I've been a nurse for decades & my granddaughter is a new nurse. When she graduated, I gave her 2 pieces of advice. 1. Always follow the safety measures you learned in school. 2. Never allow being rushed, stressed, or pressured make you take short cuts or skip the safety measures you learned in school.
How long have you been out of the profession? It's great advice, but she will be under immense pressure with much less staffing than you were provided back in the day. One thing I wasn't prepared for... how *hard* I would have to fight to follow P&P. It's ridiculous! Some supervisors can't even find policy and procedures!!!
@MNP208 I just retired about a year ago (I'm 73). I'd still be working if I had not had a supervisor who thought he could B.S. his way through his incompetence. And policies? I asked for months for a policy about a particular item & he could never produce it. It was not on line & there were no hard copy policy manuals. Things like that put the staff in too much jeopardy! My granddaughter works in ER & loves it. No issues with staffing there. 😊. I'm hoping she goes back for her NP.
@@saratonnan When they ignore your email... that's when you know they can't find the policy and don't care. 🤣 Your granddaughter is very lucky they don't have staffing issues in the ED! What area of the country?
The fact that she self reported her fatal med error means she was not trying to cover anything up. She deserves another chance with supervision & probation etc.
Girl senior nurses very much make new grads/novice nurses feel stupid for asking questions. Especially in critical care. Everyone likes to act like they were never taught.
I am 30 years in and STILL double check all medications and calculations. I do long math 😅! My heart goes out to that young nurse and my heat goes out to the patient's family
I’m a CNA not a nurse and honestly . I didn’t care how annoyed my coworkers were . I would ask manyyyyy questions, is the resident a two assist? Are they allowed to get this sugar ? I need assistance for the shower or transporting. I was always asking questions. Every time I watch your videos I’m inspired to go into nursing. Wow I love how you speak, you’re absolutely right. Always ask questions!
As a new nurse, I never understood hearing often "fake it till you make it!" I have always felt comfortable asking questions about things I dont know! Even before nursing I want to know it so I can be confident!
I have a co worker that said to me. "You're always asking questions. Why?" I told her 1. I don't want to have to do something twice, 2. I want to make sure that I fully comprehend the situation, and 3. knowledge from every aspect is what I feel will help the process to be more efficient. I will always ask questions, especially now that I've returned to school for a 2nd career. #surgicalnursegoal
The fake it till you make it definitely doesnt make it in the nursing world it's no dumb question yes we all have credentials but the experience is what makes us great nurses you definitely cant fake that...were human some of us may make a mistake but a mistake is a learning experience ❤
Absolutely! One of the smartest moves as a nurse, if you don’t know how to do something, or never did something, is to say, “I never gave this, I never did this, I need help!” Asking questions is a sign of strength, not weakness!
If she’s given Versed, repeatedly, why is she reconstituting a powder drug to administer what she believes to be Versed? It makes no sense whether she’d ever given Vecuronium or not. She’s never had to reconstitute Versed, and that’s where the brakes in her brain should’ve slammed and she should’ve started asking more questions. Again, if she has given Versed in the past, what has she been typing into the ADS for that medication to show up on the patients profile? In all of her 2 years has everyone been referring to the drug as “midazolam” and that was the first time someone ordered Versed? I doubt it. It’s just negligence from every angle as far as I’m concerned. Yes, we’re all human and we all make mistakes, but that doesn’t mean we’re not responsible for our actions and the consequences that come with them.
@KendraRN though you mentioned in your video, she might have been too embarrassed to want to ask questions about the the drug or rather "powder drug" so that the student nurse wouldn't think she wasn't a knowledgeable nurse. All around sad case for everyone.
I agree with you that she should be reinstated, absolutely 100%, she will make the rest of her nursing career all about patient safety. We all make mistakes and deserve a second chance.
Great tip having another nurse eyeball the dose with you. But one of the issues I'm having in nursing school is when I ask a nurse to double check my work, they take that as I'm not 'sure' of myself. Which I don't get because we should all double check ourselves.
From what I have heard of the case, I think she was in autopilot mode. I think she was working but not really paying attention to what she was doing, which can happen in health care unfortunately.
I’ve been an RN for 20 years, LVN for six years, CNA/HHA one year, and prior to that I would get to occasionally tag along with my RN/PHN mom to visit home health patients. RN’s scope of practice has changed and expanded exponentially since my mother went to a 3 year RN program taught by nuns. The nursing students lived together in a dorm that was on the hospital grounds. When I was an LVN and told my mother that I took care of home health patients who were on ventilators she didn’t believe me! As an LVN in the 90’s I had much more responsibilities and was taking care of more complex patients than she did as a RN in the 1950’s - 1980’s. Nursing has come a long way since my first RN job in 2002. We only had paper charts/charting and would have to record report on a cassette tape for the next shift. There were Pyxis machines back then but not all hospitals had them. Before Pyxis, all the narcotics were kept in a locked drawer in the med room. There was only one set of keys for that drawer & the charge nurse kept them. At the end of each shift the narcotic count had to be done by the outgoing charge nurse who’s shift was ending and the one who’s shift was about to start. Nobody was allowed to leave until the count was “cleared”. If it was off, we would have to check every patients paper MAR to see who had given the medication that was off count and figure out why the count was off and resolve everything. It was a nightmare! I remember when we were told that medication administration was going to be switching to BCMA, Barcode Medication Administration. We all thought that it was going to really slow down our ability to pass meds. Lol. BCMA along with the Pyxis system has been one of the best improvements in preventing medication errors. There were a few glitches in the beginning but nothing too bad. And when the hospitals started switching to EMR’s there were nurses who were so against it that they chose to quit or retire because computers were too complicated and intimidating. There are so many safeguards that can be put in place with relatively little effort. RN’s on med/surg, ortho, tele, peds, etc. don’t administer paralytic drugs like Vecuronium, or sedatives like Propofol. Their units don’t have the proper monitoring technology required, etc. and the nurses aren’t familiar with and experienced in giving them. The only nurses that should have Pyxis access to drugs like those are the ones that normally give them. Every other nurse should be denied access by the Pyxis. In addition, start requiring a 2nd nurse (or doctor) to verify the order and medication that’s pulled. We’re required to have a 2nd nurse verify insulin orders and doses, why wouldn’t we do that for highly dangerous drugs like paralytics sedatives, and other drugs that have a high probability of causing a sentinel events. ICU, Critical Care, Flight nurses, Cath lab and maybe IR and ED nurses should be the only ones qualified and signed off to give them. Hospitals can easily restrict Pyxis access to unqualified nurses.
I really like your ethical and humane stance on nursing practice. You are a nurse and a credit to your profession. We need more nurses like you. God bless you and keep you humble and safe.
Such a tragedy. I just graduated from professional school and one thing I have no problem saying is "I don't know." Like you said, no one can know it all. That makes all the difference for everyone involved. I'm new to your channel and I'm loving the content!
