This is a system error! He showed the lid too on a tiny valve like anyone could see that!!! This nurse was training another nurse at the time too! There was too much risk in this case! The system failed her!

@@PurposelyObtuse when I was a nurse working inpatient psych there was almost a med error with clonidine where the doctor misplaced the decimal point and the nurse almost gave a patient 2 mg instead of 0.2 mg. Another nurse caught the error but the original nurse almost gave it even with a big red alert on the Pyxis drawer. I no longer work with patients because hospitals risk nurses licenses and patients’ lives everyday with overworking nurses and having unsafe nurse to patient ratios. I would rather sit behind a desk and not risk the license I worked very hard for. People that judge nurses for making mistakes never worked a 12 hour shift with a high work load. When people are overworked and extremely tired, they make mistakes. Hospitals know this but they fail to put things in place to make sure things like this don’t happen. And they end up throwing the nurse under the bus to take the fall. It is truly a sad situation. And they wonder why nurses are leaving the bedside.

Then go after the politicians who take funding from big healthcare corporations to keep these staffing levels completely inadequate.

They put nurses in a position to fail. They make sure nurses take all the risks so they can avoid any legal ramifications (if anything goes wrong they blame the nurses).

@@btetschner you state the truth.

Hospitals are also profitable businesses. Killing defenseless patients isn't good for business or the financial bottom line from lawsuits.

I don’t trust hospitals, especially after c19 happens. They don’t have the care they always had and are tired and overworked and don’t like people coming in for “a cold”

Why were not two nurss checking the medication against the doctor's order before it was administrated to the patient? It was a tranquilising drug that should have been checked by two nurses,the mistake would have been noticed then and the proper drug administrated.

@@yvettevernet4759 Absolutely agree. The industry I work in regularly implements a two party buy off for inspection points that are not at all life threatening. I would think this has to do with hospital policy. I also wonder if part of the series of mistakes Redonda made were related to stress, overwork and exhaustion. That is something I regularly see everywhere now.

@@jen30551 Could be that she was stressed but if the policy of two nurses checking a drug that would be administrated intraveinously as a tranquiliser had been implemented this terrible mistake would no have occured.

We use the 7 r's additionally right documentation, right response

My husband (a former USAF medic and a one time nursing student) and our friend (a former USAF medic and current nurse) were literally talking about the 5Rs last night. They both had them drilled into their heads in the first weeks of nursing. My husband, even though not having completed nursing school and having learned it over a decade ago, still has it memorized. This case hits a bit close to home for him as if he hadn't questioned what antibiotic a nurse was about to give me while I was asleep post delivery, I would be dead. The nurse never checked the bright red allergy band on my wrist and almost gave me a drug that would have sent me into anaphylaxis. Too many people skip safety in favor of speed.

Talk about a guardian angel!

This is a lesson that all people can make mistakes and criminal prosecution will make healthcare less safe. Why tell the truth if you can go to prison? Just Culture.

@@janiesmys461 this was beyond a mistake. This was her criminally ignoring her training. This was not just a lack of professionalism, this was negligence on a lethal scale. Giving an incorrect dose is a mistake. Giving a medication that comes in a completely different form, has warning labels, and failing to do the most basic steps of your training goes beyond an error. If a medical professional is so worried that they do their job so badly they could be criminally liable than they shouldn't be in the medical field.

Radonda was floating that day, taking a patient to MRI, had an orientee with her. She was like a transport nurse that day. She gave the Vecoronium and left the patient in MRI where there was a delay getting the patient in the scanner. I agree this was an ICU patient, we always had to monitor ours during transfers. System errors caused this death from the Pixis override to leaving a sedated patient. Their policies were to blame.

Your comments are excellent!

Thank you so much for your insight and professional experience and explanation. Anytime I got Versed was prior to a surgical procedure and was monitored carefully. My heart goes out to this poor woman's family. My niece went to med school at Vanderbilt, and has always been thought of as top notch.

Hospitals should probably conduct literacy exams for their new staff. Just an idea, wouldn't harm anyone.

