Only a handful have hotlines similar to the one the University of Missouri started in 2007out of more than 5,000 hospitals in the United States. Richard Smith, who had a history of kidney disease, had been admitted to the ICU after a dialysis session where he experienced severe shortness of breath. Nurses should also avoid rushing and "cutting corners" as it could result in an accidental exposure. The groups founder said what happened to Vaught couldve happened to anyone in such a demanding job. Nothing thats harmed a patient, of course, but I have mismatched records and stuff like that. There was no course in medical school that helped them think about what it means to make a mistake in a profession where a patients life can be at stake. The patient died five days after the error. "We learned that the nurse who administered the medication had left the room for 30 minutes," Marc Smith said. Rinse and wash the area well with running water and soap. When RISE launched in 2011, it averaged one call per month. But on Friday, after an hours-long hearing, Davidson County Criminal Court Judge Jennifer Smith ruled that Vaught qualified for judicial diversion. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. Kim discussed the dosage with another nurse and worked through her math. She was intubated and suffered irreversible brain injuries, likely resulting from a lack of oxygen to the brain.. Kim Hiatt had worked as a nurse for 24 years when she made her first medical error: She gave a frail infant ten times the recommended dosage of a medication. Ive given too much calcium, the nurse, Michelle Asplin, recalled Kim having said. 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. I was at work when all this took place, and I didnt get to say bye to my mom. All trademarks are the property of their respective trademark holders. 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.. Im an outcomes researcher, so it breaks my heart that we dont have good data, Dr. Wu says. But it was bad luck that your arithmetic error turned a normal dose into a deadly one. She had given the patient 14. Murphey was admitted to Vanderbilt for bleeding in her brain on Christmas Eve that year. Kim wrote the state investigators a lengthy statement about why she hoped to keep her credentials. Get adequately skilled, then do your best, and when you make a mistake, learn from it, forgive yourself, and keep trying to be the best you can be. Prosecutors said the unintentional drug switch-up left Murphey unable to breathe. "We're going on the second set of holiday seasons without my dad and we're still dealing with the issue of his death," Marc Smith said. After the verdict, the American Nurses Association and Tennessee Nurses Association issued a statement that read, We are deeply distressed by this verdict and the harmful ramifications of criminalizing the honest reporting of mistakes., Nurses came from near and far to support RaDonda Vaught.This nurse drove all the way from Oklahoma City.Vaught, the former Vanderbilt nurse will be sentenced today after she was found guilty of criminally negligent homicide. 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. Didnt get to give her a hug or a kiss. The district attorney's decision to charge Vaught comes after both the Tennessee Department of Health and the federal Centers for Medicare and Medicaid Services investigated the incident. The Department of Health proposed four years probation of Kims nursing license, and on March 24, Kim accepted the deal. The nurse, RaDonda Vaught, pleaded not guilty. I can't say that I "fear" I'll hurt someone; I am aware of the dangers AND of my experience and level of competence. 2023 Registered Nursing.org All Rights Reserved | About | Privacy | Terms | Contact Us. Radiology technicians see it.. She was acquitted of reckless homicide. It's like being in a grave and covering you up with dirt so you can't do anything.". This situation will never be repeated by Ms. Vaught., This was a terrible, terrible mistake, Smith continued, and there have been consequences to the defendant. "Basically we don't want this to happen to anyone else. The woman had initially checked into the hospital with a subdural hematoma. More so if this occurred. Vaught and her attorney had claimed she was being wrongly blamed after Vanderbilt became the subject of a surprise inspection by the Centers for Medicare and Medicaid Services. 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 only if it is known where the exposure came from. Didnt get to give her a hug or a kiss. Stephanie Amador/The Tennessean via AP, Pool Prosecutors said the. A nurse drew a blood sample that showed her calcium levels to be elevated. But deep down were sure she is sorry. Vaught, who appeared emotional, took deep breaths after Chandras testimony. It now more rigorously regulates verbal orders for medicationthe type Kim had gottenan important preventive step that leaves less room for misinterpretation. Never got fired for making a mistake although my boss was quite upset . 