Hospitals place many " fail safe " features , for medicationadministration. She bypassed all except , armband check , maybe. Before giving any meds , nurses are TAUGHT TO scan each med & each patient armband . If the nurse would have scanned that med , before giving it , things would have been different. If you scan a medication, that ISN'T ordered for that patient, the scanner alarms & " WARNING WARNING , that med is not ordered for that patient. " 😮 Goodness knows , the scan system saved me many times . Especially, when it's hella crazy on the floor , with not enough help . Sad part is , some nurses refuse to scan , they give meds , then scan later 😢. Me = how sway 😮 Anytime that scanner saved me , i stopped & thanked Goodness . 🙌
I agree when you are busy even something as simple as what happened to me the other day really helps. I was giving lithium in a 300 mg tablet and when I scanned it the warning came up that the dosage ordered was 150 mg. I was so busy that I bet I would’ve missed that if it hasn’t come up. My professor was watching me at the time because I am still a student and I verbalized that I was breaking the tablet in half and Also wrote in the comments on the chart that I had halved a tablet. But that little warning saved me
I absolutely love how much thought you put into the potential scenario or set of circumstances even down to the culture of the surrounding environment. Refreshing to hear another nurse who looks at all the different angles.
Thank you. It’s important to allow her grace by examining all of the different factors. Nurses can be mean and if you’re a meek person, you can fall victim to bad culture or nasty coworkers. Thank you.
I’m not a nurse I work in medical insurance but I LOVE watching her videos. Such a knowledgeable and strong minded, kine nurse. Very few real nurses works in nursing.
I agree she should be given a second chance. I also believe she will be the best. I have learned a lot from this story. I wish her best. Thanks for this story
If she had been a nurse for 2 years then a nurse with more experience should have been preceptors. She was still in the learning phase of her career. I have been on both sides, I made a med error on the amount of fluids to be given. On the other hand my mother died from an error. I didn’t file a lawsuit. It doesn’t matter who you are there will be mistakes made as long as humans are working. Should she be banned from being a nurse, no she should not.
When all else fails and I cant figure something out dosage wise i always go to pharmacy and ask a pharmacist if I have any questions. I've been an RN er for over 20yrs and still have not made a med error. Thank God.🤗
I was literally looking for this, watched a Doctors video on it, came back and you uploaded. I was appalled at how this went...smh. it's why I left the bedside, obtained my Masters in Psych, and worked as a clinician. I will still work, but 1-1 home health. My sisters are nurses and 1 is a NP and I pray for them and their patients. Sad.
Kendra, sometimes it’s as simple as people get comfortable with taking short cuts in their nursing practice and things that would be caught with a strong nursing practice routine, will be lost in the rush of poor practices. That can be true of anyone if we become lax or complacent. That’s why I try to do my nursing care with my checks even if it takes a little more time. With practice I became more proficient and quicker rather than skip steps. The temptation is there but we have to fight the urge, in order to avoid critical situations. It’s tragic and heartbreaking.
Dolores you’re so right! I’ve been tempted to take shortcuts and as a matter of fact I did once and it caused me to infuse Vanc too fast, plus I missed the patient was allergic to Vanc 🤦🏾♀️. I learned my lesson then.
@@KendraRN that’s also why I would actually do a head to toe on all my patients for my assessment, only tweaking specific things to add more than take away. I’m enjoying your videos, don’t know if you saw my cautionary response previously about being careful of HIPPA; it was such a big deal when it was put in place that we were afraid to whisper in public, it’s probably better now.
As a brand new nurse ( middle aged though), it's truly dismaying how many times I ask questions or say " I don't know this ..." I am 2 months into the job. It feels like failure ! I always ask ask ask bc I am too old and don't care as much what others think. But still. It's hard.
Do no harm...it's always at the back of my mind. I have no problem asking questions even with my degrees & yrs of experience. I don't want to be a liability to my patient.
Every nurse should do three checks. I would prefer to be talked about than jeopardize my patient's life. Pharmacy was my friend when I was working on the floor. I agree with you about giving her another opportunity. People will talk until the shoe is on the other foot. I went to a community college and my professors were like been in the army. I am a nursing professor and teach my students to know the medication, side effects,adverse reactions and nursing implications. I find that nursing schools nowadays are too easy with students and let them get aways with anything. They'll take people that they know shouldn't be nurses but money talks. I am scared to be a patient and let a new nurse takes care of me. I would want a nurse no less then five years to care for me. Nursing is a sad situation nowadays.
There are nursing schools that are not accredited ...i know coworkers who graduated from them...and now go to online np schools that are open book....lol...e.g. pharmacology class students are given one final paper to pass....gotta be kidding me...I had to memorize differnt classes of abx, know which pathogen it targets and know alternative medications to prescribe in case of mild/moderate allergic reactions, and also consider sensitivity and resistance and know what other alternatives are available in those cases....when i worked...i triple checked meds, patient specimens..i would always value closed loop communication especially during emergencies....ppl called me OCD.... made fun of me for being so "anal" with everything.. yea i didnt freaking care...call me and label me, diagnose me w/e on the DSM V... all you want, I was all for safety...People look for the approval of others at work and I hated that...some people didn't refer to policy and "went with the flow," to blend in...and some times i was the odd duck...doing everything right by the books....always received the best compliments and reviews from my patients and management though...the attendings said they felt the safest when they knew I was the nurse taking care of their patients....like Kendra said, don't let others around you intimidate you or influence the way you work and critically think...theres no shame in looking stupid...I ask stupid questions till this day...youre not a practitioner...and even if you are a practitioner,,,there is NO WAY YOU WILL KNOW IT ALL...thats what referrals and consultations are for....
I’m when i graduate I literally want nothing to do with meds for this very reason. Like I’m absolutely terrified of giving the wrong med or dose. And I believe in second chances as well.
I previously worked in a pharmacy in the U.K. and a dispenser and pharmacist would have to check minimum 4 times before we handed medicine to a patient. the probability of making a mistake is too high when you rely on one person to pick, mix and administer medicine. RIP Charlene 😔
I agree with you totally....she will never make that mistake again...she may be the nurse that makes the most impact on her students and colleagues regarding the importance of double checking your meds or asking her colleagues to check unfamiliar meds with her. I love your videos... I'm a retired RN...I miss it! 😊
I like what you say and especially how you say it. I agree with everything you said. Radonda should have realized that she was giving the wrong med. And yet, I like how you show grace and compassion for her. Hopefully, she will be reinstated. You pointed out that she would be one of the safest nurses. I had not thought about that. You are so right! Thank you for showing me how narrow minded I was.
