On the 8th November Casareto, who had signed out 500 micrograms of Fentanyl, a controlled pain reliever.The pain relief drugs that where specifically for a male patient undergoing a surgical kidney stones extrication. A section of the operation consists of placing a tube in to the patient's back and down into the kidney.
On the day of the surgery to remove the kidney stones the complaint, identified only by his initials L.V.K was told that he "wouldn't feel any pain" during the surgery. Patients are typically deeply sedated while in the procedure. During the surgery, the patient declared to the doctors that he was encountering the worst pain, the complaint recounting the feeling has a "very long needles going through my skin and down into my kidney" .
The patient also said he "could feel a person securing him down, and over heard one person ask about using restraints". The patient described the level of pain as "nine (9) out of ten (10),"
Meanwhile, throughout the surgery, Casareto was unobservant and disoriented, kept drifting into sleep, and was gesturing wildly and talking robustly. One hospital technician informed the police of the fact that the patient was shrieking and moaning, and Casareto told him to "go to your happy place".
The doctor shared with the police of the fact that the patient behaved "unusual" as the
incision was made into his back and an surgical instrument placed into his kidney.
The doctor at one point in time with the surgery saw her knock medication to the floor. A nursing manager was referred to to the scene by a suspicious technician and said Casareto was "facing away from the patient and not attending to him," dropped a syringe, and was "slow" and "bubbly".
Casareto continued to function suspiciously for the duration of the surgery. colleagues told police.
Medication sheet later showed of the fact that the patient had been supplied with 150 micrograms of Fentanyl, while 300 micrograms had been "wasted" and 50 micrograms were un-accounted for.
It wasn't clear in which the medication appeared to be wasted.
Unlabeled syringes had been found in Casereto's scrubs pockets that is presumed to have been Fentanyl syringes, based on a partial label.
Casareto later turned down a drug test but instead resigned . She told police she had once been hooked on pain medication, having been prescribed and recommended by a doctor, Percocet, Vicodin and Suboxone.
Police suspect Casareto deliberately took and used Fentanyl designated to the patient.
If Sarah May Casareto is found guilty of the felony charge, could well be sentenced to up to 10 years in prison.
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