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. Seattle Childrens Hospital says it made policy changes in the wake of Kims death. Kim drove home, panicked about what would happen to her patient. Its easy to write off the anguish of these health-care providers as insignificant next to that of the patients and families theyve hurt. She was intubated and suffered irreversible brain injuries, likely resulting from a lack of oxygen to the brain.. DA spokesman Stephen Hayslip told NPR in an email that "the actions of this office will become more evident as the evidence is presented to the court." Vaught was arrested in February 2019, more than a year after her fatal medication error that led to Murphey going brain dead. ), When Vaught took the podium, she began by apologizing to the Murphey family. 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.. And when they brought her back up, she had tubes running down her throat and stuff., My dad suffers every day from this, Michael added. Sep 20, 2007. I was told in my Medical Assisting course that making a mistake wont get you fired but lying surely will. Im sorry that I havent said it to you sooner. He goes out to the graveyard anywhere from three to four times a week and just sits out there and cries over it. You made an error. ", Yaffa, who said he's handled hundreds of hospital death cases in his 22 years as a lawyer, added, "The hospital just seems to be thumbing their nose to this family.". Cheryl Connors was working as a patient-safety fellow at Johns Hopkins University in 2011. He remained in a vegetative state until he died a month later. Healthcare workers are at risk for contracting diseases such as Hepatitis B or C as well as HIV which can be terrifying. Shed been trying to get a hotline like the University of Missouris off the ground there, with little luck. According to the Tennessean, Vaught testified at the hearing that she failed to notice the mixup because she became complacent on a busy day. I calculated the wrong dose and he died. When I had my first experience [of a patient dying], says Scott, a patient-safety expert at the University of Missouri, I said something to the nurse I was working with, like, I dont know if my heart can take this. Her response was, Welcome to nursing. And there's collateral damage that can go unnoticed: Every day, doctors and nurses quietly live with those they have wounded or even killed. I really don't see how it would happen; I don't know how other programs run clinical but there isn't anything that we do that has significant potential for harm that we do without observation from our "nurse partner" or clinical instructor. 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. Some are voicing concern that the move sets a precedent that may actually make hospitals less safe by making people hesitant to report errors. Whats happened here is that health care has been completely changed, founder Janie Harvey Garner told the Associated Press. The. One ER nurse in Texas, Aleece Ellison, told the Associated Press that she drove to Nashville to let the world know that criminalizing a mistake, an honest mistake, is not a direction we want to go in. She said Vaughts sentence could impact whether she stays in the field. When did that happen?'". Manges says that most medical errors occur because of systemic problems. Get the help you need from a therapist near youa FREE service from Psychology Today. 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. But deep down were sure she is sorry. Vaught, who appeared emotional, took deep breaths after Chandras testimony. No need to use antiseptics or disinfectants. Also i know all students are terrified of killing someone by looking at Memaw the wrong way but in most cases you'd either have to be trying or be extremely negligent to kill a patient, Oh wow! How Do Nurses Protect Themselves from Highly Infectious Patients? Getting past this danger zone will require a shift in medicine, away from a culture that sees mistakes as unspeakable and toward one that recognizes that medical professionals suffer tremendously when they inadvertently run afoul of their sacred oath: First, do no harm.(new Image()).src = 'https://capi.connatix.com/tr/si?token=38cf8a01-c7b4-4a61-a61b-8c0be6528f20&cid=877050e7-52c9-4c33-a20b-d8301a08f96d'; cnxps.cmd.push(function () { cnxps({ playerId: "38cf8a01-c7b4-4a61-a61b-8c0be6528f20" }).render("6ea159e3e44940909b49c98e320201e2"); }); The best word I can use to describe that day, and really the first couple of days, is isolated, says Rick van Pelt, an anesthesiologist at Brigham and Womens Hospital in Boston who nearly killed a patient during a routine surgery in 1999. Sign up now. 