Kendra, I really appreciate your videos about this case. I'm not a medical professional, but I have a chronic disease I was born with that was not dx until I was 45. Needless to say, I have become well versed in a lot of medical procedures. When you said the patient was mistakenly given a paralytic my blood ran cold. I can't imagine the horror Ms. Vaught felt when she discovered her mistake. I give her props for bringing her error the attention of hospital administration. Like you, I have a real problem with hospitals sweeping things under the carpet especially in this case where more safeguards could have been put in place to avoid this type of thing happening again. I'm a tax accountant and one of things we are taught early on is to let clients know that you have to research their tax situation in order to do the best for them. In fact, upon completing one class, I was given an eraser to carry around my neck as a reminder I am fallible. It's sad to know the hospital environment is so hostile that working outside your comfort level can be viewed as failure. I am currently in the investigative process with the board of nursing in my state over a home infusion nurse practicing outside her scope of practice by changing my infusion pump to deliver my medication in under 2 hours when the pharmacy has determined the safe delivery at just over 3 1/2 hours. She was warned 2 times prior to the last time I discovered the change. In my case this nurse made these changes with intent and knowledge that what she was doing was wrong. There was absolutely no intent by Ms. Vaught. I agree that Ms. Vaught's license could be restored provided she gets some specialized training and more in depth understanding of how to protect her license. As you said getting that license requires a lot of education, studying, passing state boards and MONEY. I also think the hospitals need to loosen the purse strings and get their staff educated on the pitfalls of a hostile work environment. A year ago, the Chief Administrator of a hospital near me green light his own bonus of a million dollars all while patients were having to sell their homes to pay their bill and the hospital being short staffed on nurses; but that's another 3 or more videos! LOL
Kendra, your personality, your love for your profession, your confidence and willingness to share exudes through this video. I just learned of your channel and I will be staying tuned. Thank you for being yourself and for sharing!
Loved it! Good wrap up..I've been waiting! "What is the indication for the medication?!." Level-headed approach, "why wasn't the patient monitored?" Offering grace and compassion. You're absolutely right that RaDonda would now be the safest nurse ever! I think we, especially new nurses are too conditioned to be a "team player" and "not make waves" that we don't stop, speak up and ask questions! ❤
That’s why we need to provide a judgment free environment. Many failures your suppose to due 5 rights chk. Right patient, right drug right dose right route etc.. the drug is immediately. Those drugs should be in a pixs that has the draw open only if it has been ordered or separate from other drugs and placed with intubation meds. These are preventable situations even when the nurse is unsure of the purpose of a medication. I hope she doesn’t let it keep her from nursing. Nursing is scary we take a lot of risk and can be extremely stressful but if we don’t change this environment of making nurses feel like they have to know everything we will continue to have these type of accidents. Every nurse should feel free to question herself and ask for help or clarification without judgment the more will learn the more well rounded a nurse becomes the less she will need to question herself. Faking it till you make it has to many consequences in this situation.🙏🏽
@@KendraRN what the hospital administrators can't understand is that this behavior is causing nurses to withhold from asking for help for fear of being seen incompetent. When the true matter is that nurses help you based on their personal like for the nurse then the other nurses jump on that band wagon. Here's the other thing many of the directors are the same way.. keep exposing it just make sure your protected. I was poison for it and ended up in the hospital. Now I'm retired due to complications but justice is coming.🙏🏽
I forgot to mention I got the nurse manager removed from the ICU she was there for 20yrs . They had a high turn over BECAUSE of her. Then her Posey came after me and within that month I was at work and became EXTREMELY ILL. I had to leave during my shift but nobody took me to the ER which we had so I BARELY made it home at 3am and I was taken to ER. Watch your bags because they will try to set you up . I made sure I was constantly checking my bags my intuition kept warning me and I listened. but they managed to share food with me and that's what got me because they had someone else bring it to me that I wouldn't suspect. So much more to the story maybe someday I will meet you and tell you . I'm still fighting to be restored I was only in my early 40 when this happened and we just figured out what actually happened to me so I'm still fighting. I went into CRITICAL CARE right out of nursing school . I also was a CNA Before my RN. Which I attribute to my compassion and ease navigating through the field.🙏🏽
@@sXcSigMa3367 Oh wow Sandra! Thank you for sharing. That is so insane but I am not surprised at the lengths people will go to try and silence you. Thank you again, I’ll keep this in mind.
As a new grad with VERY limited clinical experience, I was already afraid to do bedside nursing & this case has absolutely TERRIFIED me from ever attempting! 🥺 Now I’m trying to figure out which route to take 😔
Hey Kendra!!! A frfr novice nurse here, only 8 months in😅 love your content!! I need more of that prudent nursing advice and skills that you learned and was taught in nursing school! Would love to hear and learn more!! Tfs❤ I think that could be new content for your channel😊
I've been a nurse for 19 years and I still double check my med order twice and will not give meds without scanning it first. I agree with you on the floor culture and the overload on floor assignments. I agree, her license should be reinstated.
I am a retired ICU nurse and am so thankful nothing happened during my time as a nurse! It is so easy to make a mistake. We are all human so anything can happen. I NEVER gave Vecuronium during my career so I think I would have stopped because I don't know that drug.
I’ve been waiting for the continuation of the video 😅 thank you 🙏🏾 Can you make a video on tips for new ICU nurses? Like the tip you having of another nurse verify your dose for new medications…I’ve only heard of nurses doing that for 2-nurse verifiers (ie insulin). I think it’ll be very useful & unique
I have always felt that other departments in the hospital should not rush nurses. Was it a dire emergency that they could not wait for the patient to get the CT scan? It's very wrong. Even working as an Lpn in a SNF you have PT taking patients off the floor without even waiting until the nurse can check vitals and give meds. A few patients have gotten sick or fell during physical therapy all, because the therapist was trying to rush.
I think it's the high time Nurses and Nurses bodies Should demand for TWO NURSES EVERY TIME drugs are administered so that they can countercheck and sign. I feel this can greatly minimize any errors.
Dang. In my facility, there's no double or triple safety checks to ensure the medication is correct, the nurses just pass their meds on their own. I wonder how many times this has happened in my facility? I plan on becoming a nurse in the next couple of years (current cna) and this is definitely something to think about!
27:20 No they don’t! Many new nurses are left to their own demise. Or it’s the blind leading the blind. No guidance. No mentoring. No nothing! I had nursing instructors too that didn’t play. I’m sorry to say I hated it then 😂 But Lord knows over the years I came to appreciate it. I believe it helped me strive to be a better nurse.
Immediate reinstatement of her license pending 100 hrs of CE and practice under supervision restriction for a period of five years. Best practice in service required and
@Kendra RN thank you so much for sharing. I will be graduating in December with my nursing degree and I am scared to death. Your videos are so helpful.
"The toxic nature of the nursing culture" ...yes. i would be willing to support a study to see just how many medical errors are because of that. Keep exposing. Keep being an example of how we should be interacting. Keep teaching. Keep taking care of you so you can continue to care for others.
All valid points. She definitely deserves to be re-instated. I attended an HBCU too and that's the era, I grew up in as well. Doing that care plan the night prior and they would send us home if we didn't know the information, You're spot on!!
I agreed with everything you said. Nursing school taught us the six rights of medication administration & I wished she would of followed through. Like you said in other words some nurses get too cocky or sure of themselves to not double check because they don’t wanna feel incompetent in their practice.
Kendra, i can’t thank you enough for this and all your videos. Im finishing up my medsurg semester (exams next week! Eek!) and i should be studying but i feel like im learning more from you!😂 My school is excellent and they’re preparing us so well, but in my experience there is no better preparation than a nurse who’s been there done that and that is you. And you are giving me the tools to help me thrive. love and appreciate you, you fabulous lady! see you on the floor! I'll be the one looking healthily scared of making a mistake! 😊
As a resident of her local area, how could I trust a nurse bypassing plain english label on top of the rubber plunger that she had to pierce a needle through no less than 2 times that read “PARALYZING AGENT” noting to herself that it was also odd that VERSED was reconstituted??? Sometimes people are just idiots!