@@purplgrits7916 I understand. Policies and work environment set these situations up to happen. I believe that 100%. I hear you. But in the moment, boots-on-the-ground caregivers like nurses must make decisions regardless of policy to protect themselves and their patients. Let this case be an example of the wisdom of taking a stand that policy be damned, I'm monitoring my sedated patient, and if the pencil-necks in the board rooms have a problem with it, let them fire me, I'll find a nursing job elsewhere and good riddance to them for me. I know it's a scary thing to think about - standing up to the wigs and risking your job, risking your paycheck needed to support yourself and your loved ones, but it's a must sometimes. And I've found that when as a nurse I honestly talk sense to my coworkers and to my superiors, I don't get fired, I get listened to. I'm not attacking Daronda. She'll suffer the consequences of her actions and I don't need to add to that. I'm willing to guess that the patient was unmonitored at least partly because of staffing pressures and assorted issues. That's sad. As for putting nurses in situations where they have to override the pyxis, Vanderbilt should go down for that. They knew the nurses were doing it therefore they were responsible. And as for nurses being held criminally liable, I'm okay with that, particularly in extreme cases. However, where the hell is Vanderbilt's criminal liability? If anything, Vanderbilt's policies, if they led or contributed to a death, how could they not be liable? Vanderbilt's responsibility here, you could argue, is wider and more far-reaching than Daronda's. I'm unaware of the details of the case, but is Vanderbilt being held criminally liable? Are the policy makers in need of criminal defense attorneys? I think we'll see safer policies when we start holding the wigs criminally responsible, too, not just the nurses. I keep going back to the problem of business-model healthcare. It needs to stop. As does the faulty notion that healthcare can police itself. It obviously can't. And if nurses are to be held criminally responsible in disastrous cases, hold the hospital responsible, too.

Your #5 point is one that I considered: the dose for Vecuronium is 0.1mg/kg, now a lot of assumptions have to take place here, but assuming she did her due diligence and gave 2 mg Vec instead of 2 mg Versed (a common sedative dose) the amount given wouldn't be therapeutic to achieve paralysis, at least not completely, as this would have been a dose for a person weighing about 45 lbs. Despite even that, so much went wrong here, and a life was lost, tragically...

Hospitals have nurses with a few months experience training nurses. Scanner does not matter. Meds are supposed to be read with human eyes whether scanned or not.

@@ronn68 New nurses should absolutely not be training new nurses. That is dangerous. Human eyes fail. Also, why are people acting like she made a conscious choice to not check the med? I've written a paper and proofread it only to find several typos the next day. Why? Because your brain fills in the gaps. How many times have you left the house and thought you left something plugged in? How many times were you right? Or, have you done that same task so many times you went on auto pilot and that's why you don't remember? Have you ever driven home and not remembered how you got there? Again, automatic auto pilot. It happens when you do familiar tasks. That's why they should always have a backup systems that check for errors.

The technicians didn't check up on the patient. Plenty of the blame can go around to the technicians and administration. Plus it should not have been in Pyxis in the first place.

@@CoffeeLover-mz7bk i think the techs were outside the imaging area….behind the glass divider to shield them from the mri or ct scan in process.

Exactly. I think her employer is more at fault than even she is.

@@Nan-59 yeah, employees don't make the rules, they just follow them and if nobody enforces them... Exhibit A I would run so fast from an employer that irresponsible.. rather than risk my own butt

Okay so you are bias that’s why u didn’t sentence her hope she rots in prison

Vanderbilt is a "teaching hospital." There's a wider berth for mistakes in those places than in hospitals that don't work with students on a daily basis.

100%

Ironic, this nurse could have saved a life by following a doctor's order.

She may saved the doctor's career too. My brother in law is doctor and I don't know how he does it. ONE decimal point off, misspelled medication names etc can kill someone even when a doctor is normally competent. Glad you're here today. My grandmother was a nurse, they really run hospitals.

​@@roberturich1813to be fair, in many other fields of work if you're off by one decimal spot, some stuff is going to be really messed up lol

Seriously. I agree. I mean, read the label on the vial. OMG.

exactly, where was her duty of care, the hospitals policies and procedures? she ignored the very basics, as Mark said, she deserves all she got. she is a disgrace to nursing, as is the hospital......that poor poor patient.....xxxx love to the family, In Australia she would have been ostracize rather than supported, and jailed. surely no professional person would support such negligent actions.

