Bryant_Denny
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This article answers a lot of the “How” questions to RNs and others in the hospital environment.
Fentanyl is commonly stored in 50 microgram bottles, and nurses and pharmacists from large area hospitals in Cleveland, Cincinnati and Columbus said that any nurse should question why more than two bottles are being opened.
If Husel ordered 1,000 micrograms, as he is accused of doing for James "Nick" Timmons, that meant a nurse would have had to open 20 bottles. Timmons, who died Oct. 24, was the only Husel patient identified to date for whom an autopsy was performed by the Franklin County coroner. The coroner listed the cause of death as cocaine and fentanyl.
He definitely knew what he was doing..
Staff members who worked in the ICU in the past five years said Husel often would give emergency orders for the powerful opioid fentanyl or some other painkiller. Those emergency orders, meant to be used in certain urgent situations, would allow him to bypass a pharmacist's pre-approval, giving the medical staff access to drugs stored in a Pyxis machine, or secure cabinet, on the ICU floor.
Husel sometimes would tell families agonizing over removing a loved one from a ventilator that he would ease the patient's suffering with pain medication, but he didn't tell the families he was prescribing potentially lethal dosages, family members said. Other times, the doctor would just order the large doses of opioids without informing families or consulting with anyone else in the hospital, families have said in lawsuits.
So we know he was the night shift intensivist, and it appears that as these patients came in, they were admitted directly to ICU. Are they tracking these deaths (back to 2015) by his signature on the death certificate?? Or is this in defense of physicians who signed the certificates without doing a thorough chart review? Why else mention this?
Each patient who died under Husel's care would have originally been assigned another Mount Carmel doctor when they were admitted, as is normal procedure for hospitals. Those doctors would have had access to the patient charts before signing the death certificates.
Mount Carmel doctor sidestepped pharmacists, persuaded nurses, sources say
Fentanyl is commonly stored in 50 microgram bottles, and nurses and pharmacists from large area hospitals in Cleveland, Cincinnati and Columbus said that any nurse should question why more than two bottles are being opened.
If Husel ordered 1,000 micrograms, as he is accused of doing for James "Nick" Timmons, that meant a nurse would have had to open 20 bottles. Timmons, who died Oct. 24, was the only Husel patient identified to date for whom an autopsy was performed by the Franklin County coroner. The coroner listed the cause of death as cocaine and fentanyl.
He definitely knew what he was doing..
Staff members who worked in the ICU in the past five years said Husel often would give emergency orders for the powerful opioid fentanyl or some other painkiller. Those emergency orders, meant to be used in certain urgent situations, would allow him to bypass a pharmacist's pre-approval, giving the medical staff access to drugs stored in a Pyxis machine, or secure cabinet, on the ICU floor.
Husel sometimes would tell families agonizing over removing a loved one from a ventilator that he would ease the patient's suffering with pain medication, but he didn't tell the families he was prescribing potentially lethal dosages, family members said. Other times, the doctor would just order the large doses of opioids without informing families or consulting with anyone else in the hospital, families have said in lawsuits.
So we know he was the night shift intensivist, and it appears that as these patients came in, they were admitted directly to ICU. Are they tracking these deaths (back to 2015) by his signature on the death certificate?? Or is this in defense of physicians who signed the certificates without doing a thorough chart review? Why else mention this?
Each patient who died under Husel's care would have originally been assigned another Mount Carmel doctor when they were admitted, as is normal procedure for hospitals. Those doctors would have had access to the patient charts before signing the death certificates.
Mount Carmel doctor sidestepped pharmacists, persuaded nurses, sources say