I agree with you. Change actually comes from mistakes. Policies change when unsafe incidents happen over and over. This was a horrible mistake and I’m sure she probably still traumatized. I think she should get her license back. She is human and if the family can forgive her, who are we as nurses to condemn her. I hope she gets a second change. I’ve been a nurse for 20 years and i constantly ask questions and I try to make sure that I am approachable to all nurses. We need to change this “eat the young” culture. Thanks for this recap.
Thank you for all your video ♥they are informative and really helpful to from the educating point. As a student nurse I learnt a lot of necessary things that helps me to develop myself as a person and a nurse. I agree with your thought about Radonda. All the systems that are used are not perfect, its so easy to blame somebody, instead of understanding the underlying cause and finding the way to change it.
A failure in healthcare is always a team failure. It’s so easy to shine the spotlight on one person but one of the very first things I learned was the Swiss cheese effect. She failed but so did her team but no one wants to say that because it’s so much easier to wipe your hands clean and point fingers lol. Healthcare for you.
The onus is on the nurse. On top of that, she was training another nurse! The amount of hubris is beyond understanding. Her interviews trying to point fingers at others, the system, working conditions. This is why you're a nurse!
I initially didn't care about asking questions and the culture...broke me. Touch wood I still have a love of the job after 13 years but when I should have been at my peak performance...26, 5 years nursing experience, not jaded but a few Years experience to get a bit of a handle on it...I was at my lowest. The culture took away the light in my eyes, my confidence not just in my nursing but as my worth as a human. I was just damn lucky I had outside support and yeh...the support of amazing friends and family and a really long story but I slowly crawled my way back. I truly believe in redemption especially if you even want to go back into nursing after this. I don't know this lady personally so I don't know her motivations but therapy and returning to nursing it could be she's an amazing asset not just for her patients but for students and junior nurses to learn from. But that's just from my experience.
One thing I did not note you mention was the saying "You don't see with your eye, you perceive with your mind." We are assuming she read the label and saw what was actually on it. I cannot fathom how a patient scan and med scan did not throw a flag, or how the system let her get to that point of administering an incorrect med. The fault goes way beyond one person..
thanks for your thoughts on this situation, can you make videos on new grads entering the corporate healthcare environment, what's the culture is like, what to expect and how experiences differs from male/female minority RNs? thank you
I'd give a million thumbs up but its not possible here: you are are a great educate - to be brief!!!! Im an aspiring nurse, 2ndly I've been in healthcare for a several decades.
What about scanning the vial and scanning the pt name band. The emar wouldn't have matched the vial. Did she override it? Dont you need a second nurse to override?
I was mortified the one and only time I made a med error. It was a small one that was not life threatening but still mortifying to me that I could’ve potentially hurt a patient. Unfortunately and fortunately it made me a better nurse. I must add it was when I got floated to a unit I was unfamiliar with and getting slammed with admits because I wasn’t a “regular” on that floor 🙄
Thank you for your perspective on this issue. I work in healthcare, and I used to be a patient transporter before my current job. I was often troubled by the amount of support she had from the nurses at my old hospital. I know I'm not a nurse, but I know enough to know that there are many failsafes and safety measures that happen when getting medication from the medicine storage unit. I saw it so much on a daily basis. Imo, it was just pure negligence in every way as far as I’m concerned, especially since she kept on doing dumb shit like overriding the machine to get her access instead of getting help. I get that human error can be at play and as a human, mistakes are bound to happen; but you can't make those kinds of mistakes when it concerns someone's life. Nurses get trained on safety measures for that kind of thing. I know I sound harsh, but I just feel like lots of people and the law were being too easy on her for what she had done. Its just unacceptable.
My issue with this mistake is that it is such an egregious error. To draw up vecuronium instead of midazolam is way out of line and I would worry about reinstating her license. It’s understandable if it were drawn up but to reconstitute a drug and then mistakenly give it when it is a life threatening drug is way out of line! I have never heard of this happening and have worked in ICUs for ‘more than 25 years!
True. I’m just always trying to figure out what was in her mind. That is why I mentioned all of the things that could’ve been happening. I still don’t understand because I always get a double check even when it’s not required.
I've been a nurse for decades & my granddaughter is a new nurse. When she graduated, I gave her 2 pieces of advice. 1. Always follow the safety measures you learned in school. 2. Never allow being rushed, stressed, or pressured make you take short cuts or skip the safety measures you learned in school.
Absolutely! She’s lucky to have you advise her ❤️
How long have you been out of the profession? It's great advice, but she will be under immense pressure with much less staffing than you were provided back in the day. One thing I wasn't prepared for... how *hard* I would have to fight to follow P&P. It's ridiculous! Some supervisors can't even find policy and procedures!!!
@MNP208 I just retired about a year ago (I'm 73). I'd still be working if I had not had a supervisor who thought he could B.S. his way through his incompetence. And policies? I asked for months for a policy about a particular item & he could never produce it. It was not on line & there were no hard copy policy manuals. Things like that put the staff in too much jeopardy! My granddaughter works in ER & loves it. No issues with staffing there. 😊. I'm hoping she goes back for her NP.
@@saratonnan When they ignore your email... that's when you know they can't find the policy and don't care. 🤣 Your granddaughter is very lucky they don't have staffing issues in the ED! What area of the country?
That’s awesome advice!
The fact that she self reported her fatal med error means she was not trying to cover anything up. She deserves another chance with supervision & probation etc.
I wouldn't want my license back to be honest. I feel like I would be too traumatized from what happened
Right!!! Dear God.
What happened Katie?
@@willtroy1986patient died.
What trade. Someone loses their life, someone loses their nurses license. That seems balanced. Nurses want qualified immunity now like the cops.
Girl senior nurses very much make new grads/novice nurses feel stupid for asking questions. Especially in critical care. Everyone likes to act like they were never taught.
Which is what I was trying to get across. I think you have to be in the setting and observe the dynamics to understand. You got me though😊
Hubris kills innocent ppl
nurdes eat their young oh yea you new nurses call it bullying
Never speak down to a nurse for asking questions!
When you started explaing what the lady probably was thinking going in the CAT SCAN I got the chills , that’s such a sad way to go 😢
I could watch this woman tell this story all day! Definitely a new fan.
🙂🙂🙂 thank you.
I am 30 years in and STILL double check all medications and calculations. I do long math 😅! My heart goes out to that young nurse and my heat goes out to the patient's family
I’m a CNA not a nurse and honestly . I didn’t care how annoyed my coworkers were . I would ask manyyyyy questions, is the resident a two assist? Are they allowed to get this sugar ? I need assistance for the shower or transporting. I was always asking questions. Every time I watch your videos I’m inspired to go into nursing. Wow I love how you speak, you’re absolutely right. Always ask questions!
Love CNAs like you! I am the same way with doctors. We don't know what we don't know and there are no stupid questions!
I feel she should have her license back too😢
Exactly same 15 years a CNA/PCT/LNA. (That’s all the same thing lol)
Always ask questions……
There is no such thing as a stupid question
As a new nurse, I never understood hearing often "fake it till you make it!" I have always felt comfortable asking questions about things I dont know! Even before nursing I want to know it so I can be confident!
