2018Confidential (2018)
Jane Roe, age 90, fractured her hip and after surgery was admitted to Woe assisted living facility. She suffered dementia and she was not considered a good rehab candidate. The surgeon prescribed 0.5 ml of 20 mg/ml solution for pain. However, the facility staff accidentally administered a morphine overdose of 50 mg (5 ml), which was 10 times the dosage ordered. Thereafter, on the next shift, she was again provided a second morphine overdose of 50 mg, ten times the ordered dosage. She became unresponsive and was transported to the ER. She was given Narcan with little response. She died the next day. Roe suffered direct and severe hypoxic brain injury causing her death. Her life expectancy was about 6 months.