@@lorrainemoderate2816 i think what she did and what occurred is horrible and ridiculously irresponsible, but not criminal???, there is no intent to cause harm, the hospital did all it could to hide the facts from the authorities and when it finally comes out they throw her under the bus AND only then make changes to their system that helped cause the problem,

Those 5 R's are a sham, you do not have time looking at your 5 R's when you have 7 to 20 patients to medicate and 5 of them are crying, the other 5 patients are complaining of nausea and your phone keeps ringing and families and your CNAs keep asking simple and stupid questions over and over because they don't want to be responsible with their answers and want you the nurse to be the person responsible for all kinds of issues from toiletries to the toilet functioning to everything under that building.

@@sandan778 Yes, you MAKE the time....it's THAT important!

I'm a retired pharmacist. I agree, and I suspect that THIS is why she's being thrown under the bus - that we don't have the whole story.

It makes me wonder why so many nurses are supporting her.

Unless you work in a hospital you have no idea what it’s like. That is what is so frustrating. We can’t even began to tell you how it is. I can guarantee that any nurse who has ever treated you or a family member has made a medication error. Most are so small it doesn’t get reported because it causes no harm.

@@rubyoro0 because private hospitals don’t care about competent nurses. They just want there stock numbers to go up and please their stockholders. They just want warm bodies in there. When they make a mistake they will throw them under the bus even though many factors go into these mistakes.

@@1019mommy sure but she said she wasn’t busy/over worked and wasn’t stressed. What’s your excuse for her mistake ? She was a floating nurse..

They already are

@@calmbeforethestormo4136 I wish I could upvote this a thousand times!

@@calmbeforethestormo4136 Yeah they are. Giant corporation fails to protect their patients, and hides it for months? Blame the nurse! But only after there's publicity, and fingers start pointing at Vanderbilt.

Doctors just go to another state to practice ! This nurse was crucified !

The medical big wigs from the WHO and down to the family doctor are killing and injuring people by the 100s of 1000s and yet they are not being prosecuted.

As a retired registered nurse, I totally agree with knowing the 5 rights! This was HAMMERED into us as students and on the state boards of testing to get your license. Pure neglect of not following standard protocols! This is sad all the way around!

The medical record was not available. Plz see Nurse Liz episode regarding this case!

Can there be a check where you tell the patient which medication you intend to use, and show them? I’m not a nurse so I don’t know how this would work out in the long run.

@@saysHotdogs You can always ask. That is your right.

Hospital's cover up mistakes of all kinds because they will not hire enough nurses, nurses are the bottom of priority of their budget. Nurses need a strong union. They hire the newest RN and fire or "get rid of" longer employed nursed because it is cheaper. They don't care about patients, only the bottom line-their profit. Wonder if Vanderbilt still makes their RN as the unit housekeepers.

A settlement with a Gag Order. But the "for profit" hospital is totally innocent. They're about as innocent as their faulty epic system and pyxis. Bet her armband (that she didn't have on) would have been 1 of the many road blocks that could of prevented this. The nurse does carry some responsibility but she was also in a perfect storm that she shouldn't have been due to the failure of our medical system and society, people that have no clue what they're talking about are happily willing to stone her as they make her the scape goat. You know what I find the most disgusting? The fact that the leaders of this hospital, the owners, and all the other rich elites that have the slightest connection to this know what they did and they know what they're doing. They are going to keep shoveling out $$$ for the best PR, legal staff and media relations while they keep profiting and people keep dying. This is only the tip of the iceberg of what's been going on the past five years. I promise. Anyone not in the know, your ignorance IS bliss.

@@misstuxbrandi who knows if there is even a scanner down there. It should have been rescheduled like they originally were going to instead of a doc writing this order with no monitoring for last minute anxiety

The nurse was involved in the cover up as well as she didn’t report the hospital.

Yes, it is the elephant in the room.

Yes! Do as I say not as I do does not work!

Should have been planned procedure by anesthesia

This

Drugs, not hugs, weirdo! Haha

Unfortunately, this is how kids *used* to be raised. So many kids now have parents, teachers, and society at large making excuses for their poor behavior and performance and everybody gets a trophy just for showing up. I’m not surprised that adults don’t take responsibility for their behavior… their parents blamed the teachers for their kids failing!