I have a co worker that said to me. "You're always asking questions. Why?" I told her 1. I don't want to have to do something twice, 2. I want to make sure that I fully comprehend the situation, and 3. knowledge from every aspect is what I feel will help the process to be more efficient. I will always ask questions, especially now that I've returned to school for a 2nd career. #surgicalnursegoal
The fake it till you make it definitely doesnt make it in the nursing world it's no dumb question yes we all have credentials but the experience is what makes us great nurses you definitely cant fake that...were human some of us may make a mistake but a mistake is a learning experience ❤
Exactly
Absolutely! One of the smartest moves as a nurse, if you don’t know how to do something, or never did something, is to say, “I never gave this, I never did this, I need help!” Asking questions is a sign of strength, not weakness!
Absolutely. Thank you for watching.
I’m a nurse in the Netherlands and high risk and IV meds double checks are mandatory by law
There are some here that does not require a co verifier.
The United States is not a very careful country when it comes to healthcare.
If she’s given Versed, repeatedly, why is she reconstituting a powder drug to administer what she believes to be Versed? It makes no sense whether she’d ever given Vecuronium or not. She’s never had to reconstitute Versed, and that’s where the brakes in her brain should’ve slammed and she should’ve started asking more questions. Again, if she has given Versed in the past, what has she been typing into the ADS for that medication to show up on the patients profile? In all of her 2 years has everyone been referring to the drug as “midazolam” and that was the first time someone ordered Versed? I doubt it. It’s just negligence from every angle as far as I’m concerned. Yes, we’re all human and we all make mistakes, but that doesn’t mean we’re not responsible for our actions and the consequences that come with them.
Excellent points Deborah! I’m learning a lot from all the different input. Thank you. The brakes am definitely should’ve slammed.
@KendraRN though you mentioned in your video, she might have been too embarrassed to want to ask questions about the the drug or rather "powder drug" so that the student nurse wouldn't think she wasn't a knowledgeable nurse.
All around sad case for everyone.
@@jennSalvate Hi Jenn, yes, I was speculating on all the different reasons why she made that awful error.
What I think happened was that she was familiar with the generic name midazolam and not versed. That right there led to her typing in the medication.
I agree with you that she should be reinstated, absolutely 100%, she will make the rest of her nursing career all about patient safety. We all make mistakes and deserve a second chance.
She can advocate for nurses to double-check everything, but she should never be a nurse again..
Great tip having another nurse eyeball the dose with you. But one of the issues I'm having in nursing school is when I ask a nurse to double check my work, they take that as I'm not 'sure' of myself. Which I don't get because we should all double check ourselves.
Don’t worry about what anyone thinks. There is nothing wrong with an extra safety precaution. 😉
I get the sense that she was very. Very overwhelmed..among other things!
That or probably too complacent. Either way it’s tragic.
From what I have heard of the case, I think she was in autopilot mode. I think she was working but not really paying attention to what she was doing, which can happen in health care unfortunately.
I’ve been an RN for 20 years, LVN for six years, CNA/HHA one year, and prior to that I would get to occasionally tag along with my RN/PHN mom to visit home health patients.
RN’s scope of practice has changed and expanded exponentially since my mother went to a 3 year RN program taught by nuns. The nursing students lived together in a dorm that was on the hospital grounds. When I was an LVN and told my mother that I took care of home health patients who were on ventilators she didn’t believe me! As an LVN in the 90’s I had much more responsibilities and was taking care of more complex patients than she did as a RN in the 1950’s - 1980’s.
Nursing has come a long way since my first RN job in 2002. We only had paper charts/charting and would have to record report on a cassette tape for the next shift. There were Pyxis machines back then but not all hospitals had them. Before Pyxis, all the narcotics were kept in a locked drawer in the med room. There was only one set of keys for that drawer & the charge nurse kept them. At the end of each shift the narcotic count had to be done by the outgoing charge nurse who’s shift was ending and the one who’s shift was about to start. Nobody was allowed to leave until the count was “cleared”. If it was off, we would have to check every patients paper MAR to see who had given the medication that was off count and figure out why the count was off and resolve everything. It was a nightmare!
I remember when we were told that medication administration was going to be switching to BCMA, Barcode Medication Administration. We all thought that it was going to really slow down our ability to pass meds. Lol. BCMA along with the Pyxis system has been one of the best improvements in preventing medication errors. There were a few glitches in the beginning but nothing too bad.
And when the hospitals started switching to EMR’s there were nurses who were so against it that they chose to quit or retire because computers were too complicated and intimidating.
There are so many safeguards that can be put in place with relatively little effort. RN’s on med/surg, ortho, tele, peds, etc. don’t administer paralytic drugs like Vecuronium, or sedatives like Propofol. Their units don’t have the proper monitoring technology required, etc. and the nurses aren’t familiar with and experienced in giving them. The only nurses that should have Pyxis access to drugs like those are the ones that normally give them. Every other nurse should be denied access by the Pyxis. In addition, start requiring a 2nd nurse (or doctor) to verify the order and medication that’s pulled. We’re required to have a 2nd nurse verify insulin orders and doses, why wouldn’t we do that for highly dangerous drugs like paralytics sedatives, and other drugs that have a high probability of causing a sentinel events. ICU, Critical Care, Flight nurses, Cath lab and maybe IR and ED nurses should be the only ones qualified and signed off to give them. Hospitals can easily restrict Pyxis access to unqualified nurses.
@tdray100 You are spot on!
I really like your ethical and humane stance on nursing practice. You are a nurse and a credit to your profession. We need more nurses like you. God bless you and keep you humble and safe.
I agree. The humanity in nursing is becoming null and void.
I'm a Vocational Nurse and we scan our meds so if its the wrong med its lets you know. Its no rush to give medication!
Such a tragedy. I just graduated from professional school and one thing I have no problem saying is "I don't know." Like you said, no one can know it all. That makes all the difference for everyone involved. I'm new to your channel and I'm loving the content!
Thank you Kirsten❤
Hospitals place many " fail safe " features , for medicationadministration. She bypassed all except , armband check , maybe. Before giving any meds , nurses are TAUGHT TO scan each med & each patient armband . If the nurse would have scanned that med , before giving it , things would have been different. If you scan a medication, that ISN'T ordered for that patient, the scanner alarms & " WARNING WARNING , that med is not ordered for that patient. " 😮 Goodness knows , the scan system saved me many times . Especially, when it's hella crazy on the floor , with not enough help . Sad part is , some nurses refuse to scan , they give meds , then scan later 😢. Me = how sway 😮 Anytime that scanner saved me , i stopped & thanked Goodness . 🙌
I agree when you are busy even something as simple as what happened to me the other day really helps. I was giving lithium in a 300 mg tablet and when I scanned it the warning came up that the dosage ordered was 150 mg. I was so busy that I bet I would’ve missed that if it hasn’t come up. My professor was watching me at the time because I am still a student and I verbalized that I was breaking the tablet in half and Also wrote in the comments on the chart that I had halved a tablet. But that little warning saved me
That's so true. Double check, doublecheck double check. Some nurses are embarrassed to admit "they don't know" smh.
I absolutely love how much thought you put into the potential scenario or set of circumstances even down to the culture of the surrounding environment. Refreshing to hear another nurse who looks at all the different angles.