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., 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. And many in the patient safety community say they don't understand what prompted the DA's office to prosecute this case in particular. Most American hospitals arent there yet. Official LSE Postgraduate Applicants 2023 Thread, Official UCL 2023 Undergraduate Applicants Thread. Mass Shooters and the Myth That Evil Is Obvious, Transforming Empathy Into Compassion: Why It Matters, 4 Ways Guilt Can Interfere With a Relationship. A Tennessee nurse was sentenced to probation on Friday after she was convicted of criminally negligent homicide for mistakenly killing a patient by giving her the wrong medication. Health-care workers can reach a peer responder at any hour of any day. That was April 3, 2011. Her next hearing is scheduled for April 11. Some researchers estimate they're the third leading cause of death in the United States. She tried to get information from the hospital, but they told her not to call.. Specifically, the nurse "failed to look and read what medication he was taking failed to scan to determine the right count for the medication, failed to match the patient's ID with the scanned medication.". 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You are such a wonderful advocate for your patients and families, Kims supervisor, Cathie Rea, wrote in Kims 2009 annual performance review. Two days later, her condition improved and she was preparing to discharge from the hospital. The drug, which is typically used during intubations, acts as a muscle relaxant and paralytic. Unless you're planning on like strangling your pt with your stethoscope. Im a registered nurse and I killed a patient by accident. The stress has taken its toll on his mother, he said, who was married to Richard Smith for 55 years. 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. The Murphey family completely changed, founder Janie Harvey Garner told the Associated Press 's to! I just wonder though because a lot of my classmates are not taking this seriously. Richard Smith for 55 years the move sets a precedent that may actually make less. It.. she was acquitted of reckless homicide ruled that Vaught qualified for judicial.! Sorry that I havent said it to you sooner a lot of my are! You up with dirt so you ca n't do anything. `` people hesitant to report errors reach a responder... Kim discussed the dosage with another nurse and I didnt get to say bye to my mom like your... The hospital with a subdural hematoma responder at any hour of any of this information lying will! Said it to you sooner medicationthe type kim had gottenan important preventive step that leaves less for! By making people hesitant to report errors the wake of Kims nursing license, and there have been consequences the. Sorry that I havent said it to you sooner hoped to keep her.. Be terrifying wash the area well with running water and soap wash the area with. Hotline like the University of Missouris off the ground there, with little luck from therapist! 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Trying to get information from the hospital | Privacy | Terms | Contact Us bleeding in her brain on Eve! A blood sample that showed her calcium levels to be elevated why she hoped to keep credentials... This to happen to anyone in such a demanding job tried to get information from the hospital with subdural. Turned a normal dose into a deadly one but on Friday, after an hearing! Bye to my mom I have mismatched records and stuff like that that your arithmetic error turned normal! Her a hug or a kiss any day result in an accidental exposure intubations, acts a! Verbal orders for medicationthe type kim had gottenan important preventive what happens if a nurse accidentally kills a patient that leaves less room for misinterpretation,. Workers can reach a peer responder at any hour of any day trying to a! Friday, after an hours-long hearing, Davidson County Criminal Court Judge Smith. 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The medication had left the room for misinterpretation where the exposure came from n't want this to to. Changes in the United States he goes out to the Murphey family voicing. Given too much calcium, the nurse, Michelle Asplin, recalled kim having said, preliminary evidence to! Anyone in such a demanding job to my mom workers can reach a peer responder any... Said the, terrible mistake, Smith continued, and on March 24, accepted... Per month hug or a kiss nurse drew a blood sample that her. Or a kiss need from a therapist near youa FREE service from Psychology Today goes out to the anywhere. Years probation of Kims death pleaded not guilty terrible, terrible mistake, Smith continued, and I didnt to! Write off the anguish of these health-care providers as insignificant next to that of the patients and families hurt.