I have argued with many nurses on this topic and they all seem to not be accountable for negligence . neither do cops. i argued them to resign if they could not administer the right drugs and double check before doing so.

@@tankthearc9875 ok Karen

That’s the thing, though, they won’t be, neither will any of the doctors who covered it up. This is the actual root of the issue. It doesn’t matter whether it’s engineering, nursing, whatever. Higher ups never get held accountable, it’s always the lower level employees who do, despite the fact that often the culture pervasive in their work environment is the catalyst for mistakes.

they get fined by CMS, and its usually a hefty fine. At our hospital a PREGNANT RN was allowed to hang an anti-cancer drug which is a no no. The hospital was fined $10,000.

@@pedinurse1 Screw paying penny fines. Every single person involved in this coverup should be removed and charged.

Why would you, as a nurse anesthetist, think nurses "aren't taught the dangers of these drugs?" Spare us all.

☑️

Are you accepting new patients? What insurances do you accept?

I was going to say I don't remember Vanderbilt ever being regarded as a model hospital. I could not tell if Dr. Grande was being sarcastic or not in his intro.

You've helped me sort through my own opinion as a layperson regarding this case.

@@deborahmulkey1627 It is absolutely insane for vecuronium be placed next to Valium. That is a mistake waiting to happen and unfortunately it did

@@kathleenbueter1272 *Versed* but end result was the same.

@@deborahmulkey1627 100 percent one can’t hope that technology is in placed to do all of the work. You still have to understand what your doing and know that there is a chance of mistakes.

Am I the only person that thinks perhaps the orientation process had something to do with it. Like when management tries to use an oriented as counted individual staff?! This case stinks. The error was so flagrantly avoidable. Or did this nurse have a drug problem the hospital wasn't dealing with. I feel like there is more to the story we haven't heard.

MFR - And the cover-up is almost always uncovered and the error compounded!

The nurse did not cover anything up; the hospital did! The hospital should go on trial.

You are right, It's a super big thing. I have a BSN and I get continuing education course material (and internally they warn/teach that 250,000 patients will experience an adverse event ANNUALLY and over 100,000 will die from care received ANNUALLY) this is something they internally acknowledge is a major problem. That is why so many other nurses went on TV saying she shouldn't be punished harshly.... because they fear similar repercussions for something they know is SUPER PREVALENT and statistically have all done themselves. I had to leave the medical field because my pointing out all their errors and trying to fix things creates a 'hostile work environment' according to HR

@@SoManyRandomRamblings Thank you, Random Ramblings for your response. In the early 70s, I was in a nursing program. After two semesters I was asked to leave the program. Because I asked too many questions.

Except Vaught didnt lie or cover up-she reported herself! Vanderbilt and their doctor covered it up!

I agree! Lots of other people have an agenda or discuss this case using emotional reasoning.

RN, 2 yrs experience, no patients that day, no stress per her own deposition, working as a help nurse, and Teaching a new nurse!

No r.n. gave the med.

A R.N. GAVE THE MED.

Yes! Much of our health care has devolved into our own responsibility!

Every patient needs an advocate even if it's their own family or friends.

Very good advice 👌

Oddly, I see a lot of overdoses of Heparin. I'm unclear why that particular medication is overdosed.

RN here. Please, never be afraid to ask what is being given/done to/for you or a loved one in any health care area. I want you to ask. “The doctor said I don’t have to take the red pill any longer” sends me right back to the order to double check again. That’s a win-win. You win because you get the right treatment. I win because I didn’t make a mistake and possibly harm you. Ask. Please.

I can’t get over how they had to ‘train ‘, their nurses to subvert the electronic double check system. I heard elsewhere that that’d been going on for a LONG time. There’s no way to tell what her work load was that shift, where else was she expected to be at the same time. She owned the mistake the hospital hid their culpability. That place should face severe penalties.

It is said that nurses have to use 32 technology workarounds during a 12 hour shift just to do their jobs.

The public used nurses as a human shield from the beginning of the pandemic.

Here comes more documentation!! Nurses will bear the brunt of extra work. Check with 2 other nurses before giving? Have the unit manager check every med?