Thank you. It’s important to allow her grace by examining all of the different factors. Nurses can be mean and if you’re a meek person, you can fall victim to bad culture or nasty coworkers. Thank you.
I’m not a nurse I work in medical insurance but I LOVE watching her videos. Such a knowledgeable and strong minded, kine nurse. Very few real nurses works in nursing.
Hello how is it working in medical insurance & how is the schooling?
Key words “very few”
Especially nowadays 🤦🏽♀️
I agree she should be given a second chance. I also believe she will be the best.
I have learned a lot from this story. I wish her best.
Thanks for this story
If she had been a nurse for 2 years then a nurse with more experience should have been preceptors. She was still in the learning phase of her career. I have been on both sides, I made a med error on the amount of fluids to be given. On the other hand my mother died from an error. I didn’t file a lawsuit. It doesn’t matter who you are there will be mistakes made as long as humans are working. Should she be banned from being a nurse, no she should not.
They don't have many bedside nurses with more experience. Most veteran nurses have left bedside.
When all else fails and I cant figure something out dosage wise i always go to pharmacy and ask a pharmacist if I have any questions. I've been an RN er for over 20yrs and still have not made a med error. Thank God.🤗
I was literally looking for this, watched a Doctors video on it, came back and you uploaded. I was appalled at how this went...smh. it's why I left the bedside, obtained my Masters in Psych, and worked as a clinician. I will still work, but 1-1 home health. My sisters are nurses and 1 is a NP and I pray for them and their patients. Sad.
Kendra, sometimes it’s as simple as people get comfortable with taking short cuts in their nursing practice and things that would be caught with a strong nursing practice routine, will be lost in the rush of poor practices. That can be true of anyone if we become lax or complacent. That’s why I try to do my nursing care with my checks even if it takes a little more time. With practice I became more proficient and quicker rather than skip steps. The temptation is there but we have to fight the urge, in order to avoid critical situations. It’s tragic and heartbreaking.
Dolores you’re so right! I’ve been tempted to take shortcuts and as a matter of fact I did once and it caused me to infuse Vanc too fast, plus I missed the patient was allergic to Vanc 🤦🏾♀️. I learned my lesson then.
@@KendraRN that’s also why I would actually do a head to toe on all my patients for my assessment, only tweaking specific things to add more than take away. I’m enjoying your videos, don’t know if you saw my cautionary response previously about being careful of HIPPA; it was such a big deal when it was put in place that we were afraid to whisper in public, it’s probably better now.
Great discussion! I do believe we learn from our mistakes.
Girl, I ❤️ your videos I’m so addicted to hear real life stories and thank you so very much for sharing
Thank you so much for watching.
As a brand new nurse ( middle aged though), it's truly dismaying how many times I ask questions or say " I don't know this ..." I am 2 months into the job. It feels like failure ! I always ask ask ask bc I am too old and don't care as much what others think. But still. It's hard.
Do no harm...it's always at the back of my mind. I have no problem asking questions even with my degrees & yrs of experience. I don't want to be a liability to my patient.
Every nurse should do three checks. I would prefer to be talked about than jeopardize my patient's life. Pharmacy was my friend when I was working on the floor. I agree with you about giving her another opportunity. People will talk until the shoe is on the other foot. I went to a community college and my professors were like been in the army. I am a nursing professor and teach my students to know the medication, side effects,adverse reactions and nursing implications. I find that nursing schools nowadays are too easy with students and let them get aways with anything. They'll take people that they know shouldn't be nurses but money talks. I am scared to be a patient and let a new nurse takes care of me. I would want a nurse no less then five years to care for me. Nursing is a sad situation nowadays.
Nursing is a very sad situation nowadays. They've lost a lot of good nurses. Because of these hospitals
There are nursing schools that are not accredited ...i know coworkers who graduated from them...and now go to online np schools that are open book....lol...e.g. pharmacology class students are given one final paper to pass....gotta be kidding me...I had to memorize differnt classes of abx, know which pathogen it targets and know alternative medications to prescribe in case of mild/moderate allergic reactions, and also consider sensitivity and resistance and know what other alternatives are available in those cases....when i worked...i triple checked meds, patient specimens..i would always value closed loop communication especially during emergencies....ppl called me OCD.... made fun of me for being so "anal" with everything.. yea i didnt freaking care...call me and label me, diagnose me w/e on the DSM V... all you want, I was all for safety...People look for the approval of others at work and I hated that...some people didn't refer to policy and "went with the flow," to blend in...and some times i was the odd duck...doing everything right by the books....always received the best compliments and reviews from my patients and management though...the attendings said they felt the safest when they knew I was the nurse taking care of their patients....like Kendra said, don't let others around you intimidate you or influence the way you work and critically think...theres no shame in looking stupid...I ask stupid questions till this day...youre not a practitioner...and even if you are a practitioner,,,there is NO WAY YOU WILL KNOW IT ALL...thats what referrals and consultations are for....
I’m when i graduate I literally want nothing to do with meds for this very reason. Like I’m absolutely terrified of giving the wrong med or dose. And I believe in second chances as well.
I previously worked in a pharmacy in the U.K. and a dispenser and pharmacist would have to check minimum 4 times before we handed medicine to a patient. the probability of making a mistake is too high when you rely on one person to pick, mix and administer medicine. RIP Charlene 😔
I agree with you totally....she will never make that mistake again...she may be the nurse that makes the most impact on her students and colleagues regarding the importance of double checking your meds or asking her colleagues to check unfamiliar meds with her. I love your videos... I'm a retired RN...I miss it! 😊
So true, in all fields that is impact people, there should be open communication and chances to ask questions no matter what.
I like what you say and especially how you say it. I agree with everything you said. Radonda should have realized that she was giving the wrong med. And yet, I like how you show grace and compassion for her. Hopefully, she will be reinstated. You pointed out that she would be one of the safest nurses. I had not thought about that. You are so right! Thank you for showing me how narrow minded I was.
Kendra, I really appreciate your videos about this case. I'm not a medical professional, but I have a chronic disease I was born with that was not dx until I was 45. Needless to say, I have become well versed in a lot of medical procedures. When you said the patient was mistakenly given a paralytic my blood ran cold. I can't imagine the horror Ms. Vaught felt when she discovered her mistake. I give her props for bringing her error the attention of hospital administration. Like you, I have a real problem with hospitals sweeping things under the carpet especially in this case where more safeguards could have been put in place to avoid this type of thing happening again. I'm a tax accountant and one of things we are taught early on is to let clients know that you have to research their tax situation in order to do the best for them. In fact, upon completing one class, I was given an eraser to carry around my neck as a reminder I am fallible. It's sad to know the hospital environment is so hostile that working outside your comfort level can be viewed as failure. I am currently in the investigative process with the board of nursing in my state over a home infusion nurse practicing outside her scope of practice by changing my infusion pump to deliver my medication in under 2 hours when the pharmacy has determined the safe delivery at just over 3 1/2 hours. She was warned 2 times prior to the last time I discovered the change. In my case this nurse made these changes with intent and knowledge that what she was doing was wrong. There was absolutely no intent by Ms. Vaught. I agree that Ms. Vaught's license could be restored provided she gets some specialized training and more in depth understanding of how to protect her license. As you said getting that license requires a lot of education, studying, passing state boards and MONEY. I also think the hospitals need to loosen the purse strings and get their staff educated on the pitfalls of a hostile work environment. A year ago, the Chief Administrator of a hospital near me green light his own bonus of a million dollars all while patients were having to sell their homes to pay their bill and the hospital being short staffed on nurses; but that's another 3 or more videos! LOL
"What's more important for me is that I have never harmed a patient" 👏🏽👏🏽👏🏽
Kendra, your personality, your love for your profession, your confidence and willingness to share exudes through this video. I just learned of your channel and I will be staying tuned. Thank you for being yourself and for sharing!
