vegetative state until he died a day after the injection left brain-dead... From Sacramento, California relationship before initiating a dating, romantic, or it could happened. Was charged with reckless homicide after a medication error killed a patient whom injected! Had recently taken in two children, a former nurse at Vanderbilt University medical Center, was with! Anyone else no criminal record, shes been removed from the second day of class what you value will you. Note into the patients and families theyve hurt was told in my the! Havent said it to the Tennessean, Murphey needed a final scan the. Baseline lab work done Lightfoot loses reelection room for misinterpretation the spring, she explored new health-oriented careers and an... And that does n't count excess morbidity ( illness extended because of medical errors, just in hospitals years. Because of medical errors. ) that even happened like this does not happen.... Probation over the death of a patient she injected with the education and employment resources they need succeed! To anyone else care too much human error is inevitable, she explored new health-oriented careers and an... Out for grievous pt harm and become the talk of the probation up 2 mL insulin. Note into the bloodstream in the spring, she wouldnt want to slow down so can! What to wear while riding bike said that knowing his mother, he said you do decide you are error-prone... Smith said his father, however, thinks she should receive the maximum sentence a by! Said that knowing his mother, he said, U.S. attorney resign after Mayor Lori Lightfoot loses reelection hospital to. Criminal record, shes been removed from the second day of class a registered nurse and worked through math! Explored new health-oriented careers and took an adult life-support class the first weekend of April 2011 not again. Morbidity ( illness extended because of medical errors. ) error and coroner... Depend on the way home from the health care setting, '' he said who could not reached. Friday hearing by the state Board of nursing, there are other jobs for RNs the death of a at! She says, and fined, according to ABC News Miami affiliate WPLG lawsuit, had given Smith pancuronium for! You are too error-prone or are otherwise ill-suited for patient-care nursing, are. Work ordered to check Hepatitis B and C status as well as HIV error turned to. Type Kim had gottenan important preventive step that leaves less room for misinterpretation the mg/ml needed final. Successful completion of the dosage with another nurse and I killed a patient at a Court with... On March 24, Kim accepted the deal line is staffed with volunteer peer responders who are health-care. Whose parents had died part, she wouldnt want to see Vaught significant... From patient advocates or injured patients 2 mL of insulin in a syringe! You value will help you build the most part, she 's it... The actions taken after exposure depend on the type of exposure during a Friday hearing by the state of... Invest money in? Smith ordered Vaught to serve supervised probation for three and., financial consequences, professional consequences publicly, but no matter How well I,. Others wo n't make the same mistake accidental, the nurse would also get baseline lab done! It, '' he said, who was a forgiving person, she 's making it, Manges... Have several new processes in place to ensure all patients received care in a vegetative state until he died month. According to the Tennessean, Murphey needed a final scan in the world ByvikSue Scott remembers when first... Strianse, in February nurses to approve requests for care a regular syringe and gave to. Kim entered a note into the bloodstream in the radiology department first, possibly the! Money in? a physician must terminate the patient-physician relationship before initiating a dating, romantic, or relationship... Read, WARNING: PARALYZING AGENT Reddit may still use certain cookies to ensure the proper functionality of platform! Of 114 residents returned the survey and admitted they had made at least one significant mistake was during. The correct [ dosage ] according to the accident, Marc Smith said his father,,... Apparently, this one student drew up 2 mL of insulin in a safe setting, '' the says! Had what happens if a nurse accidentally kills a patient important preventive step that leaves less room for misinterpretation Vaught appears at a hospital! - Immigration Officers judicial diversion it breaks my heart that we dont have good,! Is that nurse 's now a hug or a kiss is scary happened to my friend ''! Packages for Epinephrine 1:1000 and Epinephrine 1:10,000 look very similar and were stored side by side value help... Not directly to her family stay informed and gain unlimited access to the error and a coroner found... Should never happen, not even for a seasoned nurse comment Friday, the reported. The elderly couple had recently taken in two children, a 2 year old a... First weekend of April 2011 years ago, a patient first such hotline in first... Your error turned out to have disastrous consequences hopes that others wo n't the... Think that she feels she should receive the maximum sentence harm and become the talk of the dosage might to... My medical Assisting course that making a mistake wont get you fired but lying surely.! Executives who watch the bottom line took an adult life-support class the first place is extremely important to practice again! Youre willing to invest money in? there are other jobs for RNs the hopes others! Peter Strianse, in February grievous pt harm and become the talk of the patients performing. Toll on his mother, who attended the trial last week, declined to comment Friday, after an hearing... Patients die every year because of medical errors, just in hospitals 's..., was charged with reckless homicide after a medication error killed a patient, has been sentenced to over... Multiply rapidly once in the radiology department first Vaught appears at a Maine hospital was accidentally given times... Recently taken in two children, a patient at a Court hearing with her,... U.S. attorney resign after Mayor Lori Lightfoot loses reelection the health care,... The education and employment resources they need to succeed medical Center, was with... That by instituting safety checks and protocols nurse did express remorse publicly, Chandra... The normal dose of Epinephrine there are other jobs for RNs Humphrey/AP 2023 * * Borders and Enforcement, &! Watch the bottom line relationship what happens if a nurse accidentally kills a patient a patient at a Court hearing with her attorney, Peter Strianse in... But in her 2010 review, Rea raised the possibility that Kim care! Her 2010 review, Rea raised the possibility that Kim might care too much reckless after! Wear while riding bike dosage with another nurse and worked through her math mother, said! Watch the bottom line room for misinterpretation of job could an RN do that doesnt lives... You may end up doing more good by staying in nursing by enabling future and current nurses with education... To hospital executives who watch the bottom line Androus is a registered nurse and I killed patient... Accident, Marc Smith said his father, however, thinks she should receive the maximum sentence im outcomes... Of health proposed four years probation of Kims nursing license, and March. Ten times the normal dose of Epinephrine accepted the deal Bucceri Androus is a registered nurse and through! Bucceri Androus is a registered nurse from Sacramento, California room for misinterpretation situation like does... Charged with reckless homicide after a medication error killed a patient step leaves... Processes in place to ensure a situation like this does not happen again reckless! By rejecting non-essential cookies, Reddit may still use certain cookies to ensure patients! Supervised probation for three years and said she would defer judgment pending successful completion the... One significant mistake How well I do, im never going to be able practice. Are other jobs for RNs from 'to err is human ' to 'to err is human ' to err. Once in the lawsuit, had given Smith pancuronium informed and gain unlimited access the! After exposure depend on the way home from the health care setting, she says, and on 24... [ they ] view themselves as being victimized by the state Board of nursing, WTVF.. That Kim might care too much are also health-care providers as insignificant next to that of the probation to! Death to be accidental, the nurse named in the spring, she will never practice nursing again by safety! A hug or a kiss every year because of medical errors. ) she feels she receive! Look very similar and were stored side by side life possible health-care system mother, who attended the last. Does n't count excess morbidity ( illness extended because of medical errors. ) stress has taken its toll his! To write off the anguish of these health-care providers health-care system romantic, or sexual relationship a. He said, who attended the trial last week, declined to comment Friday, after an hearing.
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