@@ean5469 My favorite ridiculous check is "check with the doctor or pharmacist" when there is one nurse, one CNA, 20 patients (many of which are fall risks), annoying family members everywhere, and the management threatens to write you up and/or fire you if your meds are not passed in time.

I agree with you 8 years seems egregious and was an overcompensation by the State after the publicity associated with this case. It was truly a horrible way to die by being given a paralytic and I am not sure why it wasn't immediately noted when she became apneic and unresponsive. I am assuming she was going for an MRI, but she should have been observed for medication effect even if the nurse had thought she had been given versed there is still a risk of respiratory depression.

As a critical care nurse, I agree with this the most. I can't say it better myself.

@@kitchenskills5427 And there were no techs in the imaging room for 30 minutes. They're the ones who found her. She died alone and probably terrified. This horrible death was not just caused by 1 nurse, but a system built to fail and then hide its mistakes.

It was 2 neurologists who certified the death from a subdural bleed . Why did the patient need a PET study?

@@charlesdarwin5185 I guess to find the subdural bleed that killed her? JK they lied for the hospital so Vanderbilt could hide it.

@1960ebutuoy, excellent comment, thanks.

Agree!

What kind of nurse were you? Registered? Specialty?

Just a drop in the ocean of their mistakes. But a small victory for accountability.

I've been an RN for 38 years. I assure you that some of us DO try our best, and do not override safety checks as Ms. Vaught did.

So extremely sorry for your losses! 💔 May the Lord console and heal you! Your words are very true! Hugs🤗🙌🏾

I hope everything goes well for you. Best wishes from me, and Australians.

Her actions seemed murderous To me. Not a mistake. Even so , may she find mercy. As with us. May your hospital room be a veritable sanctuary for you.🙏🕊🙏🕊🙏 Healing Blessings!!!

@@brigidroche1006 thanks. Without my service dog, I would have flown the coop. Lol.

this error is her fault how awful for that patient. I hope you transplant goes well my sister had it done .and is doing great.

What else could she do but report it? The woman was dead. There was no covering that up. But, you are right. The hospital is responsible as well. That was why they were sued and had to pay a settlement.

Yes, but hospitals are corporations. They are protected from the consequences of their actions. Besides Vandy is part of the historically spotless Tennessee government. And she is only a nurse, and individual ,where are your values?

She killed someone end of story

Yes! The hospital pushed the blame onto her once their funding was threatened.

No. She didn’t. She hide the case for many years and found a new job. She said just to the hospital administrators only.

I agree 100%

And just think how many get away with it.

@@ev25zv Absolutely!

You "fortified" her??? 🤔🤦‍♂️🤦‍♂️🤦‍♂️

@@jessetaylor7951 Fortified means to strengthen, encourage, secure. The hospital not reporting the incident gave that nurse the strength to move on without consequences.

Yes it is insanely common, and sadly rarely properly addressed.

Totally agree. I’m a clinical lab tech. I could understand one or even two of the errors she made but by not even attempting to verify the patient’s identity with a simple barcode scan, she lost me. Like I’m having a hard time not thinking there’s more going on here.

Except when the hospital does not provide this equipment. There were no scanners in Radiology when this happened n

The scanners were not working. That is why nothing was scanned. This safeguard would have prevented this tragedy.

Two separate hospitals I have worked at do not have scanners in MRI. That's an easily preventable system issue.

Okay - I based my comment on the information presented here and Dr Grande said at 8:35 that Vaught did not scan the medication and patient's wristband (implying that she could have).

I am a nurse too. I don't know the whole case here, but you seem to be trying to devalue another nurse to make yourself look better.

@@btetschner so don’t comment if you don’t know the whole case🙄

@@TheIddieMorris I know you are a self-interested person who would betray any nurse given the opportunity.

@@TheIddieMorris Have you always thought of yourself first?

@@btetschner you really don’t know anything and I’m done discussing this with you. Have a good day.