Hi Jean! Thank your for watching and commenting. I’ll keep the content coming.
Loved it! Good wrap up..I've been waiting! "What is the indication for the medication?!." Level-headed approach, "why wasn't the patient monitored?" Offering grace and compassion. You're absolutely right that RaDonda would now be the safest nurse ever! I think we, especially new nurses are too conditioned to be a "team player" and "not make waves" that we don't stop, speak up and ask questions! ❤
That’s why we need to provide a judgment free environment. Many failures your suppose to due 5 rights chk. Right patient, right drug right dose right route etc.. the drug is immediately. Those drugs should be in a pixs that has the draw open only if it has been ordered or separate from other drugs and placed with intubation meds. These are preventable situations even when the nurse is unsure of the purpose of a medication. I hope she doesn’t let it keep her from nursing. Nursing is scary we take a lot of risk and can be extremely stressful but if we don’t change this environment of making nurses feel like they have to know everything we will continue to have these type of accidents. Every nurse should feel free to question herself and ask for help or clarification without judgment the more will learn the more well rounded a nurse becomes the less she will need to question herself. Faking it till you make it has to many consequences in this situation.🙏🏽
Sandra you’re very correct. Thank you for your comment
@@KendraRN what the hospital administrators can't understand is that this behavior is causing nurses to withhold from asking for help for fear of being seen incompetent. When the true matter is that nurses help you based on their personal like for the nurse then the other nurses jump on that band wagon. Here's the other thing many of the directors are the same way.. keep exposing it just make sure your protected. I was poison for it and ended up in the hospital. Now I'm retired due to complications but justice is coming.🙏🏽
I forgot to mention I got the nurse manager removed from the ICU she was there for 20yrs . They had a high turn over BECAUSE of her. Then her Posey came after me and within that month I was at work and became EXTREMELY ILL. I had to leave during my shift but nobody took me to the ER which we had so I BARELY made it home at 3am and I was taken to ER. Watch your bags because they will try to set you up . I made sure I was constantly checking my bags my intuition kept warning me and I listened. but they managed to share food with me and that's what got me because they had someone else bring it to me that I wouldn't suspect. So much more to the story maybe someday I will meet you and tell you . I'm still fighting to be restored I was only in my early 40 when this happened and we just figured out what actually happened to me so I'm still fighting. I went into CRITICAL CARE right out of nursing school . I also was a CNA Before my RN. Which I attribute to my compassion and ease navigating through the field.🙏🏽
@@sXcSigMa3367 Oh wow Sandra! Thank you for sharing. That is so insane but I am not surprised at the lengths people will go to try and silence you. Thank you again, I’ll keep this in mind.
Retired RN here--We could all be Radonda Vaught
New to your page! Love the content!
Thank you so much!
I really enjoy your videos Kendra. Just honest and Professional!
Hi there! Thank you so much. I appreciate you watching.
As a new grad with VERY limited clinical experience, I was already afraid to do bedside nursing & this case has absolutely TERRIFIED me from ever attempting! 🥺 Now I’m trying to figure out which route to take 😔
Same!!
Try maybe a Doctors office. Less life threatening. 🤷🏼♀️
I wish you the best in your career. ❤
I’m a nurse in Australia. I’ve left bedside nursing and now work in a cardiologist clinic. Best decision I’ve ever made
Hey Kendra!!! A frfr novice nurse here, only 8 months in😅 love your content!! I need more of that prudent nursing advice and skills that you learned and was taught in nursing school! Would love to hear and learn more!! Tfs❤
I think that could be new content for your channel😊
I've been a nurse for 19 years and I still double check my med order twice and will not give meds without scanning it first. I agree with you on the floor culture and the overload on floor assignments. I agree, her license should be reinstated.
Your vocab inspires me girl
Loaded information Kendra! This is eye opener for new nurses. Please we need live session for individual contribution on this topic.
I am a retired ICU nurse and am so thankful nothing happened during my time as a nurse! It is so easy to make a mistake. We are all human so anything can happen. I NEVER gave Vecuronium during my career so I think I would have stopped because I don't know that drug.
I’ve only hung a paralytic and used train of 4s to monitor. Never pushed IV. I stay away from that.
I’ve been waiting for the continuation of the video 😅 thank you 🙏🏾 Can you make a video on tips for new ICU nurses? Like the tip you having of another nurse verify your dose for new medications…I’ve only heard of nurses doing that for 2-nurse verifiers (ie insulin). I think it’ll be very useful & unique
You are the best teacher!
I have always felt that other departments in the hospital should not rush nurses. Was it a dire emergency that they could not wait for the patient to get the CT scan? It's very wrong. Even working as an Lpn in a SNF you have PT taking patients off the floor without even waiting until the nurse can check vitals and give meds.
A few patients have gotten sick or fell during physical therapy all, because the therapist was trying to rush.
I think it's the high time Nurses and Nurses bodies Should demand for TWO NURSES EVERY TIME drugs are administered so that they can countercheck and sign.
I feel this can greatly minimize any errors.
Usually, as a prudent nurse, you do seek out another nurse to verify such a drug. Even when verification isn’t required by policy.
Dang. In my facility, there's no double or triple safety checks to ensure the medication is correct, the nurses just pass their meds on their own. I wonder how many times this has happened in my facility? I plan on becoming a nurse in the next couple of years (current cna) and this is definitely something to think about!
18:36 damn right, I always pull out my phone to make sure what I am giving especially if it’s a new med I’ve never given before. Always gotta be sure
Kendra you are such an inspiration ✨ keep it up 💪🏽
Kendra, this was a very well-explained discussion, and your argument was impeccably supported with first-hand evidence.
Thank you! I appreciate you watching.
Your presentation is so good and so spot on. Thank you for doing this broadcast. So well done!
We need to bring instructors like yours back. Honestly everything is becoming to relaxed.
I appreciate that! Thank you ❤️
27:20
No they don’t!
Many new nurses are left to their own demise. Or it’s the blind leading the blind.
No guidance.
No mentoring.
No nothing!
I had nursing instructors too that didn’t play. I’m sorry to say I hated it then 😂
But Lord knows over the years I came to appreciate it. I believe it helped me strive to be a better nurse.
The blind leading the blind is deteriorating the profession.
When administering most meds, I'll triple check before I give to the patient. It takes more time, but remember patient safety first.
I need to start watching this channel religiously because you are spilling the real tea on nursing.
I’m trying
Immediate reinstatement of her license pending 100 hrs of CE and practice under supervision restriction for a period of five years.
