Sentinel event Essay (2 pages)

The selected sentinel event for the discussion is a medication error by Tennessean Nurse RaDonda Vaught. The nurses wanted to administer Versed drug to Charlene Murphey, a 75 years old patient admitted with a brain bleed. The patient was Claustrophobic and needed Versed medication for sedation. The automatic drug dispensing cabinet did not have the drug. This made her use an override. She typed the first letter of the drug "ve," and she pressed enter without counterchecking the correct spelling. The selected drug was vecuronium, a paralyzing agent. After the CT scan, the nurse did not monitor the patient who died shortly after................................