Thank you for speaking sense. Every nurse is saying this will set a precedent, but don’t talk about how negligent the nurse was. You can’t blame stress or a place being to busy for a death of an innocent person

yeah, that list of things she had to ignore to make this mistake was pretty damning. ignoring that many warnings and procedures, but having enough presence of mind to perform an override? how can that happen?? she's dangerous

I'm wracking my brain about this. I'm wondering, and there is still definitely fault on the part of Rodonda, if she and her orientee were used as separate staff and thus she was counted and they were separated. I'm wondering if the orientee made the error. Hospitals routinely try to take nurses prematurely off orientation. The drug that was supposed to given is never reconstituted. Just the fact that the med needed to be mixed would give any nurse pause, enough to call pharmacy or at the very least another nurse. I realized seeing pictures on another video something I had forgotten, versed is always in a brown bottle. It must be light sensitive. There are problems with the med dispensing systems, but a nurse who works in ICU would know to monitor a pt and not leave the pt. The pt should have been on a monitor in the machine! I had heard the nurse was called away to the ER. The hospital attempted to hide this event. Perhaps the idea is to trial this nurse to open up testimony to further prosecute the hospital? I don't even know if that's a thing.

This case comes down to a nurse misreading the label, and the hsopital not having a scanner that worked. They claimed they fixed it but it was not fixed. Now I'm not defending the mistake, you can't throw nurses and doctors in jail when they make every mistake, all nurses and doctors would quit because it's just not possible to never make a mistake in your job. Lets remember your asking for people to be absolutely perfect all the time. Lets try to remember she had never previously had a med error and she reported herself.

I needed to read your response. Glad I did. I was texting my outrage to the analysis and saw the word in your post that calmed me down. The word is "gross", gross negligence. I have had and have heard of close calls but never to this extent. The governing bodies need to ask about the elephant in the room. Why did she show such gross negligence? There are a lot of "Whys". We all need to ask why did this happen and how can this be prevented in the future. Will nurses become lees forthright in reporting incidents? Why? or Why not? So far a response to the whys only get crickets. It is better to be humble and realize that you have the wrong drug instead of feigning that you know what about a drug. The preceptor seems to be the reason for pushing on. Nothing else makes sense. If that is the case then criminal charge is a no-brainer, but how do you prove that.

Oh what a great request, Rejane! This is a case that represents a lot of what I am angry about with unethical conduct in big organizations. Congrats on him doing it; it's a special moment when you see your request in video form in the notifications! 🤩

@@annal7364 Thanks Anna! Yes, this case has the medical community up and arms. Vanderbilt should have owned the responsibility for covering up this, it’s just outrageous.😣

💐💐

@@rejaneoliveira5019 Thank you Rejane, I get so fed up when mistakes like this, are swept under the carpet.

@@cottontails9003 I agree, that’s the worst! Vanderbilt should be held accountable for their mistake as well.

Oh my goodness. Does it? I hope nurses and doctors will start being prosecuted.

How do you NOT read the complete drug name or see the big warning color that says paralysis though. That's on her.

@Rocky I don't actually disagree - she made an inexcusable, idiotic mistake. The problem is that hospital administrations often make an environment where these sorts of errors are more likely. If nurses are doing (sometimes mandatory) overtime you could easily have someone coming on for their fourth or fifth 12 hour shift in a row, assigned more patients then they are supposed to who all need meds at certain time intervals or they will get more sick. Admins at this hospital apparently were illegally telling nurses to surpass some (to be fair, not all) of the safety checks on the drug storage machines essentially to save time and not have to hire more people. It's still ultimately her responsibility, I'm just saying there are plenty of people worth criticizing here.

So true that it’s a problem with the hospital and staffing.

We need a better system for sure. Yes. This nurse was grossly negligent. But these Pyxis dispensers have way too many warning so it becomes routine to bypass them. And the Pyxis system bypasses the check and balance of the pharmacist. Is that really appropriate for drugs like Vecuronium? Also, did the doctor order Versed electronically or was it a written or verbal order? Because when we have the nurse transcribe the order, get the medication out of the Pyxis and administer the medication, that’s just too many steps without any check and balance.

Look how the public used nurses as a human shield since the beginning of the pandemic. No one is standing up for nurses.

i can tell by your statement you most likely are in management and not a bedside nurse

One further comment. Vanderbilt covering it up most be a common theme. Everywhere our local serial killer, Elizabeth Wettlaufer, worked, they covered up her bad behaviour. She was allowed to move from place to place, abuse drugs at work and be caught, make many medication errors which she was fired for, kill 8 people with insulin like it was nothing, injected how many others, and would never have been caught until she voluntarily confessed. She never lost her nursing license for all her recorded bad behaviour; although it was suspended once.