Best practice in service required and
The fact that Radonda immediately self reported should also count for something, too.
@Kendra RN thank you so much for sharing. I will be graduating in December with my nursing degree and I am scared to death. Your videos are so helpful.
Don’t be afraid! You will be fine.
I’m in nursing school now and this information has been so helpful. God bless you 💜
Hey Sue! Thank you!
"The toxic nature of the nursing culture" ...yes. i would be willing to support a study to see just how many medical errors are because of that. Keep exposing. Keep being an example of how we should be interacting. Keep teaching. Keep taking care of you so you can continue to care for others.
All valid points. She definitely deserves to be re-instated. I attended an HBCU too and that's the era, I grew up in as well. Doing that care plan the night prior and they would send us home if we didn't know the information, You're spot on!!
Hi Kim! Thank you for watching and relating to the content. I appreciate you.
Paralytic meds also have the words paralyzing agent right on the bottle. Sometimes right on top.
I agreed with everything you said. Nursing school taught us the six rights of medication administration & I wished she would of followed through. Like you said in other words some nurses get too cocky or sure of themselves to not double check because they don’t wanna feel incompetent in their practice.
Kendra, i can’t thank you enough for this and all your videos. Im finishing up my medsurg semester (exams next week! Eek!) and i should be studying but i feel like im learning more from you!😂
My school is excellent and they’re preparing us so well, but in my experience there is no better preparation than a nurse who’s been there done that and that is you. And you are giving me the tools to help me thrive. love and appreciate you, you fabulous lady! see you on the floor! I'll be the one looking healthily scared of making a mistake! 😊
Hi Nicky, you will be just fine. Congrats on your nursing journey. I’ll keep the content coming.
As a resident of her local area, how could I trust a nurse bypassing plain english label on top of the rubber plunger that she had to pierce a needle through no less than 2 times that read “PARALYZING AGENT” noting to herself that it was also odd that VERSED was reconstituted???
Sometimes people are just idiots!
I agree with you. Change actually comes from mistakes. Policies change when unsafe incidents happen over and over. This was a horrible mistake and I’m sure she probably still traumatized. I think she should get her license back. She is human and if the family can forgive her, who are we as nurses to condemn her. I hope she gets a second change. I’ve been a nurse for 20 years and i constantly ask questions and I try to make sure that I am approachable to all nurses. We need to change this “eat the young” culture. Thanks for this recap.
Kay thank you so much for sharing. I wonder if she felt intimidated and that was a barrier for her to inquire further. I have so many thoughts still.
You are so right,protect yourself at all cost!
Thank you for all your video ♥they are informative and really helpful to from the educating point. As a student nurse I learnt a lot of necessary things that helps me to develop myself as a person and a nurse. I agree with your thought about Radonda. All the systems that are used are not perfect, its so easy to blame somebody, instead of understanding the underlying cause and finding the way to change it.
A failure in healthcare is always a team failure. It’s so easy to shine the spotlight on one person but one of the very first things I learned was the Swiss cheese effect. She failed but so did her team but no one wants to say that because it’s so much easier to wipe your hands clean and point fingers lol. Healthcare for you.
I totally agree with u that she should be reinstated & yes it's sad but people make mistakes...
Appreciate this & you. Please link the parts it’s not easily found & that’s always now standard when it’s multiple parts to a video. Thank you .
Sorry. I will tomorrow. Thank you.
The onus is on the nurse. On top of that, she was training another nurse! The amount of hubris is beyond understanding. Her interviews trying to point fingers at others, the system, working conditions. This is why you're a nurse!
Kendra! You’re my super hero!!❤ have a blessed day sweet Angel ❤❤❤❤❤
Oh wow🥰 Thank you.
I initially didn't care about asking questions and the culture...broke me. Touch wood I still have a love of the job after 13 years but when I should have been at my peak performance...26, 5 years nursing experience, not jaded but a few Years experience to get a bit of a handle on it...I was at my lowest. The culture took away the light in my eyes, my confidence not just in my nursing but as my worth as a human. I was just damn lucky I had outside support and yeh...the support of amazing friends and family and a really long story but I slowly crawled my way back. I truly believe in redemption especially if you even want to go back into nursing after this. I don't know this lady personally so I don't know her motivations but therapy and returning to nursing it could be she's an amazing asset not just for her patients but for students and junior nurses to learn from. But that's just from my experience.
One thing I did not note you mention was the saying "You don't see with your eye, you perceive with your mind." We are assuming she read the label and saw what was actually on it. I cannot fathom how a patient scan and med scan did not throw a flag, or how the system let her get to that point of administering an incorrect med. The fault goes way beyond one person..
The "heart attack I would have had" 😂 💯.
I'm not in the medical field but your content is very interesting ❤
I love watching your videos ❤ thank you so much for all your advice and outlook on nursing!
thanks for your thoughts on this situation, can you make videos on new grads entering the corporate healthcare environment, what's the culture is like, what to expect and how experiences differs from male/female minority RNs? thank you
I'd give a million thumbs up but its not possible here: you are are a great educate - to be brief!!!!
Im an aspiring nurse,
2ndly I've been in healthcare for a several decades.
It is better to swallow your pride and ask questions than to risk injuring or killing a patient.
Thats right! The only dumb question is the one not asked!!!❤
What about scanning the vial and scanning the pt name band. The emar wouldn't have matched the vial. Did she override it? Dont you need a second nurse to override?
I was mortified the one and only time I made a med error. It was a small one that was not life threatening but still mortifying to me that I could’ve potentially hurt a patient. Unfortunately and fortunately it made me a better nurse. I must add it was when I got floated to a unit I was unfamiliar with and getting slammed with admits because I wasn’t a “regular” on that floor 🙄
As a nurse i have seen even doing triple check, and having another nurse verify medication, I've seen mistakes made,
Kendra thank you so much!
Thank you for your perspective on this issue. I work in healthcare, and I used to be a patient transporter before my current job. I was often troubled by the amount of support she had from the nurses at my old hospital. I know I'm not a nurse, but I know enough to know that there are many failsafes and safety measures that happen when getting medication from the medicine storage unit. I saw it so much on a daily basis. Imo, it was just pure negligence in every way as far as I’m concerned, especially since she kept on doing dumb shit like overriding the machine to get her access instead of getting help. I get that human error can be at play and as a human, mistakes are bound to happen; but you can't make those kinds of mistakes when it concerns someone's life. Nurses get trained on safety measures for that kind of thing. I know I sound harsh, but I just feel like lots of people and the law were being too easy on her for what she had done. Its just unacceptable.
I would not be surprised that The whistleblower was the the person who originally had the idea to try and cover it up.
My issue with this mistake is that it is such an egregious error. To draw up vecuronium instead of midazolam is way out of line and I would worry about reinstating her license. It’s understandable if it were drawn up but to reconstitute a drug and then mistakenly give it when it is a life threatening drug is way out of line! I have never heard of this happening and have worked in ICUs for ‘more than 25 years!
True. I’m just always trying to figure out what was in her mind. That is why I mentioned all of the things that could’ve been happening. I still don’t understand because I always get a double check even when it’s not required.
I used to write all my patients on 3 by 5 cards