And painful!!

The drug she pulled should NEVER have even been on the floor she was on- it’s a paralytic used to intubate people and only used by anesthesiologist who pull their own meds separately. The medication dispenser where she got the med from was broken and the scanner that verifies patient ID and proper med was broken as well. The physician also made it a verbal order- meaning it wasn’t in the system and he refused to write an actual medical order. Nurses are instructed to follow a verbal order immediately by a doctor bc it usually indicates an emergency- the doctor was the lazy one

@@whalefuhk I also heard that the machine where it was dispensed hadn't been working right. Nurses now need to protect themselves and have it all written which is impossible to do during a true emergency, like someone going into anaphylactic shock or someone having a heart attack or stroke!

No disrespect, but if you work in the medical field you’d know how easy it would be to make this mistake with all the safeguards removed. I have to work with more than one person talking to me at a time and their family on hold, angry because I haven’t picked up the phone. There’s only one of us usually doing the job of 4-5 people.

@@facemuscles9 I appreciate this comment. That's why I wanted to start my comment basically saying the point of view of "someone from the outside looking in". So you're saying it was pretty inevitable for this to happen and would've happened to ANY nurse at that hospital?

I agree. An elderly patient on Versed sedation should have at least been on a pulse ox while undergoing a Radiologic procedure.

Sooo many nurses are supporting her blindly simply because she is a nurse and so are they. I started doing research on this case, rather than watching Tik Tok videos on the case. Man, she ignored so many red flags. She admitted she was not busy, that this was not urgent. So why did she hurry to give the med? Call pharmacy, have the med verified. I am not perfect. I have had close calls too in my career, but this was extreme. She was an an experienced critical care nurse. So avoidable. She ruined her life. I honestly feel bad for her, but ghis pt died in a horrific way. One lawyer described her death as being burned alive would be the worst way to die, while the second worse way to die is the way this poor woman died.

@@user-pl1hz8pu1p I know nurses who think she should have lost her license but also think that a manslaughter charge was inappropriate for a medical error. This really is a pivotal case because we have previously seen such cases handled with loss of licensure plus a malpractice settlement. I do agree with this decision but I’m just clarifying because I’ve heard from lots of my nurse friends.

I, too, have been saved a few times by scanning the armband as I should.

@@beagledog2001 I saw another video that claimed that there isn’t an armband scanner available in Radiology at that hospital. It was a doc who goes by ZDogg.

I agree. If i mess up at my job, i will get prosecuted and rightfully so. If you're handling peoples lifes, the worst thing that could happen is death, not a career change.

@@inkompetenzkompensationsko4188 I totally agree I'm in that position also. If I mess up or if I cover up. I can be criminally prosecuted federally.

I said the exact same thing.

They don't do it that way, because over 100,000 patients are killed EVERY YEAR due to medical mistakes, they wouldn't have any staff left if they held people properly accountable.

@@SoManyRandomRamblings I question that statistic.

She is nit a criminal

❤❤She testified 2 hours to TBI without an attorney . The DAused this 2 hr testimony in court against her. Her attorney Peter Strianse was an attorney to a high profile case in 2014 . Vanderbilt football players involved in a gang rape of Vanderbilt coed . Peter Strianse represented Corey Batey in appeal. This was Radondas attorney as well

I recommend the channel Dire Trip. Very respectful, non-fantastical reporting of darker crimes.

@@TanyaRadic she is a criminal.

I wondered about this too. It’s an odd name. I also wondered about the way they treated a 75yo woman. Geriatricians have noted that doctors often discount the value of older patients. Louise Aronson’s book Elderhood recounts a doctor who said he’d have responded sooner to a call if he’d realized the patient was younger. An article in J of Gerontology suggested that nurses are the most ageist of health professionals.

In my electronic med cabinet vercuronium is stored in the kit labeled ‘rapid sequence intubation’. There’s no mistaking the danger it poses.

I agree! Absolutely! That medication should've never been available. And THAT's on the hospital. Nurses are very overworked. The good doctor here says nothing about that.

@@Nan-59 there are very few places that members of the general public can enter, kick punch and spit on you, then leave with no consequences. Working in hospitals today is a nightmare. If I had a financial exit strategy I’d be done with this line of work.

@@83RBurke In my cabinet Versed and Vercuronium are not stored together. Our rapid intubation kit is under 2 locks.

@@83RBurke that's your choice, it does not excuse these sloppy behaviors.

This woman will become a notorious global phenomenon for her passive aggressive cruelty. What a shame for Greece.

@@elinaanagnostakou2788 Absolutely.

Incredibly sad that it’s not been talked about in other countries I’m in the UK 🇬🇧 but hadn’t heard of the case until you suggested it.

@@cookie_dough_hangover Whole Greece is in a state of shock? I understand, Greece is a relatively small country, but I bet that not exactly whole Greece is in shock...

@@ozymandiasnullifidian5590 Really? Are you what ...12?

So true. Over 100,000 patients die EVERY YEAR due to medical mistakes, your dad was spot on.

Yeah. It seems to me she was generally a terrible nurse. I’ve even wondered if she’s just not very bright, or if she were on drugs, or if she’s ADD and can’t focus … nothing, however, nothing excuses her behavior. Unpardonable and reckless.

True. When one goes to see a Doctor (even a Nurse Practitioner) that Patient doesn't know if that Doctor or NP graduated at the top of their Class or at the bottom. They are like the Shadetree Mechanics of old - there are some good ones, some bad ones and the rest are mediocre.........

You are so Awesome 🤩 Dr. Grande! Thank you for all you do!

She had to, otherwise she would have been labeled a “death angel”.

@@rubyoro0 you don't know her intentions. She was wrong. And openly admitted.

Exactly, this!!! Over 100,000 patients die EVERY YEAR due to medical mistakes.

💯 Do you know how many patients don't get the care they need because insurance doesn't cover it and doctors are forced to find ways around that. In most cases that leads to the patient not getting the proper care that they needed. I don't know why insurance gets to be the deciding factor on what treatment you receive. It's all about money. It's going to take the top guy to the bottom guy to fix this.

@@moecuspocus because of capitalism.

@@moecuspocus universal healthcare would fix it

@@AMM3. I agree

The worst part about dealing with doctors is they are usually too arrogant to admit they made a mistake... Or God forbid a less educated person correct them, even though that person may have more work experience in that particular area. I work in the medical field, trying to give doctors advice or correct them is often a losing battle

She had administered it once before. This lady wasn't her patient. She offered to stay with her even though she was being paged to the ER but the people in radiology said they would watch her.

It is by design this is happening. Hospitals are big business here and they decide on what is reported. I am positive many politicians and news companies have agreements with these places.

I can't agree more!

Where is the psychiatric analysis of health care workers being forced to work in understaffed hospitals routinely? Air traffic controlers and preschool teachers have govt mandated stafty ratios. What about the patients? Safe staffing matters for patient safety.

@@jenniferr4364 corporations run private hospitals and they will squeeze the most work out of healthcare workers without worrying about consequences. It is all about the profits and pleasing their stockholders.

God bless your work!! Nurses are such unsung heroes.

I agree. I’m sure I’ve made some mistakes in my career… but this is a serious drug - triple check and an independent double check are required! She was reckless.

I am sure that order was entered electronically as nearly all big hospitals has electronic medical records like Epic, which make this mistake even harder to explain.

Wow...you are really making some dangerous assumptions here...

Honestly your reaching with these assumptions 😬

Hi Dr. Grande. I think she made a terrible mistake, but it makes anyone who's thinking clearly that she shouldn't have left the patient alone without checking on her and she probaly wouldn't have died. Hopefully her family can recover from grieving but, the settling out of court issue is unbelievable. Hope to see another one of your good analysis videos soon, peace and take care, love, Janine Smiley😀🙂😎🤩😍

ridiculous comment in too may way ways to articulate

It really makes me a bit afraid to go to a Hospital anymore.

I can't imagine why someone would name their Child Menachem. It's a big World with a lot of different people with names that run the gamut. That's why.